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ORIGINAL ARTICLE11-13-2023
Elaboration and validity of the Instrumento para Avaliação de Modelos metodológicos voltados ao Desenvolvimento de Tecnologias
Revista Brasileira de Enfermagem. 2023;76:e20230046
Abstract
ORIGINAL ARTICLEElaboration and validity of the Instrumento para Avaliação de Modelos metodológicos voltados ao Desenvolvimento de Tecnologias
Revista Brasileira de Enfermagem. 2023;76:e20230046
DOI 10.1590/0034-7167-2023-0046
Views0See moreABSTRACT
Objective:
to elaborate and validate the Instrumento para Avaliação de Modelos metodológicos voltados ao Desenvolvimento de Tecnologias.
Methods:
a methodological study, developed in three stages: instrument structuring through documentary research and researchers’ expertise; instrument validity with a panel of 11 expert judge nurses; and instrument final composition.
Results:
the instrument, after validity by experts, consisted of 30 items, divided into the content (26 items) and appearance (four items) domains. In the initial instrument validity process, 11 items were modified and seven were withdrawn, as they had a percentage of agreement below 0.80. The instrument showed excellent internal consistency, with values greater than 0.90 in its psychometric criteria.
Conclusion:
the instrument produced and validated aimed at assessing research methodological models for technological development showed good reliability, and may contribute to the methodological rigor of technological development research in nursing.
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ORIGINAL ARTICLE11-13-2023
Educational technology on tuberculosis: construction shared with Primary Health Care nurses
Revista Brasileira de Enfermagem. 2023;76:e20230025
Abstract
ORIGINAL ARTICLEEducational technology on tuberculosis: construction shared with Primary Health Care nurses
Revista Brasileira de Enfermagem. 2023;76:e20230025
DOI 10.1590/0034-7167-2023-0025
Views0See moreABSTRACT
Objective:
to develop, in a participatory way, an educational technology to assist nurses in the management of tuberculosis cases in Primary Health Care.
Methods:
methodological research with a qualitative approach. Data were collected between June and October 2022, in 25 Basic Health Units, with 41 nurses interviewed individually. Thematic content analysis was carried out to guide technology elaboration.
Results:
three empirical categories were organized, demonstrating the facilities and difficulties in tuberculosis management, the conceptions about educational technology as a facilitator of the teaching-learning process in Primary Health Care and participatory development of technology. Nurses were in favor of constructing an instructional guide technology, and made suggestions to encourage its creation and use in daily service routine.
Final considerations:
the participatory process made it possible to create technology to assist nurses in the teaching-learning process in Primary Health Care about caring for people with tuberculosis.
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ORIGINAL ARTICLE11-13-2023
Access of people with pulmonary tuberculosis to government programs: Primary Care professionals’ perceptions
Revista Brasileira de Enfermagem. 2023;76:e20220716
Abstract
ORIGINAL ARTICLEAccess of people with pulmonary tuberculosis to government programs: Primary Care professionals’ perceptions
Revista Brasileira de Enfermagem. 2023;76:e20220716
DOI 10.1590/0034-7167-2022-0716
Views0See moreABSTRACT
Objective:
to analyze Primary Health Care professionals’ perceptions about the access of people with pulmonary tuberculosis to government social support and income transfer programs.
Methods:
multicenter/qualitative study, carried out in Family Health Units in four Brazilian capitals: Belém/Pará, Campo Grande/Mato Grosso do Sul, Recife/Pernambuco and Rio de Janeiro/Rio de Janeiro. Fifty-eight professionals participated (social workers, dentists, nurses, pharmacists, physicians and nursing technicians), who provided assistance to people with pulmonary tuberculosis. Individual interviews were conducted, and the content analysis technique was used.
Results:
among the participants, 45/77.6% were women and 33/56.9% were between 25 and 40 years old. Two thematic categories were organized, demonstrating the perceptions about the possibilities of access to government programs by people with pulmonary tuberculosis in vulnerable situations and the obstacles inherent to this context.
Final considerations:
it is necessary to move forward in improving patient access to social programs.
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ORIGINAL ARTICLE11-13-2023
Vulnerability to physical inactivity: evidence of content validity and response processes
Revista Brasileira de Enfermagem. 2023;76:e20220563
Abstract
ORIGINAL ARTICLEVulnerability to physical inactivity: evidence of content validity and response processes
Revista Brasileira de Enfermagem. 2023;76:e20220563
DOI 10.1590/0034-7167-2022-0563
Views0See moreABSTRACT
Objective:
To analyze content validity evidence and response processes of a bank of items for measuring vulnerability to physical inactivity in adults.
Method:
Methodological study, with 13 specialists and 46 representatives of the target population. The Content Validity Index (CVI) and binomial test were calculated; data obtained through validity based on response processes were collected through interviews.
Results:
Of the 105 constructed items, 16 were excluded (CVI<0.78); 89 items showed agreement <80% in the psychometric criteria, being modified. Of the 101 items that remained (CVI>0.78), 34 were changed and 4 were deleted after evaluating the evidence of response processes. In the end, 97 items remained, with a global CVI of 0.92, organized into two dimensions: Subject (CVI=0.91) and Social (CVI=0.94).
Conclusion:
The items presented adequate parameters and evidence of validity; and can subsidize the construction of instruments that consider the subject’s and social vulnerability in understanding physical inactivity.
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REVIEW11-13-2023
Ocular dryness in intensive care: proposal for a new nursing diagnosis
Revista Brasileira de Enfermagem. 2023;76:e20220698
Abstract
REVIEWOcular dryness in intensive care: proposal for a new nursing diagnosis
Revista Brasileira de Enfermagem. 2023;76:e20220698
DOI 10.1590/0034-7167-2022-0698
Views0See moreABSTRACT
Objective:
to analyze the concept associated with diagnostic proposition Ocular dryness in adult patients hospitalized in an Intensive Care Unit, identifying its attributes, antecedents and consequences.
Methods:
a methodological study carried out through concept analysis, operationalized by scoping review.
Results:
the analysis of 180 studies allowed the identification of two attributes, 32 antecedents and 12 consequences. The attributes were tear film deficiency and ocular signs and/or symptoms. The prevalent antecedents were incomplete eyelid closure (lagophthalmos) and blinking mechanism decrease. Major consequences included conjunctival hyperemia and decreased tear volume.
Conclusions:
this study allowed constructing nursing diagnosis Ocular dryness, part of domain 11, class 2, with 12 defining characteristics, 12 related factors, seven populations at risk and 13 associated conditions. This problem-focused proposal may provide targeted care by promoting early detection and implementing interventions that reduce the risk of ocular damage.
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11-13-2023
Digital technology for the prevention of healthcare-related infections in critical care
Revista Brasileira de Enfermagem. 2023;76:e20220528
Abstract
Digital technology for the prevention of healthcare-related infections in critical care
Revista Brasileira de Enfermagem. 2023;76:e20220528
DOI 10.1590/0034-7167-2022-0528
Views0See moreABSTRACT
Objective:
To develop digital technology for patient and family integration into the Intensive Care Unit care team, aiming to subsidize decision-making for the prevention of infections related to healthcare.
Method:
Methodological research of technological production in three phases: pre-production, production, and post-production in a teaching hospital in southern Brazil. Sixteen intensive care unit nurses participated.
Results:
The research produced six videos: general guidelines on the Intensive Care Unit, Preventing infections: hand hygiene; Pneumonia associated with mechanical ventilation; Catheter-associated primary bloodstream infection; Catheter-related urinary tract infection.
Final considerations:
The proposed technology was developed and aims to assist nurses in bringing patients and families closer to the routines of the intensive care environment to provide safety in the contact of the patient of intensive care units with family members and in the active participation for the prevention of infections related to healthcare.
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11-10-2023
A eficácia do uso de livros interativos multimodalidade em enfermagem pediátrica na implementação do programa Merdeka Belajar
Revista Brasileira de Enfermagem. 2023;76(5):e20220599
Abstract
A eficácia do uso de livros interativos multimodalidade em enfermagem pediátrica na implementação do programa Merdeka Belajar
Revista Brasileira de Enfermagem. 2023;76(5):e20220599
DOI 10.1590/0034-7167-2022-0599
Views0See moreRESUMEN
Objetivos:
analizar la efectividad del uso de libros interactivos multimodales en enfermería pediátrica sobre los resultados de aprendizaje de los estudiantes en la implementación del Programa Merdeka Belajar.
Métodos:
investigación cuasi-experimental con un diseño de grupo de control posterior a la prueba. En este estudio, la muestra incluyó 52 estudiantes de enfermería del cuarto semestre del Instituto de Ciencias de la Salud Suaka Insan Banjarmasin que recibieron el curso de Enfermería Pediátrica. Fue utilizada la técnica de muestreo total y la prueba t dependiente en el análisis de datos.
Resultados:
el libro interactivo multimodal de enfermería pediátrica fue efectivo en la mejora del logro de aprendizaje de los estudiantes de cuarto semestre con un valor de significancia de 0,015 < 0,05. Hay una diferencia en el valor promedio de los cursos de enfermería pediátrica para la clase A y la clase B, que es de 3,173.
Conclusiones:
el uso de libros multimodales interactivos es muy bueno para que los profesores los apliquen en la enseñanza para ayudar a los estudiantes a comprender el material que están aprendiendo.
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ERRATUM11-10-2023
ERRATUM
Revista Brasileira de Enfermagem. 2023;76(5):e2023n5e04
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2023;76(5):e2023n5e04
DOI 10.1590/0034-7167.20237605e04
Views0In the article “First graduate of the Master of Nursing in Advanced Practice in Oncology in Chile”, with DOI number: , published in Revista Brasileira de Enfermagem, 2023(Suppl 4):e76suppl401, in the second paragraph:Where it read:[…]See more
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12-05-2019
Hospital care and urinary incontinence in the elderly
Revista Brasileira de Enfermagem. 2019;72:284-293
Abstract
Hospital care and urinary incontinence in the elderly
Revista Brasileira de Enfermagem. 2019;72:284-293
DOI 10.1590/0034-7167-2018-0273
Views0See moreABSTRACT
Objective:
to identify factors inherent in hospital care that favor urinary incontinence in the elderly.
Method:
an integrative review with Scopus, CINAHL and Pubmed searches. Includes original articles, no language restriction, published between 2008 and 2018. Rated level of recommendation and level of evidence were assessed using the Oxford Center for Evidence-Based Medicine classification. Exploited content through thematic analysis in light of the Donabedian model.
Results:
13 articles constituted the sample. There were factors such as the unjustified and indiscriminate use of devices such as the geriatric diaper; hospital structure adversely affecting the needs of the elderly; and deficit in screening, risk identification and underreporting of the problem favor urinary incontinence in the hospitalized elderly.
Conclusion:
modifiable factors related to hospital structures and care processes favor both the onset and worsening of urinary incontinence in the elderly.
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ORIGINAL ARTICLE06-27-2019
Nurse safety culture in the services of a university hospital
Revista Brasileira de Enfermagem. 2019;72(3):767-773
Abstract
ORIGINAL ARTICLENurse safety culture in the services of a university hospital
Revista Brasileira de Enfermagem. 2019;72(3):767-773
DOI 10.1590/0034-7167-2018-0376
Views0See moreABSTRACT
Objective:
To evaluate nurse safety culture in a teaching hospital, as well as to verify differences in the safety culture dimensions between services.
Method:
cross-sectional, quantitative study, conducted from October to December 2015, in a university hospital. The instrument Hospital Survey on Patient Safety Culture was applied.
Results:
A total of 195 nurses from four different services participated in the study. Significant difference between services were identified for five dimensions of safety culture: organizational learning (P=0.012); return of information and communication about error (P=0.014); management support for patient safety (P=0.001); general perceptions about patient safety (P=0.005); and frequency of event notification (P=0.003).
Conclusion:
The medical clinic service had the highest statistical difference between the dimensions. These evaluations allow managers to identify the differences between the same hospital’s services, serving as a warning and assisting in the services’ improvement.
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REVIEW05-18-2020
Effects of acupuncture in patients with chronic kidney disease: a systematic review
Revista Brasileira de Enfermagem. 2020;73(4):e20180784
Abstract
REVIEWEffects of acupuncture in patients with chronic kidney disease: a systematic review
Revista Brasileira de Enfermagem. 2020;73(4):e20180784
DOI 10.1590/0034-7167-2018-0784
Views0See moreABSTRACT
Objectives:
to analyze the effects of acupuncture techniques in patients with chronic kidney disease.
Methods:
a systematic review conducted in six databases, from September to December 2017, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses’ criteria. The following descriptors were used: Acupuncture AND Chronic Renal Insufficiency AND Clinical Trial.
Results:
nine studies were selected; the acupuncture techniques used were auriculotherapy, electroacupuncture and acupressure aimed at improving quality of life, fatigue, sleep and clinical variables of the disease. The studies that assessed quality of life, sleep and fatigue presented significant benefits. Studies that assessed quality of life, sleep and fatigue presented significant benefits. There was no statistical significance in the improvement of serum creatinine levels and glomerular filtration rate. Methodological and assessment tools’ divergence made impossible meta-analysis
Conclusions:
studies reinforce the positive effect of acupuncture in improving quality of life, fatigue and sleep in patients.
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ORIGINAL ARTICLE05-15-2020
Configuration of power relations in physicians and nurses’ professional practices
Revista Brasileira de Enfermagem. 2020;73:e20180629
Abstract
ORIGINAL ARTICLEConfiguration of power relations in physicians and nurses’ professional practices
Revista Brasileira de Enfermagem. 2020;73:e20180629
DOI 10.1590/0034-7167-2018-0629
Views0See moreABSTRACT
Objective:
to analyze the configuration of power relations constituted in and by the knowledge and daily practices of physicians and nurses in an Intensive Care Unit (ICU).
Method:
qualitative study in which data were collected through interviews with physicians and nurses from an ICU of a hospital in Belo Horizonte, Minas Gerais. A semi-structured script was used. Data were analyzed through discourse analysis in a Foucaultian perspective.
Results:
three categories were developed – Professional Identity: self-recognition in the profession; Discipline: individualizing attitudes or collective need?; and Circularity of knowledge and power in the constitution of daily practices.
Final considerations:
the identity, discipline and circulation of power are connected in a continuous movement of subjectivation of the subject, which, in turn, uses discourse as a persuasion strategy to modify the position taken over in different situations thereby causing the circulation of power.
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ORIGINAL ARTICLE12-05-2019
Perception of body image and nutritional status in adolescents of public schools
Revista Brasileira de Enfermagem. 2019;72:229-235
Abstract
ORIGINAL ARTICLEPerception of body image and nutritional status in adolescents of public schools
Revista Brasileira de Enfermagem. 2019;72:229-235
DOI 10.1590/0034-7167-2018-0644
Views0See moreABSTRACT
Objective:
To assess body image dissatisfaction among adolescents from Northern Minas Gerais.
Method:
This is a cross-sectional study with adolescents of both sexes, enrolled in the sixth to ninth year in the municipal public education network. A questionnaire was used, composed of sociodemographic and body image variables, which was obtained through a scale of silhouette figures. The anthropometric measurements of weight and height were performed to estimate body mass index. The correlation between the classification of the body mass index and the body image of adolescents was estimated through weighted Kappa.
Results:
A total of 535 adolescents participated, and 24.5% had different classifications between the real and ideal body image. The Kappa index for the classification of body image was 0.51, 0.58 and 0.32 for the total of adolescents, girls and boys, respectively.
Conclusion:
Public school adolescents are dissatisfied with their self-body image.
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07-05-2021
Selenium concentrations in elderly people with Alzheimer’s disease: a cross-sectional study with control group
Revista Brasileira de Enfermagem. 2021;74:e20200984
Abstract
Selenium concentrations in elderly people with Alzheimer’s disease: a cross-sectional study with control group
Revista Brasileira de Enfermagem. 2021;74:e20200984
DOI 10.1590/0034-7167-2020-0984
Views0See moreABSTRACT
Objective:
To investigate possible differences in plasma and erythrocyte concentrations of selenium among elderly with and without a diagnosis of Alzheimer’s disease (AD).
Methods:
Cross-sectional study, performed with an elderly group with Alzheimer’s disease, diagnosed by a geriatric doctor, and compared to an elderly group without the disease, equaling gender, education, and age. Atomic absorption spectrophotometry determined plasma and erythrocyte concentrations of total selenium (Set).
Results:
The mean age was 74.41±7.1 years in the Alzheimer’s disease group and 71.46±5.1 years among the control group. The Alzheimer’s disease group presented lower plasma concentrations (mean of 45.29±14.51 µg/dL vs. 55.14±14.01 µg/dL; p=0.004), and erythrocyte Set (median of 56.36 µg/L vs. 76.96 µg/L; p<0.001). The logistic regression model indicated an association between erythrocyte Set concentrations and diagnosis of Alzheimer’s disease (p=0.028).
Conclusion:
Elderly with Alzheimer’s disease present lower selenium concentrations in the evaluated organic compartments.
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ORIGINAL ARTICLE10-21-2019
Mental health in primary health care: health-disease according to health professionals
Revista Brasileira de Enfermagem. 2019;72(6):1609-1617
Abstract
ORIGINAL ARTICLEMental health in primary health care: health-disease according to health professionals
Revista Brasileira de Enfermagem. 2019;72(6):1609-1617
DOI 10.1590/0034-7167-2018-0743
Views0See moreABSTRACT
Objective:
to analyze perceptions of the Family Health Strategy (FHS) professional team about mental health-disorder and to identify health actions developed by the team for people with mental disorders.
Method:
a qualitative study of a Marxist theoretical framework and a dialectical method. 99 FHS middle and higher level professionals from São Paulo participated. Semi-structured interviews were conducted. Data were submitted to ALCESTE software and Thematic Content Analysis.
Results:
there were three empirical categories: Training in Mental Health; Perception of the FHS professional about mental health-disorder; and Health actions developed by the FHS team with people with mental disorders. Actions that converge and diverge from the psychosocial care model were identified.
Final considerations:
there is an effort from professionals to work according to the psychosocial care model, but it is necessary to invest in the Permanent Education in Health of these professionals to overcome barriers and foster successful territorial actions.
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ORIGINAL ARTICLE03-09-2020
Quality of life at work in a central sterile processing department
Revista Brasileira de Enfermagem. 2020;73(2):e20180792
Abstract
ORIGINAL ARTICLEQuality of life at work in a central sterile processing department
Revista Brasileira de Enfermagem. 2020;73(2):e20180792
DOI 10.1590/0034-7167-2018-0792
Views1See moreABSTRACT
Objectives:
to evaluate the quality of life of nursing professionals who work in a central sterile processing department.
Methods:
a descriptive, quantitative, exploratory study, conducted with 82 nursing professionals working in the Central Sterile Processing Department of a University Hospital, from September to November 2017. A semi-structured instrument and the questionnaire “Medical Outcomes Study Short-Form 36” were used. Results: most of the participants were female, married, aged 31-40 years; 47.6% with 6-10 years of profession, and 82.9% reported working in CSPD for 1-5 years. The most affected quality of life domains were Pain, Vitality, General Health Status and Social Aspects.
Conclusions:
This study showed a need for rethinking and re-creating the labor dynamics in CSPD to improve the quality of life of these nursing professionals.
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