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ORIGINAL ARTICLE12-16-2024
Health literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
Abstract
ORIGINAL ARTICLEHealth literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
DOI 10.1590/0034-7167-2024-0154
Views0See moreABSTRACT
Objectives:
to identify the process of health literacy development among primary care patients, relating it to their self-care practices.
Methods:
qualitative, prospective research with 22 patients from two Family Health Strategy units. Data were obtained through individual semi-structured interviews, examined through descriptive statistics and thematic content analysis.
Results:
the results discuss how participants learn about health and how this resonates in their behaviors, culminating in two thematic categories: “Health knowledge construction”; and “Dialogue between health knowledge construction and patient care actions”.
Final Considerations:
health knowledge is developed mainly through interpersonal relationships, mediated by health professionals through bonding and communication. Community educational actions and training of health professionals in communication can promote health literacy and self-care among patients.
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ORIGINAL ARTICLE12-16-2024
Analysis of omission of antimicrobial doses in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(6):e20240102
Abstract
ORIGINAL ARTICLEAnalysis of omission of antimicrobial doses in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(6):e20240102
DOI 10.1590/0034-7167-2024-0102
Views0See moreABSTRACT
Objectives:
to analyze the rate of antimicrobial dose omission in intensive care units.
Methods:
cross-sectional study carried out between March 1 and September 30, 2023, in intensive care units of a University Hospital in Rio de Janeiro.
Results:
the sample consisted of 452 prescriptions and 1467 antimicrobial doses. The dose omission rate was 4.29%. Each antimicrobial prescribed increased the chance of omission by 51%. The strategy of double-checking prescriptions helped prevent 30% of antimicrobial dose omissions (p=0.0001).
Conclusions:
monitoring the omission of antimicrobial doses can guide nursing actions to improve quality and patient safety, contributing to the prevention of medication errors, antimicrobial stewardship and the fight against antimicrobial resistance.
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REVIEW12-16-2024
Recommendations for guidelines for promoting mental health in the workplace: an umbrella review
Revista Brasileira de Enfermagem. 2024;77(6):e20240086
Abstract
REVIEWRecommendations for guidelines for promoting mental health in the workplace: an umbrella review
Revista Brasileira de Enfermagem. 2024;77(6):e20240086
DOI 10.1590/0034-7167-2024-0086
Views1See moreABSTRACT
Objectives:
to summarize the recommendations of guidelines for promoting mental health in the workplace.
Methods:
an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845.
Results:
four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention – worker protection; secondary prevention – promoting workers’ mental health; and tertiary prevention – supporting, monitoring and rehabilitating workers upon returning to work.
Conclusions:
the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.
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ORIGINAL ARTICLE12-16-2024
Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
Revista Brasileira de Enfermagem. 2024;77(6):e20240085
Abstract
ORIGINAL ARTICLEPsychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
Revista Brasileira de Enfermagem. 2024;77(6):e20240085
DOI 10.1590/0034-7167-2024-0085
Views0See moreABSTRACT
Objectives:
to analyze the psychometric properties of the ProQOL-BR instrument in hospital nursing professionals.
Methods:
a methodological study to validate the ProQOL-BR. Confirmatory factor analysis, assessment of local and global adjustment quality, Pearson hypothesis testing and Cronbach’s alpha internal consistency analysis were used.
Results:
a total of 490 professionals participated. The model presents adequate quality due to factor weights (λ≥ 0.40), acceptable overall fit quality and adequate chi-square ratio and degrees of freedom (χ2/g.1=2.51) for the parameters of CFI (0.923), GFI (0.902), TLI (0.914) and RMSEA (0.042). In terms of validity, it was shown to be adequate with CC=0.89. The internal consistency obtained by standardized Cronbach’s alpha was 0.761. Criterion validity was shown to be favorable with significant correlations (0.001).
Conclusions:
the instrument was validated regarding content, criteria and reliability. Three questions were removed from the original instrument, ProQOL-BR, leaving the final instrument with 25 questions.
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12-16-2024
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
Abstract
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
DOI 10.1590/0034-7167-2024-0050
Views0See moreABSTRACT
Objectives:
to develop a digital technological solution (prototype) for assessing patients with chronic pain.
Methods:
this is a methodological and technological development study based on the Human-Centered Design framework and the principles of Patient-Centered Care. The prototype guides patients through a body diagram and directs them to an evaluation using specific instruments that address the multidimensional aspects of chronic pain.
Results:
the GerenciaDOR* project enables navigation through the Web App screens, providing access to pain assessment features up to the presentation of results.
Final Considerations:
the study describes a systematic approach to pain assessment and expands nurses’ knowledge in pain management. Additionally, it can promote the development of other digital technologies for chronic pain assessment and contribute to a multidisciplinary, patient centered treatment.
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ORIGINAL ARTICLE12-16-2024
Respectful care for postpartum women with sickle cell disease: a netnographic study
Revista Brasileira de Enfermagem. 2024;77(6):e20230545
Abstract
ORIGINAL ARTICLERespectful care for postpartum women with sickle cell disease: a netnographic study
Revista Brasileira de Enfermagem. 2024;77(6):e20230545
DOI 10.1590/0034-7167-2023-0545
Views0See moreABSTRACT
Objectives:
to analyze principles of respectful maternity care in narratives of postpartum women with sickle cell disease, relating them to Sustainable Development Goals.
Methods:
netnographic study, with two videos published in 2020. Deductive iconographic and thematic analysis by Respectful Maternity Care Charter, organized in MAXQDA.
Results:
principles identified were the right to: freedom from harm and ill-treatment; information, informed consent, refusal of medical procedures, and respect for their choices and preferences including companion; be considered a person from birth, with dignified and respectful treatment; health at the highest possible level; newborns being with their parents or guardians. The Sustainable Development Goals for women by 2030 were not positively contemplated in postpartum women’s experience.
Final Considerations:
it is appropriate that health workers qualify themselves to provide respectful maternity care, with qualified listening, understanding, and resolution of unique demands of postpartum women with sickle cell disease, seeking equality in care for women.
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ORIGINAL ARTICLE12-16-2024
Construction and validation of an educational game on biosafety in the central sterile supply department
Revista Brasileira de Enfermagem. 2024;77(6):e20230478
Abstract
ORIGINAL ARTICLEConstruction and validation of an educational game on biosafety in the central sterile supply department
Revista Brasileira de Enfermagem. 2024;77(6):e20230478
DOI 10.1590/0034-7167-2023-0478
Views0See moreABSTRACT
Objectives:
to construct and validate an educational game on biosafety in the Central Sterile Supply Department of a hospital in Curitiba, PR.
Methods:
the study was conducted using a quantitative approach, employing applied and technological research with an exploratory design. The process was divided into six stages, from the definition of the theme to the validation and application of the game. The study was carried out from May to August 2022, involving 17 nursing professionals from a Central Sterile Supply Department during day and night shifts, as well as 9 judges.
Results:
the study resulted in the construction of a board game named by the authors as “My Health First.”
Conclusions:
the research achieved its objective of constructing and validating an educational game. By reflecting on professional practice and correlating the occupational risks present, the professionals were able to list safe actions, identify problems, and seek solutions.
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ORIGINAL ARTICLE12-16-2024
Training profile of intensive care nurses in Brazil: cross-sectional study
Revista Brasileira de Enfermagem. 2024;77(6):e20230460
Abstract
ORIGINAL ARTICLETraining profile of intensive care nurses in Brazil: cross-sectional study
Revista Brasileira de Enfermagem. 2024;77(6):e20230460
DOI 10.1590/0034-7167-2023-0460
Views0See moreABSTRACT
Objectives:
to describe the training profile of Brazilian intensive care nurses.
Methods:
a cross-sectional study carried out in two stages: a structured, self-administered questionnaire; mapping of the national supply of lato sensu postgraduate courses. Data was collected on the sociodemographic profile, training process and characterization of the courses.
Results:
in the first stage, 202 respondents were obtained. The majority were women (79.2%), aged between 26 and 45 (80.7%), graduated less than 5 years ago (44%), through lato sensu postgraduate courses (55.5%), which were marked by the absence of laboratory practice (57.5%) and guided tours (42.5%). In the second stage, 457 courses were identified, with face-to-face teaching (58.9%), a workload of 360 to 420 hours (51.2%), a duration of up to 6 months (41.8%) and variation in the sub-area of training.
Conclusions:
there was a predominance of professionals graduating from lato sensu post-graduate courses, with essentially theoretical teaching and heterogeneity in terms of modality, workload and sub-area of training.
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ORIGINAL ARTICLE11-27-2023
Incidents in the context of pre-hospital care by ambulances: contributions to patient safety
Revista Brasileira de Enfermagem. 2023;76(5):e20220657
Abstract
ORIGINAL ARTICLEIncidents in the context of pre-hospital care by ambulances: contributions to patient safety
Revista Brasileira de Enfermagem. 2023;76(5):e20220657
DOI 10.1590/0034-7167-2022-0657
Views0See moreABSTRACT
Objectives:
to analyze the occurrence of incidents in the context of mobile terrestrial pre-hospital care.
Methods:
a descriptive research was carried out through the observation of 239 treatments performed by 22 healthcare professionals at the Mobile Emergency Care Service, located in Baixada Fluminense, Rio de Janeiro, Brazil. Fisher’s exact test and chi-square test were used for data analysis.
Results:
the total time dedicated to patient care was 439.5 hours, during which 2386 security incidents were observed. The most notable ones were related to written communication (235), patient identification through bracelets (238), and safety in medication preparation (81).
Conclusions:
the need to promote and implement initiatives aimed at patient safety is evident, with special focus on international safety goals within the scope of mobile pre-hospital care services.
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ORIGINAL ARTICLE11-27-2023
Associations between bullying and risk for eating disorders in adolescents
Revista Brasileira de Enfermagem. 2023;76(5):e20220643
Abstract
ORIGINAL ARTICLEAssociations between bullying and risk for eating disorders in adolescents
Revista Brasileira de Enfermagem. 2023;76(5):e20220643
DOI 10.1590/0034-7167-2022-0643
Views0See moreABSTRACT
Objectives:
to analyze the associations between bullying participation profiles (victims, bullies, and bully-victims) and the risk for eating disorders in adolescents.
Methods:
a cross-sectional study was conducted with 491 students, aged 10 to 18 years. Data were collected through the application of the Peer Victimization and Aggression Scale and the Eating Attitudes Test, and were statistically analyzed using analysis of variance (ANOVA) and Spearman correlation.
Results:
the risk for eating disorders was higher for the victim profile, both for boys and girls. For both sexes, physical victimization, verbal victimization, and relational victimization were significantly associated with variables related to the risk for eating disorders. For boys, there were also significant associations related to aggression.
Conclusions:
student victims, especially boys, are more vulnerable to the consequences of bullying in relation to the risk for eating disorders.
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11-27-2023
Saberes do enfermeiro e comunicação terapêutica no hospital
Revista Brasileira de Enfermagem. 2023;76(5):e20220617
Abstract
Saberes do enfermeiro e comunicação terapêutica no hospital
Revista Brasileira de Enfermagem. 2023;76(5):e20220617
DOI 10.1590/0034-7167-2022-0617
Views0See moreRESUMEN
Objetivos:
identificar la correlación entre el conocimiento de los enfermeros y la aplicación de la comunicación terapéutica de los enfermeros en los hospitales.
Métodos:
estudio descriptivo, cuantitativo, correlacional con método de muestreo total. Los encuestados fueron 68 enfermeros que trabajaban en una sala del hospital. Se utilizaron cuestionarios modificados para recopilar datos. Los datos se analizaron mediante el análisis de la prueba de chi-cuadrado de Pearson.
Resultados:
los enfermeros con conocimientos suficientes y pobres tienen una buena aplicación de la comunicación terapéutica. No hubo correlación entre el conocimiento y la aplicación de la comunicación terapéutica.
Conclusiones:
la comunicación terapéutica está influenciada por muchos factores. El conocimiento de los enfermeros debe ser mantenido y mejorado para brindar una atención integral y aumentar la satisfacción del paciente.
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ORIGINAL ARTICLE11-27-2023
Nurses’ knowledge and therapeutic communication in hospital
Revista Brasileira de Enfermagem. 2023;76(5):e20220617
Abstract
ORIGINAL ARTICLENurses’ knowledge and therapeutic communication in hospital
Revista Brasileira de Enfermagem. 2023;76(5):e20220617
DOI 10.1590/0034-7167-2022-0617
Views0See moreABSTRACT
Objectives:
to identify the correlation of nurses’ knowledge with the application of nurses’ therapeutic communication in hospitals.
Methods:
a descriptive quantitative, correlational design with a total sampling method was used in the study. Respondents were 68 nurses working in an inpatient room in one of the general hospitals in western Indonesia. Modified questionnaires were used in data collection. Analysis of the Pearson chi-square test was used in data analysis.
Results:
nurses with sufficient and poor knowledge have a good application of therapeutic communication. There was no correlation between knowledge and the application of nurses’ therapeutic communication.
Conclusions:
therapeutic communication is influenced by many factors, but nurses’ knowledge should be maintained and improved to provide holistic care and increase patient satisfaction.
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11-27-2023
Adaptação transcultural da Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) modificada para mães de prematuros no Brasil
Revista Brasileira de Enfermagem. 2023;76(5):e20220497
Abstract
Adaptação transcultural da Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) modificada para mães de prematuros no Brasil
Revista Brasileira de Enfermagem. 2023;76(5):e20220497
DOI 10.1590/0034-7167-2022-0497
Views0See moreRESUMEN
Objetivos:
realizar la adaptación transcultural de la Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) para madres de niños enfermos y/o prematuros al portugués en el contexto brasileño.
Métodos:
se realizó un estudio metodológico que incluyó la traducción del instrumento, síntesis de traducciones, revisión por especialistas, síntesis, reevaluación por especialistas, retrotraducción, preprueba y validación de contenido. El estudio involucró a 19 participantes, incluidos traductores y expertos. Además, 18 madres de la población objetivo fueron incluidas en la preprueba.
Resultados:
las equivalencias de opinión obtenidas por el comité de expertos fueron: semántica (85%), idiomática (89%), cultural (86%) y conceptual (94%). El Coeficiente de Validación de Contenido (CVC) de la escala fue de 0,93 para claridad y comprensión; 0,89 para relevancia práctica; 0,92 para relevancia. El promedio general del CVC fue de 0,91.
Conclusiones:
la escala fue traducida y adaptada al portugués brasileño, lo que mantuvo las equivalencias y confirmó la validez de contenido.
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ORIGINAL ARTICLE11-27-2023
Cross-cultural adaptation of the Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) modified for preterm mothers in Brazil
Revista Brasileira de Enfermagem. 2023;76(5):e20220497
Abstract
ORIGINAL ARTICLECross-cultural adaptation of the Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) modified for preterm mothers in Brazil
Revista Brasileira de Enfermagem. 2023;76(5):e20220497
DOI 10.1590/0034-7167-2022-0497
Views0ABSTRACT
Objectives:
to conduct a cross-cultural adaptation of the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) for mothers of ill and/or preterm infants among Portuguese-speaking mothers in Brazil.
Methods:
a methodological study was completed, including the translation of the tool, synthesis of translations, review by experts, synthesis, reassessment of experts, back-translation, pre-test, and validation of the content. The study involved 19 participants, including a translator and experts. In addition, 18 mothers from the target population were included in the pre-test.
Results:
the equivalences of the opinion obtained by the committee of experts were semantic (85%), idiom (89%), cultural (86%), and conceptual (94%). The content validation coefficient (CVC) on the scale was 0.93 for clarity and understanding; 0.89 for practical relevance; 0.92 for relevance; and the average overall CVC was 0.91.
Conclusions:
the scale was translated and adapted to the Brazilian Portuguese language, which maintained the equivalences and confirmed the content validity.
Keywords:BreastfeedingMethodological Research in NursingPremature NewbornSelf-EfficacyValidation StudySee more -
ORIGINAL ARTICLE11-27-2023
Puerperal women’s satisfaction with the obstetric services received: improvement of an assessment instrument
Revista Brasileira de Enfermagem. 2023;76(5):e20220457
Abstract
ORIGINAL ARTICLEPuerperal women’s satisfaction with the obstetric services received: improvement of an assessment instrument
Revista Brasileira de Enfermagem. 2023;76(5):e20220457
DOI 10.1590/0034-7167-2022-0457
Views0See moreABSTRACT
Objectives:
to improve an instrument that measures postpartum women’s satisfaction with obstetric care.
Methods:
action research, developed from a preliminary version of an instrument prepared by nurse-midwives working in public services in the Federal District. The analysis of the results of application of instrument carried out in a pilot test, analysis of evidence of instrument validity, literature review, focus group with the instrument’s developers and interview with the target audience were carried out.
Results:
factorial analysis showed three existing factors in the construct. Seven nurses participated, discussing the instrument reformulation, and 20 mothers reported their perceptions about the care received during childbirth, generating five thematic units.
Final Considerations:
instrument improvement occurred through item and response scale reconstruction and reorganization, in addition to application of a pre-test with the target population, resulting in an instrument composed of 13 items.
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11-27-2023
Proposta do diagnóstico de enfermagem “Retorno Venoso Periférico Prejudicado”: formação do conceito
Revista Brasileira de Enfermagem. 2023;76(5):e20220426
Abstract
Proposta do diagnóstico de enfermagem “Retorno Venoso Periférico Prejudicado”: formação do conceito
Revista Brasileira de Enfermagem. 2023;76(5):e20220426
DOI 10.1590/0034-7167-2022-0426
Views0See moreRESUMEN
Objetivos:
desarrollar una propuesta de diagnóstico de enfermería centrada en el retorno venoso.
Métodos:
se trata de un análisis de concepto según el modelo propuesto por Walker y Avant, que se operacionaliza a través de una revisión integradora. El estudio se llevó a cabo de acuerdo con las recomendaciones del protocolo Preferred Reporting Items for Systematic Reviews and Meta-Analyses.
Resultados:
el análisis de los 131 estudios permitió identificar atributos, antecedentes y consecuencias. El atributo más común fue la disminución del flujo venoso. Los antecedentes encontrados con mayor frecuencia fueron deficiencia valvular estructural y/o funcional, edad avanzada y trombosis venosa periférica. Las consecuencias más comunes fueron edema periférico, úlcera venosa y dolor en la extremidad.
Conclusiones:
el diagnóstico de enfermería formulado fue propuesto como parte del Dominio 4, Actividad/reposo, en la Clase 4, Respuestas cardiovasculares/pulmonares, con ocho características definidoras, cinco factores relacionados, seis poblaciones de riesgo y cuatro condiciones asociadas.
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01-01-2017
Fundamentos e práticas do cuidar em Enfermagem Gerontológica
Revista Brasileira de Enfermagem. 2017;70(4):671-672
Abstract
Fundamentos e práticas do cuidar em Enfermagem Gerontológica
Revista Brasileira de Enfermagem. 2017;70(4):671-672
DOI 10.1590/0034-7167.2017700401
Views0As intensas transformações sociais, econômicas, políticas, culturais, ambientais, epidemiológicas e demográficas, em conjunto com as aceleradas inovações tecnológicas, têm afetado significativamente a vida em sociedade, exigindo que as pessoas reflitam sobre as próprias concepções da natureza humana. Esse contexto de transformações tem estimulado os indivíduos a valorizar os avanços tecnológicos e a construção de relações […]See more -
01-01-2017
Fundamentals and practice of care in Gerontological Nursing
Revista Brasileira de Enfermagem. 2017;70(4):671-672
Abstract
Fundamentals and practice of care in Gerontological Nursing
Revista Brasileira de Enfermagem. 2017;70(4):671-672
DOI 10.1590/0034-7167.2017700401
Views0Intense social, economic, political, cultural, environmental, epidemiological, and demographical transformations, coupled with accelerated technological innovation, have significantly affected life in society, requiring people to reflect about the conceptions of human nature itself. This context of transformation has incentivized individuals to value technological advances and the construction of more autonomous, global, and unstable human relationships, outlining […]See more -
01-01-2017
The importance of empathy in health and nursing care
Revista Brasileira de Enfermagem. 2017;70(3):669-670
Abstract
The importance of empathy in health and nursing care
Revista Brasileira de Enfermagem. 2017;70(3):669-670
DOI 10.1590/0034-7167-2016-0032
Views0“In her book “Cultivating Empathy”(), Kathleen Stephany, psychologist and professor at the College of Health Sciences at Douglas College, writes about empathy, which she considers to be the basis of effective communication and one of the most important skills to be developed by human beings. Empathy is the ability to put oneself in the place […]See more -
REFLECTION01-01-2017
Clinical reasoning in nursing: teaching strategies and assessment tools
Revista Brasileira de Enfermagem. 2017;70(3):662-668
Abstract
REFLECTIONClinical reasoning in nursing: teaching strategies and assessment tools
Revista Brasileira de Enfermagem. 2017;70(3):662-668
DOI 10.1590/0034-7167-2016-0509
Views0See moreABSTRACT
Objective:
To present the concept and development of teaching strategies and the assessment tools regarding clinical reasoning for accurate practice.
Method:
This is a theoretical reflection based on scientific studies.
Results:
Comprehension of the essential concepts of the thought process and its articulation with the different teaching strategies and the assessment tools which has allowed presenting ways to improve the process of diagnostic or therapeutic clinical reasoning.
Conclusion:
The use of new strategies and assessment tools should be encouraged in order to contribute to the development of skills that lead to safe and effective decision making.
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REFLECTION01-01-2017
Continuing education in health from the perspective of Augustine of Hippo
Revista Brasileira de Enfermagem. 2017;70(3):656-661
Abstract
REFLECTIONContinuing education in health from the perspective of Augustine of Hippo
Revista Brasileira de Enfermagem. 2017;70(3):656-661
DOI 10.1590/0034-7167-2016-0484
Views0See moreABSTRACT
Objective:
To reflect about continuing education from the perspective of Augustine of Hippo and his theories based on the construction of knowledge and the learning process.
Method:
This is a theoretical reflection study whose aim is to propose dimensions of analysis, emphasizing the history and challenges of continuing education. Such dimensions analyze the production of knowledge in Augustinian pedagogy, its historical aspects and its close relationship with lifelong education in health professions.
Results:
The results show the difficulty of continuing education to reach adequate importance in health services, and that of academia in appropriating the thoughts of renowned philosophers such as Augustine. This is a result of ignorance about the convergence of these principles and their relevance.
Final considerations:
Continuing education and Augustinian pedagogy walk hand in hand in terms of care, meeting the needs that originate from practice and that are reflected in it, challenging isolated knowledge and putting different areas of knowledge to work together.
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REVIEW01-01-2017
Influence of hormonal contraceptives and the occurrence of stroke: integrative review
Revista Brasileira de Enfermagem. 2017;70(3):647-655
Abstract
REVIEWInfluence of hormonal contraceptives and the occurrence of stroke: integrative review
Revista Brasileira de Enfermagem. 2017;70(3):647-655
DOI 10.1590/0034-7167-2016-0056
Views0See moreABSTRACT
Objective:
To identify scientific evidence regarding the influence of hormonal contraceptive use and the occurrence of stroke.
Method:
Integrative review of the literature, through database search using the descriptors “contraceptive agents“, “contraceptive devices“, “contraceptives, Oral” and “Stroke”. Original studies in Portuguese, Spanish and English, published in full and available online were included. Studies that did not answer our guiding questions and duplicated studies were excluded.
Results:
Women using combined oral contraceptives have higher risk of stroke, even with a lower hormonal dosage and different types of progestogen, regardless of the duration of use. The use of contraceptives associated with smoking, hypertension, migraine, hypercholesterolemia, obesity and sedentary lifestyle increases the chance of stroke. Contraceptive patch and vaginal ring are associated to increased risk.
Conclusion:
Use of combined hormonal contraceptives, except for the injectable and the transdermal ones, increases the chance of occurrence of the event. Progestogen-only contraceptives were considered safe.
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RESEARCH01-01-2017
Health Conditions and Memory Performance: a study with older adult women
Revista Brasileira de Enfermagem. 2017;70(3):640-646
Abstract
RESEARCHHealth Conditions and Memory Performance: a study with older adult women
Revista Brasileira de Enfermagem. 2017;70(3):640-646
DOI 10.1590/0034-7167-2016-0529
Views0See moreABSTRACT
Objective:
to verify the correlation between health condition and memory performance of older adult women in the community.
Method:
Analytical cross-sectional study developed with 28 older adult women living in Cuiabá-MT. They answered the Mini-Mental State Examination (MMSE), and a shortened Geriatric Depression Scale (GDS-15) to screen for dementia and depression symptoms. Memory skills were assessed through Rey Auditory Verbal Learning Test (RAVLT).
Results:
The mean age was 66.36 years and 75% of the participants had educational level higher than 7 years. The MMSE mean score was 28.45. The correlations found were: educational level and immediate memory (r = 0.49; p = 0.008); delayed recall and immediate memory (r = 0.71; p < 0.001); memory recognition and immediate memory (r = 0.43; p = 0.021) and recognition memory with delayed recall (r = 0.47; p = 0.012).
Conclusion:
High scores in the MMSE and a satisfactory health perception among the participants were evident. There was no correlation between memory performance and health perception.
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RESEARCH01-01-2017
Comprehension of the education handout and health literacy of pacemaker users
Revista Brasileira de Enfermagem. 2017;70(3):633-639
Abstract
RESEARCHComprehension of the education handout and health literacy of pacemaker users
Revista Brasileira de Enfermagem. 2017;70(3):633-639
DOI 10.1590/0034-7167-2016-0336
Views0See moreABSTRACT
Objective:
To verify the comprehension of the education handout and the level of Functional Health Literacy of individuals with cardiac pacemaker (PM) and whether there is correlation between the comprehension and Functional Health Literacy (FHL).
Method:
Cross-sectional study with 63 individuals with PM who answered to comprehension tests of the handout, literacy assessment (SAHLPA-50) and cognition (MMSE). Measurements of dispersion, Pearson correlation and multiple linear regression were calculated.
Results:
Most women, study time ≤ 9 years, 66.21 (average age) presented no cognitive changes. An adequate literacy level was evidenced in 50.8% individuals with PM and satisfactory comprehension of the handout. No correlation was identified between FHL, handout comprehension, age, years of study and cognition.
Conclusion:
The handout comprehension assessed by individuals with appropriate FHL indicated that it can be a printed material suitable for use, aiming to improve care process and knowledge of individuals with PM.
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