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REVIEW07-29-2024
Utilization of local pressure devices in pain management during injections: scoping review
Revista Brasileira de Enfermagem. 2024;77(3):e20230399
Abstract
REVIEWUtilization of local pressure devices in pain management during injections: scoping review
Revista Brasileira de Enfermagem. 2024;77(3):e20230399
DOI 10.1590/0034-7167-2023-0399
Views0See moreABSTRACT
Objective:
to map scientific evidence regarding the use of local pressure devices in pain relief during injection procedures in patients.
Methods:
scoping review, following the recommendations of the JBI Manual for Evidence Synthesis and PRISMA-ScR, with searches conducted in the PubMed, EMBASE, CINAHL, LILACS, and PsycINFO databases, without temporal restrictions and with a cutoff date of March 2023.
Results:
a total of 1,514 studies were identified, with 20 articles included in the final sample. The ShotBlocker® device was utilized during subcutaneous and intramuscular injections in children and adults, proving beneficial in reducing pain, anxiety, and fear associated with the procedure.
Final considerations:
the ShotBlocker® is a low-cost, easy-to-use device that can enhance nursing clinical practice during painful procedures. However, studies involving the Brazilian Pikluc® device are scarce. Further research involving both local pressure devices is recommended.
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ORIGINAL ARTICLE07-29-2024
Sexual counseling for people with acute coronary syndrome: educational video development
Revista Brasileira de Enfermagem. 2024;77(3):e20230416
Abstract
ORIGINAL ARTICLESexual counseling for people with acute coronary syndrome: educational video development
Revista Brasileira de Enfermagem. 2024;77(3):e20230416
DOI 10.1590/0034-7167-2023-0416
Views0See moreABSTRACT
Objective:
to assess validity evidence of an educational video on safe sexual activity after acute coronary syndrome.
Method:
study in three phases: video development; content validity analysis by 11 experts; and analysis of validity based on response processes by seven people with coronary disease. The content validity ratio (CVR) was calculated with critical values for the second phase of 0.63 and for the third of 1.0.
Results:
the video addressed the importance of resuming sexual activity and positions that consume less energy, clinical warning signs, the importance of adhering to treatment and a welcoming environment for sexual practice. A CVR above the critical value was obtained with a total of 4 minutes and 41 seconds.
Conclusion:
the educational video brings together adequate content validity evidence and can be used as a tool for patients after acute coronary syndrome.
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ORIGINAL ARTICLE07-19-2024
The use of spirituality/religiosity by oncology nurse residents in nursing care
Revista Brasileira de Enfermagem. 2024;77(2):e20230383
Abstract
ORIGINAL ARTICLEThe use of spirituality/religiosity by oncology nurse residents in nursing care
Revista Brasileira de Enfermagem. 2024;77(2):e20230383
DOI 10.1590/0034-7167-2023-0383
Views1See moreABSTRACT
Objectives:
to analyze the use of spirituality/religiosity by oncology nurse residents in caring for patients with cancer.
Methods:
a census, descriptive, sectional study, with 46 nurse residents from three public hospitals in Rio de Janeiro. Data collection took place between August 2020 and January 2021, using a sociodemographic questionnaire, including a question about the use of spirituality/ religiosity to deal with work situations. Descriptive analysis was carried out using SPSS software version 22.0.
Results:
participants stated that they use religiosity/spirituality in work situations related to patients or themselves. In relation to patients, death was the most mentioned situation among professionals, and for themselves, everyday situations and emotional vulnerability were the most mentioned.
Final Considerations:
spirituality and religiosity are dimensions that guide oncology nurse residents’ attitudes.
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ORIGINAL ARTICLE07-19-2024
Translation and cross-cultural adaptation of the MISSCARE Survey-Ped into Brazilian Portuguese
Revista Brasileira de Enfermagem. 2024;77(2):e20230060
Abstract
ORIGINAL ARTICLETranslation and cross-cultural adaptation of the MISSCARE Survey-Ped into Brazilian Portuguese
Revista Brasileira de Enfermagem. 2024;77(2):e20230060
DOI 10.1590/0034-7167-2023-0060
Views0See moreABSTRACT
Objectives:
to translate and cross-culturally adapt the MISSCARE Survey-Ped for use in Brazil.
Methods:
a methodological study proposed by translation, synthesis of translations, back-translation, assessment by a committee of experts and pre-testing with the target population.
Results:
two direct translations of the instrument were carried out, followed by a consensual version between them. This synthetic version was back-translated and analyzed by a committee of five experts in pediatric nursing and patient safety, obtaining a Content Validity Index (CVI) of 0.95 and Cronbach’s alpha of 0.804. The final version was sent for pre-testing with 254 Brazilian pediatric nurses, with 44 (17.3%) analyzing the instrument for understanding (CVI 0.866; Content Validity Ratio (CVR) 0.773), relevance (CVI 0.931; CVR 0.864) and relevance (CVI 0.977; CVR 0.955).
Conclusions:
the MISSCARE Survey-Ped Brasil was considered suitable for application in pediatric nurses’ clinical practice in the country.
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REVIEW07-19-2024
Drug-resistant tuberculosis: integrative review of nursing care in primary health care
Revista Brasileira de Enfermagem. 2024;77(2):e20230097
Abstract
REVIEWDrug-resistant tuberculosis: integrative review of nursing care in primary health care
Revista Brasileira de Enfermagem. 2024;77(2):e20230097
DOI 10.1590/0034-7167-2023-0097
Views0See moreABSTRACT
Objectives:
to identify, in the scientific literature, the care that should be provided to individuals with drug-resistant tuberculosis by nurses in primary health care.
Methods:
integrative review, using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses study selection flowchart. Data collection was conducted in November 2022, across ten databases.
Results:
six studies emphasized that nurses should perform directly observed treatment; two highlighted the importance of integrated care management between tuberculosis and human immunodeficiency virus; two demonstrated comprehensive nursing consultation using the nursing process; one emphasized person-centered care, with discharge planning and improved hospital communication with primary health care services.
Final Considerations:
the care that nurses should provide to individuals with drug-resistant tuberculosis in primary health care, for care resolution, is evidence-based.
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ORIGINAL ARTICLE07-19-2024
Understanding intimate self-care among riverine women: qualitative research through the lens of the Sunrise Model
Revista Brasileira de Enfermagem. 2024;77(2):e20230364
Abstract
ORIGINAL ARTICLEUnderstanding intimate self-care among riverine women: qualitative research through the lens of the Sunrise Model
Revista Brasileira de Enfermagem. 2024;77(2):e20230364
DOI 10.1590/0034-7167-2023-0364
Views0See moreABSTRACT
Objectives:
to contribute to the change in understandings and knowledge of the popular system among riverine women about female intimate self-care before and after the application of an educational dynamic.
Methods:
a qualitative-participative study based on the Sunrise Model. Twenty women registered at a Basic Health Unit on the Combu island, state of Pará, Brazil, participated in the second half of 2022. Semi-structured interviews were conducted before and after the educational dynamic; followed by reflective inductive analysis.
Results:
these are pointed out: a female mechanism of generational education; the cultural act of bathing as synonymous with intimate self care and disease prevention; intimate care with medicinal herbs; lack of professional system approach to the topic; fear of using “muddy water”; and lack of financial resources to purchase specific products for genitourinary care.
Final Considerations:
companionship and social factors drive intimate self-care; however, riverine women experience taboos, ignorance, and poverty.
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ORIGINAL ARTICLE07-19-2024
Validation of an instrument for assessing leprosy care in children and adolescents
Revista Brasileira de Enfermagem. 2024;77(2):e20230344
Abstract
ORIGINAL ARTICLEValidation of an instrument for assessing leprosy care in children and adolescents
Revista Brasileira de Enfermagem. 2024;77(2):e20230344
DOI 10.1590/0034-7167-2023-0344
Views1See moreABSTRACT
Objectives:
to validate the content of an instrument for assessing leprosy care in individuals under 15 years old in the context of Primary Health Care.
Methods:
methodological study of content validation, based on the evaluation of essential and derived attributes in primary care, in the professional version. For data analysis, the Content Validation Index (CVI ≥ 0.8) and Cronbach’s Alpha were calculated.
Results:
a higher percentage of judges among nurses (61.5%) was observed; with a doctorate (46.2%), and engaged in teaching and research (77%). The overall Content Validation Index of the instrument was 0.98. In the analysis of Cronbach’s Alpha of the instrument, the assigned value was 0.717.
Conclusions:
the instrument represents an advancement in the measurement of health evaluation policies and can significantly contribute to improving the quality of care provided to children and adolescents with leprosy.
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ORIGINAL ARTICLE07-19-2024
Validation of an instrument for patient classification to support obstetric nursing care
Revista Brasileira de Enfermagem. 2024;77(2):e20230401
Abstract
ORIGINAL ARTICLEValidation of an instrument for patient classification to support obstetric nursing care
Revista Brasileira de Enfermagem. 2024;77(2):e20230401
DOI 10.1590/0034-7167-2023-0401
Views0See moreABSTRACT
Objectives:
to develop and validate an instrument for the classification of pregnant and postpartum women according to the demand for nursing care.
Methods:
a methodological study conducted in three stages: 1) construction of the instrument based on literature review; 2) content validation using the Delphi technique with 12 experts; and 3) Evaluation of the convergent construct validity through the correlation between the scores of the constructed instrument and the Fugulin instrument.
Results:
an instrument with ten indicators of specific care for pregnant and postpartum women was developed. A content validity index higher than 0.9 was obtained, requiring only one round of the Delphi technique. The Spearman coefficient was 0.64 between the instruments, indicating a strong correlation.
Conclusions:
the classification instrument specifically constructed for pregnant and postpartum women showed evidence of content validity and convergent construct validity with a widely used instrument in the national territory.
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ORIGINAL ARTICLE06-14-2021
Continuity of neuro-psychomotor stimulation of children with congenital Zika syndrome
Revista Brasileira de Enfermagem. 2021;74(6):e20200694
Abstract
ORIGINAL ARTICLEContinuity of neuro-psychomotor stimulation of children with congenital Zika syndrome
Revista Brasileira de Enfermagem. 2021;74(6):e20200694
DOI 10.1590/0034-7167-2020-0694
Views0See moreABSTRACT
Objective:
Understand the continuity of stimulation of neuro-psychomotor development in children with congenital Zika syndrome.
Method:
Descriptive-exploratory study with theoretical support in symbolic interactionism. Between August and November 2019, 12 health professionals were interviewed in depth; and to the focus group, seven caregivers of children with the syndrome. The analysis was thematic inductive.
Results:
The continuation of neuro-psychomotor stimulation of children with Zika syndrome goes through: organizational difficulties (lack of doctors, professional unpreparedness, dissatisfaction and search for other services); socioenvironmental aspects (low maternal education, low socioeconomic level, difficulty in moving and lack of support); and conditions inherent to children (hospitalizations for respiratory crises, seizures, hypoactivity and social stigma).
Final considerations:
A strengthened support network with qualified human resources is necessary in order to provide comprehensive care and avoid the discontinuity of neuro-psychomotor stimulation of children with congenital Zika syndrome.
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ORIGINAL ARTICLE08-20-2021
Risk of suicide among nursing students
Revista Brasileira de Enfermagem. 2021;74(6):e20200867
Abstract
ORIGINAL ARTICLERisk of suicide among nursing students
Revista Brasileira de Enfermagem. 2021;74(6):e20200867
DOI 10.1590/0034-7167-2020-0867
Views0See moreABSTRACT
Objectives:
to identify the risk and degree of risk of suicide in nursing students of a public institution in the countryside of Pernambuco, Brazil.
Methods:
this was a cross-sectional, quantitative research conducted with 150 students. For data collection, a sociodemographic questionnaire and the instrument, M.I.N.I. – Brazilian version 5.0.0 – Module C – Risk of suicide were used. Statistical analyses were performed with IBM(® )SPSS(®), version 23.
Results:
53.3% of nursing students had a risk of suicide, of which 20.7% had a high risk. Moreover, 22.67% reported previous suicide attempt. It is noteworthy that students without a partner have a higher risk of suicide (56.8%) than those with a partner (29.4%).
Conclusions:
it is perceived the need to develop programs that identify students at risk of suicide in higher education institutions, in order to raise awareness of the problem and implement policies to promote mental health in the academia.
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REVIEW08-20-2021
Root Cause Analysis, Failures and Effects in pediatric total quality management: a scoping review
Revista Brasileira de Enfermagem. 2021;74(6):e20200954
Abstract
REVIEWRoot Cause Analysis, Failures and Effects in pediatric total quality management: a scoping review
Revista Brasileira de Enfermagem. 2021;74(6):e20200954
DOI 10.1590/0034-7167-2020-0954
Views0See moreABSTRACT
Objectives:
to analyze the applicability of Root Cause Analysis and Failure Mode and Effect Analysis tools, aiming to improve care in pediatric units.
Methods:
this is a scoping review carried out according to the Joanna Briggs Institute guidelines, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes extension for Scoping Reviews. Search took place in May 2018 on 15 data sources.
Results:
search totaled 8,254 studies. After using the relevant inclusion and exclusion criteria, 15 articles were included in the review. Of these, nine were published between 2013 and 2018, 12 used Failure Mode and Effect Analysis and 11 carried out interventions to improve the quality of the processes addressed, showing good post-intervention results.
Final Considerations:
the application of the tools indicated significant changes and improvements in the services that implemented them, proving to be satisfactory for detecting opportunities for improvement, employing specific methodologies for harm reduction in pediatrics.
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ORIGINAL ARTICLE07-26-2021
Representations about sexuality of people diagnosed late with HIV infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201028
Abstract
ORIGINAL ARTICLERepresentations about sexuality of people diagnosed late with HIV infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201028
DOI 10.1590/0034-7167-2020-1028
Views0See moreABSTRACT
Objective:
to understand the representations about sexuality of people diagnosed late with HIV infection and its implications in the delayed search for diagnosis.
Methods:
this is a qualitative study, whose theoretical and methodological framework was Social Representation Theory. The research was carried out with 18 people diagnosed late with HIV infection through an open interview. For data analysis, Structural Narration Analysis was used, with support from MAXQDA 12®.
Results:
representations about sexuality contributed to delayed diagnosis, such as trust in a fixed partnership, sexual intercourse is natural, sexuality as a taboo, search for pleasure in sexual intercourse, regardless of risks, denial of risk for HIV infection.
Final considerations:
representations about sexuality participate in a web of stereotypes and riskier ways of living, which contribute to delayed diagnosis. Sexual health education remains necessary and essential throughout people’s lives.
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08-20-2021
Prevalence of central venous catheter salvage in newborn with staphylococcal bloodstream infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201073
Abstract
Prevalence of central venous catheter salvage in newborn with staphylococcal bloodstream infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201073
DOI 10.1590/0034-7167-2020-1073
Views0See moreABSTRACT
Objectives:
to establish the prevalence of salvage of central venous catheters in newborns with bloodstream infection caused by coagulase-negative staphylococci.
Methods:
retrospective cross-sectional study with 136 newborns admitted to the Neonatal Intensive Care Unit between 2011 and 2017. The total of 143 infection events undergoing antibiotic therapy were evaluated.
Results:
among the 143 infection events, 39 catheters in which antibiotic therapy was used were saved and in 69 cases, the device was removed. Positive central blood culture and single lumen catheter were factors associated with salvage failure. The probability of salvage decreased with infections diagnosed from 15 days of using the catheter. Negative blood culture raised the chance of salvage by fourfold.
Conclusions:
the use of antibiotic therapy in the treatment of infections resulted in a low prevalence of salvage of the central venous catheter. The probability of salvage was associated with variables of the device.
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EXPERIENCE REPORT02-15-2021
Coronavirus infections: health care planning based on Orem’s Nursing Theory
Revista Brasileira de Enfermagem. 2021;74:e20200281
Abstract
EXPERIENCE REPORTCoronavirus infections: health care planning based on Orem’s Nursing Theory
Revista Brasileira de Enfermagem. 2021;74:e20200281
DOI 10.1590/0034-7167-2020-0281
Views0See moreABSTRACT
Objective:
to report the experience of professors and students of a graduate course on nursing care in coping with the new coronavirus (COVID-19) based on Self-Care Theory.
Method:
the active methodologies used were a literature search and seminar presentations, with an understanding of Orem’s theoretical concepts: health; man; self-care; universal, developmental and health deviation requirements; self-care activities; self-care deficits; the required therapeutic demand; nursing systems. The pandemic was considered a health deviation that requires critical thinking and nursing care planning. Methodological frameworks to classify nursing diagnoses, interventions, and outcomes were used.
Results:
for each health deviation, nursing systems were identified; self-care deficits, diagnoses; actions, interventions; and the form of assessment, outcomes.
Final considerations:
theoretical-practical reflections of the academic context support nursing care planning.
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REFLECTION03-05-2021
Reflections on patient safety incident reporting systems
Revista Brasileira de Enfermagem. 2021;74:e20200307
Abstract
REFLECTIONReflections on patient safety incident reporting systems
Revista Brasileira de Enfermagem. 2021;74:e20200307
DOI 10.1590/0034-7167-2020-0307
Views0See moreABSTRACT
Objective:
To reflect on the main characteristics and recommendations of Incident Reporting Systems, discuss the population’s participation in reporting, and point out challenges in the Brazilian system.
Method:
Reflection study, based on Ordinance No. 529/13, which instituted the National Patient Safety Program, under Collegiate Board Resolution (CBR) No. 36/13; reflections by experts were added.
Results:
Reporting systems are a source for learning and monitoring, allow early detection of incidents, investigations and, mainly, the generation of recommendations prior to recurrences, in addition to raising information for patients and relatives. There is little participation of the population in the reporting, regardless of the type of system and characteristics such as confidentiality, anonymity, and mandatory nature.
Final Considerations:
In Brazil, although reporting is mandatory, there is an urgency to advance the involvement and participation of the population, professionals, and institutions. To simplify data entry by improving the interface and importing data from the reporting system is an objective to be achieved.
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EXPERIENCE REPORT01-29-2021
Restructuring service at a mastology outpatient clinic during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200571
Abstract
EXPERIENCE REPORTRestructuring service at a mastology outpatient clinic during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200571
DOI 10.1590/0034-7167-2020-0571
Views0INTRODUCTIONCOVID-19 is a disease caused by the SARS-CoV-2 coronavirus (Severe Acute Respiratory Syndrome Coronavirus 2) and has brought a threat to public health worldwide. In need of immediate changes, adaptations tend to be the way out to avoid contamination that potentially does not distinguish race, color, gender().The global numbers of suspected and confirmed cases are […]See more
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ORIGINAL ARTICLE11-25-2020
Family experiences in discovering Autism Spectrum Disorder: implications for family nursing
Revista Brasileira de Enfermagem. 2020;73:e20190489
Abstract
ORIGINAL ARTICLEFamily experiences in discovering Autism Spectrum Disorder: implications for family nursing
Revista Brasileira de Enfermagem. 2020;73:e20190489
DOI 10.1590/0034-7167-2019-0489
Views0See moreabstract
Objectives:
to describe the family’s experience in the process of discovering the diagnosis and initiation of treatment of children with Autism Spectrum Disorder.
Methods:
this qualitative and descriptive study interviewed nine relatives of eight children on autism spectrum. They were inserted in health services, public education, and Association of Parents and Friends of The Exceptional of cities in the countryside of the Center-West. Data were collected through open interviews from July to September 2017. Data was submitted to thematic analysis.
Results:
at the beginning, the family was difficult to perceive the first atypical signs presented by the children. Families experience situations of vulnerability, since support networks are insufficient. The school played a significant role in recognizing unexpected behaviors.
Final Considerations:
support, offered by nurses, health professionals, school and social support devices, is important to family and children in this trajectory.
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ORIGINAL ARTICLE10-21-2019
Incidence of pressure injury in an oncological intensive care unit
Revista Brasileira de Enfermagem. 2019;72(6):1490-1495
Abstract
ORIGINAL ARTICLEIncidence of pressure injury in an oncological intensive care unit
Revista Brasileira de Enfermagem. 2019;72(6):1490-1495
DOI 10.1590/0034-7167-2018-0356
Views0See moreABSTRACT
Objective:
to investigate the incidence of pressure injury in cancer patients of an intensive care unit.
Method:
A longitudinal study with 105 patients admitted to an oncological intensive care unit. The incidence rate was calculated as the number of events per 100 patient-days. Cumulative incidence was calculated both globally and according to selected characteristics, and submitted to hypothesis tests.
Results:
incidence rate per 100 patient-days was 1.32, and global cumulative incidence was 29.5%. A higher incidence was observed in patients with chronic diseases who had at least one episode of diarrhea, received enteral nutrition, and took vasoactive or sedative drugs for a prolonged period of time. Regarding type of tumour and antineoplastic treatments, no differences in incidence were observed.
Conclusion:
A high cumulative global incidence of pressure lesion was reported in cancer patients admitted to the intensive care unit, although tumour characteristics and antineoplastic treatments did not affect incidence.
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ORIGINAL ARTICLE10-05-2020
Factors associated with the performance of episiotomy
Revista Brasileira de Enfermagem. 2020;73:e20190899
Abstract
ORIGINAL ARTICLEFactors associated with the performance of episiotomy
Revista Brasileira de Enfermagem. 2020;73:e20190899
DOI 10.1590/0034-7167-2019-0899
Views0See moreABSTRACT
Objective:
To analyze the factors associated with the performance of episiotomy.
Methods:
Cross-sectional study, developed with data from the research “Born in Belo Horizonte: Labor and birth survey, “conducted with 577 women who had their children via vaginal birth. In order to verify the magnitude of the association between episiotomy and its possible determinants, logistic regression models were constructed to estimate the odds ratio.
Results:
Episiotomy was performed in 26.34% of women, and 59.21% knew they had been subjected to it. We observed that younger women, primiparous women, women assisted by a professional other than the obstetric nurse and women who had their babies in a private hospital have an increased chance of being submitted to this procedure.
Conclusion:
Considering the rates of episiotomy, this study highlights the need for the absolute contraindication to indiscriminate performing it.
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ORIGINAL ARTICLE09-16-2019
Depression, self-concept, future expectations and hope of people with HIV
Revista Brasileira de Enfermagem. 2019;72(5):1288-1294
Abstract
ORIGINAL ARTICLEDepression, self-concept, future expectations and hope of people with HIV
Revista Brasileira de Enfermagem. 2019;72(5):1288-1294
DOI 10.1590/0034-7167-2018-0730
Views0See moreABSTRACT
Objective:
To analyze conditions of depression, self-concept, future expectations and hope in people with HIV/AIDS.
Method:
Cross-sectional survey of 108 individuals living with HIV/AIDS, carried out in a reference hospital for the treatment of infectious diseases in Northeast Brazil. The following instruments were employed: sociodemographic data, and questionnaires for ascertaining participants’ emotions, including scales for self-concept, hope, depression (HAMD-D), and future expectations. Descriptive statistics using the following tests were performed: Mann–Whitney, Kruskal–Wallis, chi-square, and t-test—considered significant when p ≤ 0.05.
Results:
31.5% presented mild depression and 21.3% presented moderate depression; 63% reported difficulty in obtaining decent employment; 52.8% considered life a failure; 52.8% felt worthless. Fear, guilt and loneliness influenced self-concept (p ≤ 0.05). Loneliness influenced hope (p ≤ 0.05).
Conclusion:
It is necessary to raise the attention of nursing professionals and healthcare managers to the importance of providing health services that consider the mental health of people with HIV/AIDS, contributing to treatment adherence and well-being.
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ORIGINAL ARTICLE03-07-2022
Adaptation and validation of the Advanced Practice Nursing Competency Assessment Instrument
Revista Brasileira de Enfermagem. 2022;75(5):e20210582
Abstract
ORIGINAL ARTICLEAdaptation and validation of the Advanced Practice Nursing Competency Assessment Instrument
Revista Brasileira de Enfermagem. 2022;75(5):e20210582
DOI 10.1590/0034-7167-2021-0582
Views0See moreABSTRACT
Objective:
To adapt and validate the content of the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) to Brazilian culture.
Methods:
This is a methodological study that followed the stages of translation, synthesis, back translation, evaluation by a committee of five specialists, pre-test with 31 nurses, and evaluation by the author of the original instrument. The Content Validity Index (minimum 0.90) and the modified Kappa (minimum 0.74) were calculated to evaluate the content.
Result:
In the first round of content evaluation, 18 items had to be altered because they did not reach the minimum values established. Three items have not reached a consensus in the second round and had to be sent to the author of the original version. In the pre-test, 13 items were returned to the specialists because they suffered content changes.
Conclusion:
The Advanced Practice Nursing Competency Assessment Instrument (APNCAI) – Brazilian version was cross-culturally adapted, and its content was validated.
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ORIGINAL ARTICLE09-16-2019
Tuberculosis: health care and surveillance in prisons
Revista Brasileira de Enfermagem. 2019;72(5):1304-1310
Abstract
ORIGINAL ARTICLETuberculosis: health care and surveillance in prisons
Revista Brasileira de Enfermagem. 2019;72(5):1304-1310
DOI 10.1590/0034-7167-2018-0260
Views0See moreABSTRACT
Objective:
To identify tuberculosis-related health care and surveillance actions in Prison Health Units.
Method:
Cross-sectional study, of quantitative, exploratory and descriptive character. We visited 13 Teams of Prison Health, and nurses and technicians were interviewed regarding epidemiological surveillance instruments, physical structure and materials.
Results:
Search for respiratory symptoms in admission was reported by 6 (46.2%) of the teams, and the smear microscopy was the most requested test. The Logbook of Respiratory Symptoms and the Logbook for Monitoring Tuberculosis Cases were used in 7 (53.8%) institutions. Two of them (15.4%) had a location for sputum collection and 1 (7.7%) had a radiographer. The Directly Observed Therapy was reported in 7 (53.8%) units.
Conclusion:
Health care actions related to the search for respiratory symptoms and Directly Observed Therapy should be expanded, as well as surveillance actions and recording in official documents of the National Tuberculosis Control Program.
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REVIEW07-29-2020
Frailty syndrome in the elderly: conceptual analysis according to Walker and Avant
Revista Brasileira de Enfermagem. 2020;73:e20190601
Abstract
REVIEWFrailty syndrome in the elderly: conceptual analysis according to Walker and Avant
Revista Brasileira de Enfermagem. 2020;73:e20190601
DOI 10.1590/0034-7167-2019-0601
Views0See moreABSTRACT
Objective:
To analyze the concept of “frailty syndrome” in the literature, according to the method proposed by Walker and Avant.
Methods:
It is a concept analysis, guided by the method proposed by Walker and Avant, made operational through an integrative literature review. The search in a scientific database was carried out using the descriptors: Frail elderly, syndrome, phenotype, geriatric assessment, and aging. The literary corpus comprised 66 studies. Results: The study found the antecedents and attributes (categorized as physical, sociodemographic, and behavioral/environmental) that integrate the signs and symptoms evidenced in the “frailty syndrome,” as well as the consequences of this concept. The variables were analyzed with emphasis on the conceptions that influence the frailty process of the elderly.
Conclusion:
The study demonstrated the complexity arising from the multifactorial genesis of the referred syndrome, emphasizing the specificities of the elderly’s frailty. However, we recommend conducting further research involving the phenomenon in question to understand the construct better.
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ORIGINAL ARTICLE12-13-2019
Obstetric Nursing in best practices of labor and delivery care
Revista Brasileira de Enfermagem. 2019;72:235-242
Abstract
ORIGINAL ARTICLEObstetric Nursing in best practices of labor and delivery care
Revista Brasileira de Enfermagem. 2019;72:235-242
DOI 10.1590/0034-7167-2018-0561
Views0See moreABSTRACT
Objective:
to evaluate the association of Obstetric Nursing in the best practices of delivery and birth care in maternity hospitals.
Method:
a cross-sectional study, with 666 women selected for delivery. Parturition obstetric practices performed by professionals were categorized into: clearly useful practices that should be encouraged, practices that are clearly harmful or ineffective and that should be eliminated and practices used inappropriately at the time of parturition.
Results:
clearly useful practices were used in greater proportions in the hospitals that had Obstetric Nursing working, while clearly harmful practices and those used inappropriately were practiced in smaller proportions in hospitals that had Obstetric Nursing, both with statistical difference.
Conclusion:
institutions with Obstetric Nursing adopt better practices of delivery and birth care, based on scientific evidence, when compared to those that do not act.
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