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ORIGINAL ARTICLE08-07-2023
Sense of coherence and social support as predictors of mental health during COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20220468
Abstract
ORIGINAL ARTICLESense of coherence and social support as predictors of mental health during COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20220468
DOI 10.1590/0034-7167-2022-0468
Views0See moreABSTRACT
Objectives:
to verify the role of sense of coherence, sense of national coherence, social support and trust in institutions to predict mental health in Brazilians during the COVID-19 pandemic.
Methods:
a cross-sectional study, carried out from November, 2020 to January, 2021 via an online survey. Standardized instruments were used. The sample consisted of 1,630 Brazilians. Pearson’s correlation and linear regression were performed in data analysis.
Results:
sense of coherence was the only predictor of anxiety [β= -0.61; p<0.001], explaining 38% of the variance in its scores, while sense of coherence [β= 0.52; p<0.001], sense of national coherence [β= 0.16; p<0.001], and social support [β= 0.15; p<0.001] predicted positive mental health and together explained 51% of its variance.
Conclusions:
the findings suggest that sense of coherence, sense of national coherence and social support represent important predictors for mental health and that strengthening these resources, could potentially promote Brazilians’ mental health.
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ORIGINAL ARTICLE08-07-2023
Factors associated with the time to treat breast cancer in the pandemic period: an observational study
Revista Brasileira de Enfermagem. 2023;76:e20220428
Abstract
ORIGINAL ARTICLEFactors associated with the time to treat breast cancer in the pandemic period: an observational study
Revista Brasileira de Enfermagem. 2023;76:e20220428
DOI 10.1590/0034-7167-2022-0428
Views0See moreABSTRACT
Objectives:
to analyze the factors associated with the time to surgical treatment for breast cancer in patients seen at a reference mastology outpatient clinic in the State of Ceará.
Methods:
analytical, longitudinal study with medical charts from the Mastology Outpatient Clinic of Assis Chateaubriand Maternity School. We used 140 medical charts of breast cancer patients with surgeries performed during the pandemic.
Results:
the study evidenced associations between schooling and shorter time to treatment in patients who underwent biopsy before the first outpatient visit (p = 0.026; OR: 0.16; CI = 0.03-0.85); in the group who had the biopsy performed by the outpatient clinic, was associated the type of tumor (p = 0.019) and neoadjuvant therapy (p = 0.000).
Conclusions:
the lesser educational level, tumor type, and use of neoadjuvant therapy were factors associated with the time to treatment during the pandemic period.
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ORIGINAL ARTICLE08-07-2023
Conhecimento e atitude dos estudantes de enfermagem em relação ao comportamento de prevenção à COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220588
Abstract
ORIGINAL ARTICLEConhecimento e atitude dos estudantes de enfermagem em relação ao comportamento de prevenção à COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220588
DOI 10.1590/0034-7167-2022-0588
Views0See moreRESUMEN
Objetivos:
determinar la correlación entre el nivel de conocimiento y las actitudes de los estudiantes de enfermería en relación a la conducta de prevención de la COVID-19.
Métodos:
estudio transversal realizado en una Universidad Privada de Indonesia. Se utilizó un muestreo accidental para seleccionar a 188 estudiantes de tercer año de enfermería como encuestados. La recolección de datos se realizó mediante un cuestionario en línea que consta de 27 preguntas (alfa de Cronbach 0.799-0.959). Los datos fueron analizados de forma descriptiva e inferencial.
Resultados:
el 49,5 % de los encuestados tenía conocimientos altos, el 98,4 % tenía una actitud positiva y el 89,9 % tenía un comportamiento positivo en la prevención de la transmisión de la COVID-19. La prueba de Chi-cuadrado reveló que el conocimiento no tiene correlación con el comportamiento de prevención de COVID-19 (valor de p 0,864), pero la actitud sí (valor de p 0,027).
Conclusiones:
las actitudes de los estudiantes de enfermería están relacionadas con el comportamiento en la prevención del COVID-19. Se espera que los estudiantes de enfermería mantengan actitudes y comportamientos positivos hacia la prevención de COVID-19 como futuros profesionales de la salud en la primera línea de los servicios de salud.
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ORIGINAL ARTICLE08-07-2023
Senso de coerência e apoio social como preditores de saúde mental durante a pandemia de COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220468
Abstract
ORIGINAL ARTICLESenso de coerência e apoio social como preditores de saúde mental durante a pandemia de COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220468
DOI 10.1590/0034-7167-2022-0468
Views0See moreRESUMEN
Objetivos:
verificar el papel del sentido de coherencia, sentido de coherencia nacional, apoyo social y confianza en las instituciones como predictores de salud mental en brasileños durante la pandemia de COVID-19.
Métodos:
estudio transversal, realizado de noviembre de 2020 a enero de 2021 mediante cuestionario online. Se utilizaron instrumentos estandarizados. La muestra estuvo compuesta por 1.630 brasileños. En el análisis de datos se realizaron correlación de Pearson y regresión lineal.
Resultados:
el sentido de coherencia fue el único predictor de ansiedad [β= -0,61;p<0,001], explicando el 38% de la variación de sus puntuaciones, mientras que el sentido de coherencia [β=0,52;p<0,001], sentido de coherencia nacional [β= 0,16;p<0,001] y apoyo social [β=0,15;p<0,001] fueron predictores de salud mental positiva y en conjunto explicaron el 51% de su variación.
Conclusiones:
los hallazgos sugieren que sentido de coherencia, sentido de coherencia nacional y el apoyo social representan importantes predictores de salud mental y que el fortalecimiento de estos recursos, podría potencialmente promover la salud mental de los brasileños.
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ORIGINAL ARTICLE07-31-2023
Primary Health Care assessment in the COVID-19 pandemic from physicians’ and nurses’ perspective
Revista Brasileira de Enfermagem. 2023;76:e20220475
Abstract
ORIGINAL ARTICLEPrimary Health Care assessment in the COVID-19 pandemic from physicians’ and nurses’ perspective
Revista Brasileira de Enfermagem. 2023;76:e20220475
DOI 10.1590/0034-7167-2022-0475
Views0ABSTRACT
Objectives:
to assess the operationalization of Primary Health Care in the COVID-19 pandemic, according to Primary Care Assessment Tool: PCATool-Brasil attributes, from physicians’ and nurses’ perspective.
Methods:
a cross-sectional study, carried out with 99 physicians and nurses from Basic Health Units in a state in northeastern Brazil, with the aid of the adapted instrument PCATool-Brasil.
Results:
Essential Score was classified as high performance (6.6) and General Score as low performance (6.5). First Contact Access, Care Integration, and Community Guidance scores were <6.6. The best performances were attributed to the Longitudinality, Comprehensiveness and Family Guidance services (scores>6.6).
Conclusions:
the attributes of Primary Health Care, in general, showed values above or close to the cut-off point in the assessment. These data can support strategies for local and national managers to strengthen Primary Health Care in the COVID-19 pandemic and future public health emergencies.
Keywords:COVID-19Health Care Evaluation MechanismsHealth PersonnelHealth Services ResearchPrimary Health CareSee more -
EDITORIAL07-31-2023
First graduate of the Master of Nursing in Advanced Practice in Oncology in Chile
Revista Brasileira de Enfermagem. 2023;76:e76suppl401
Abstract
EDITORIALFirst graduate of the Master of Nursing in Advanced Practice in Oncology in Chile
Revista Brasileira de Enfermagem. 2023;76:e76suppl401
DOI 10.1590/0034-7167.202376suppl401
Views0In 2020, the guidelines for Advanced Nursing Practice (APN) implementation() were published by the International Council of Nursing (ICN). On that occasion, I was invited to comment on the reality of specialist nurses in Chile, expressing the expectation of implementing an APN program, specifically Clinical Nurse Specialists (CNS). CNS are one of the most internationally […]See more
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REVIEW09-21-2020
Middle range theory for the nursing diagnosis Excess Fluid Volume in pregnant women
Revista Brasileira de Enfermagem. 2020;73:e20190334
Abstract
REVIEWMiddle range theory for the nursing diagnosis Excess Fluid Volume in pregnant women
Revista Brasileira de Enfermagem. 2020;73:e20190334
DOI 10.1590/0034-7167-2019-0334
Views1See moreABSTRACT
Objective:
To stablish a middle range theory for the understanding of the causal mechanisms and clinical consequentes of the nursing diagnosis Excess Fluid Volume (00026) among pregnant women.
Method:
The Middle Range Theory was constructed in five stages: defining of construction approach, establishing main concepts, elaborating propositions, developing a pictorial diagram, and establishing the causal relationships and evidence for practice of the Middle Range Theory.
Results:
We identified 14 clinical indicators and 6 causal factors of Excess Fluid Volume. A pictorial diagram was developed and relationships between Excess Fluid Volume elements were established with 6 propositions for them.
Conclusion:
The Middle Range Theory included both physiological and pathological conditions to explain Excess Fluid Volume. This Middle Range Theory might help in the better understanding of interactions between causal factors and clinical indicators of Excess Fluid Volume.
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ORIGINAL ARTICLE06-27-2019
Assessment of the attribute “Community Orientation” from the perspective of primary care adult users
Revista Brasileira de Enfermagem. 2019;72(3):632-639
Abstract
ORIGINAL ARTICLEAssessment of the attribute “Community Orientation” from the perspective of primary care adult users
Revista Brasileira de Enfermagem. 2019;72(3):632-639
DOI 10.1590/0034-7167-2018-0601
Views1See moreABSTRACT
Objective:
To assess the presence and extension of the attribute “Community Orientation” of Primary Health Care from the perspective of health services adult users from the Municipality of Juazeiro do Norte-CE.
Methods:
Quantitative, cross-sectional and evaluative study, carried out in 14 Basic Health Units, from October 2016 to June 2017, using the Primary Care Assessment Tool.
Results:
The attribute assessment was negative, reaching expressive negative responses in the seven districts, with a mean score of 3.8 (±3.8). The Raw Score (RS) reached a mean of 6.6 and the Derived Score (DS) was assigned a score of 6.4, below the cut-off point ≥ 6.60.
Conclusion:
The low value of the DS represents that units are not providers of PHC, suggesting fragility in the integration of services with the community and the need to promote greater discussion among agents, when designing measures of intervention and improvement of scores.
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REVIEW12-21-2020
Communication between pre-hospital and intra-hospital emergency medical services: literature review
Revista Brasileira de Enfermagem. 2020;73:e20190817
Abstract
REVIEWCommunication between pre-hospital and intra-hospital emergency medical services: literature review
Revista Brasileira de Enfermagem. 2020;73:e20190817
DOI 10.1590/0034-7167-2019-0817
Views1ABSTRACT
Objectives:
to analyze, according to the scientific literature, communication strategies in the transfer of cases between pre-hospital and in-hospital services and their contributions to patient safety.
Methods:
this is a literature review study, that is, one that aims to gather and synthesize research results on the subject in a systematic and orderly manner.
Results:
ten articles were published, published between 2010 and 2018, and two points of discussion emerged: use of mnemonics; and barriers to transferring a case.
Conclusions:
studies point to the need to standardize the case transfer process, as well as integrative training of professionals, regular assessment of the teams involved in emergency medical services and the need for research on the subject.
Keywords:AmbulanceCommunicationEmergency Medical ServicesReviewTransfer of Responsibility by the PatientSee more -
ORIGINAL ARTICLE03-24-2021
Health promotion actions in the School Health Program in Ceará: nursing contributions
Revista Brasileira de Enfermagem. 2021;74(1):e20190769
Abstract
ORIGINAL ARTICLEHealth promotion actions in the School Health Program in Ceará: nursing contributions
Revista Brasileira de Enfermagem. 2021;74(1):e20190769
DOI 10.1590/0034-7167-2019-0769
Views1See moreABSTRACT
Objectives:
to compare health promotion actions carried out by Family Health teams in Ceará, linked to the School Health Program.
Methods:
a cross-sectional study involving the first and second cycles of an external assessment of 910 and 1,626 teams from 184 municipalities, which joined the Brazilian National Program for Improvement of Access and Quality of Primary Care. Eight clinical assessment and seven health promotion indicators were assessed, together with health professionals working in schools.
Results:
the interviewees were nurses (95.6% and 98.3%). Between the cycles, there was an increase in clinical assessment (78.7% and 91.3%), health promotion and disease prevention (82.5% and 89.3%) and survey of students for follow-up (41.4% and 66.4%) in schools.
Conclusions:
health actions at school advanced between cycles, with nurses as protagonists in school health, which can reduce vulnerabilities in children and adolescents and qualify Primary Care.
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ORIGINAL ARTICLE05-28-2021
Managed clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
Abstract
ORIGINAL ARTICLEManaged clinical protocol: impact of implementation on sepsis treatment quality indicators
Revista Brasileira de Enfermagem. 2021;74(2):e20200282
DOI 10.1590/0034-7167-2020-0282
Views1See moreABSTRACT
Objectives:
to assess the impact of the implementation of a managed sepsis protocol on quality indicators of treatment for septic patients in an emergency department of a university hospital.
Methods:
an observational epidemiological study involving septic patients. The study was divided into two phases, pre-intervention and intervention, resulting from the implementation of the managed sepsis protocol. The study variables included sepsis treatment quality indicators. The results were statistically analyzed using the program Epi InfoTM.
Results:
the study sample included 631 patients, 95 from pre-intervention phase and 536 from intervention phases. Implementing the protocol increased patients’ chances of receiving the recommended treatment by 14 times. Implementing the protocol reduced the hospitalization period by 6 days (p <0.001) and decreased mortality (p <0.001).
Conclusions:
this study showed that implementing the managed protocol had an impact on the improvement of sepsis treatment quality indicators.
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ORIGINAL ARTICLE05-28-2021
Prevalence and severity levels of post-radical prostatectomy incontinence: different assessment instruments
Revista Brasileira de Enfermagem. 2021;74(2):e20200692
Abstract
ORIGINAL ARTICLEPrevalence and severity levels of post-radical prostatectomy incontinence: different assessment instruments
Revista Brasileira de Enfermagem. 2021;74(2):e20200692
DOI 10.1590/0034-7167-2020-0692
Views1See moreABSTRACT
Objectives:
to analyze urinary incontinence prevalence and severity in prostatectomized men assessed by three different instruments.
Methods:
a cross-sectional study was conducted with 152 men. The pad test, pad used, and International Consultation on Incontinence Questionnaire – Short Form (self-report) were considered. Data were analyzed using Spearman’s correlation, Kappa index, considering a significance level of 0.05.
Results:
urinary incontinence prevalence was 41.4%, 46.7% and 80.3% according to pad used, pad test and self-report. Positive correlations and moderate to poor agreement were found between the instruments. As for severity, most participants had mild incontinence. The largest number of cases of mild and severe incontinence was identified by self-report.
Conclusions:
the self-report showed higher values for prevalence of mild and severe severity levels. Through the identified differences, we propose that the objective assessment (pad used and pad test) be associated with individuals’ perception (self-report) to better estimate prevalence and severity.
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ORIGINAL ARTICLE05-28-2021
Cultural adaptation and validation of an instrument about nursing critical thinking skills
Revista Brasileira de Enfermagem. 2021;74(2):e20200720
Abstract
ORIGINAL ARTICLECultural adaptation and validation of an instrument about nursing critical thinking skills
Revista Brasileira de Enfermagem. 2021;74(2):e20200720
DOI 10.1590/0034-7167-2020-0720
Views1See moreABSTRACT
Objectives:
to validate the Nursing Critical Thinking in Clinical Practice Questionnaire regarding cultural aspects and metric properties.
Methods:
a methodological research carried out through cross-cultural adaptation, face and content validity, dimensional construct and known groups validity, test-retest reliability and internal consistency. 511 nurses from four hospitals participated in the study, of which 54 participated in retest.
Results:
the instrument validation for Brazilian Portuguese maintained equivalences, according to the original version. The dimensional validity demonstrated adjustment to the tetrafactorial structure of the original version (GFI=0.69). There were statistically significant differences in critical thinking skills between nurses with graduate degrees and who undertook training, reading articles, developing research and working in an institution with a longer time implementation of the Nursing Process. The instrument showed temporal stability (ICC 073-0.84; p<0.001) and adequate internal consistency (α=0.97).
Conclusions:
the instrument proved to be valid and reliable for the studied population.
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REVIEW07-09-2021
Breast cancer screening in Primary Health Care in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2021;74(3):e20200995
Abstract
REVIEWBreast cancer screening in Primary Health Care in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2021;74(3):e20200995
DOI 10.1590/0034-7167-2020-0995
Views1See moreABSTRACT
Objectives:
to analyze care strategies for breast cancer screening in Primary Health Care in Brazil.
Methods:
this is a systematic review following the Cochrane Collaboration recommendations.
Results:
among 355 manuscripts, five were eligible. The patient navigation program by Community Health Agent stood out with the best result, among the strategies: flexibility of goals considering viability; community engagement; team training; active search of the target population by Community Health Agent; request for mammography by physicians; actions integrated to women’s health; monitoring of mammography results, absent users, and population coverage by physician and nurse; and assessment of criteria for requesting screening mammography by means of an information system. The population coverage rate in the program ranged from 23% to 88%.
Conclusions:
Primary Health Care in Brazil presents devices with potential to induce the production of care for breast cancer screening.
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Men’s mental health in the COVID-19 pandemic: is there a mobilization of masculinities?
Revista Brasileira de Enfermagem. 2021;74:e20200915
Abstract
Men’s mental health in the COVID-19 pandemic: is there a mobilization of masculinities?
Revista Brasileira de Enfermagem. 2021;74:e20200915
DOI 10.1590/0034-7167-2020-0915
Views0See moreABSTRACT
Objective:
to understand how the COVID-19 pandemic mobilizes masculinities in relation to mental health.
Methods:
qualitative study conducted with 400 men, in a virtual environment, in all regions of Brazil. The data were analyzed by the Discourse of the Collective Subject and based on Symbolic Interactionism.
Results:
the mobilization of masculinities emerged from men towards the recognition of weaknesses and psycho-emotional vulnerabilities, with narratives that reveal the expression of feelings, pain, discomfort and psychological suffering, and showed themselves to be sensitive and engaged in performing practices, including autonomous ones, of health care mental.
Final considerations:
the pandemic mobilizes masculinities as men print meanings and senses, in their interaction and interpretation of mental health, and is a marker for the nursing clinic conduct.
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ORIGINAL ARTICLE03-24-2021
Health promotion actions in the School Health Program in Ceará: nursing contributions
Revista Brasileira de Enfermagem. 2021;74(1):e20190769
Abstract
ORIGINAL ARTICLEHealth promotion actions in the School Health Program in Ceará: nursing contributions
Revista Brasileira de Enfermagem. 2021;74(1):e20190769
DOI 10.1590/0034-7167-2019-0769
Views1See moreABSTRACT
Objectives:
to compare health promotion actions carried out by Family Health teams in Ceará, linked to the School Health Program.
Methods:
a cross-sectional study involving the first and second cycles of an external assessment of 910 and 1,626 teams from 184 municipalities, which joined the Brazilian National Program for Improvement of Access and Quality of Primary Care. Eight clinical assessment and seven health promotion indicators were assessed, together with health professionals working in schools.
Results:
the interviewees were nurses (95.6% and 98.3%). Between the cycles, there was an increase in clinical assessment (78.7% and 91.3%), health promotion and disease prevention (82.5% and 89.3%) and survey of students for follow-up (41.4% and 66.4%) in schools.
Conclusions:
health actions at school advanced between cycles, with nurses as protagonists in school health, which can reduce vulnerabilities in children and adolescents and qualify Primary Care.
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REVIEW03-19-2021
Influence of burnout syndrome on the quality of life of nursing professionals: quantitative study
Revista Brasileira de Enfermagem. 2021;74:e20200298
Abstract
REVIEWInfluence of burnout syndrome on the quality of life of nursing professionals: quantitative study
Revista Brasileira de Enfermagem. 2021;74:e20200298
DOI 10.1590/0034-7167-2020-0298
Views0See moreABSTRACT
Objective:
To estimate the prevalence and factors associated with the burnout syndrome and quality of life among nursing professionals.
Methods:
Cross-sectional, analytical study, developed with 83 professionals in emergency care units in the city of Campina Grande-PB. A questionnaire was used to characterize the sample, the Maslach Burnout Inventory scale and the SF-36. Data was analyzed using descriptive and inferential statistics.
Results:
Most professionals showed low professional effectiveness (78.3; n=65), average depersonalization (53.0%; n=44) and average emotional exhaustion (55.4%; n=46). There was a statistical difference between the scores of the syndrome and the pain (p=0.03), vitality (p=0.04) and social aspect (p=0.03); significant correlation between the syndrome and vitality (p<0.001), mental health (p=0.01) and general quality of life (p=0.04).
Conclusion:
The burnout syndrome has an influence on the outcome of quality of life of nursing professionals, being more prevalent among professionals with older age, high income and among nurses.
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ORIGINAL ARTICLE05-03-2021
Medical device-related pressure injury prevention in critically ill patients: nursing care
Revista Brasileira de Enfermagem. 2021;74(2):e20200062
Abstract
ORIGINAL ARTICLEMedical device-related pressure injury prevention in critically ill patients: nursing care
Revista Brasileira de Enfermagem. 2021;74(2):e20200062
DOI 10.1590/0034-7167-2020-0062
Views0See moreABSTRACT
Objectives:
to know the care implemented by the nursing team to prevent medical device-related pressure injuries in critically ill patients.
Methods:
this is a qualitative research conducted with 15 nursing professionals from Intensive Care Unit. Sampling was carried out by theoretical saturation. For data analysis, the Discourse of the Collective Subject technique was used.
Results:
six speeches emerged, whose central ideas were interventions for medical device-related pressure injury prevention: care in fixation; frequent repositioning; protection and padding of body areas in contact; preferences for flexible materials, when available; attention of professionals so that they do not comer under patients; early assessment and removal, when clinically possible.
Final Considerations:
nursing care was directed mainly to respiratory devices, catheters in general and monitoring equipment, indicating that professionals have the knowledge to provide safe assistance consistent with the literature.
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ORIGINAL ARTICLE10-01-2022
Factors associated with presenteeism in nursing workers
Revista Brasileira de Enfermagem. 2022;75(1):e20201290
Abstract
ORIGINAL ARTICLEFactors associated with presenteeism in nursing workers
Revista Brasileira de Enfermagem. 2022;75(1):e20201290
DOI 10.1590/0034-7167-2020-1290
Views0See moreABSTRACT
Objective:
to analyze factors associated with presenteeism in nursing workers with sociodemographic variables, health and work conditions, productivity and musculoskeletal symptoms.
Methods:
this is a cross-sectional, descriptive and analytical study, with 306 nursing workers from a hospital and municipal emergency room in a Brazilian capital. The Stanford Presenteeism Scale, the Work Limitations Questionnaire, the Nordic Musculoskeletal Questionnaire and a demographic questionnaire on nursing professionals’ working conditions and health were used. Bivariate and multivariate analyzes were performed, respecting a significance level of 5%.
Results:
presenteeism was found in 43.8% of professionals and significant associations with CLT work (p=0.002), workplace – Intensive Care Units (p=0.008), physical exercise twice a week (p=0.008), presence of musculoskeletal symptoms, with low back pain being representative (p=0.001). The productivity loss was 8.8.
Conclusions:
the study confirms a high rate of presenteeism among nursing workers.
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EXPERIENCE REPORT06-07-2019
Humanitude in the humanization of elderly care: experience reports in a health service
Revista Brasileira de Enfermagem. 2019;72(3):825-829
Abstract
EXPERIENCE REPORTHumanitude in the humanization of elderly care: experience reports in a health service
Revista Brasileira de Enfermagem. 2019;72(3):825-829
DOI 10.1590/0034-7167-2017-0363
Views0ABSTRACT
Objective:
To describe the experience in the implementation of the Humanitude Care Methodology (MCH) in the humanization of care for the elderly.
Methodology:
This is an experience report about the implementation of the MCH, in a Health Service in Portugal, with capacity for 30 elderly people, most of them having cognitive alterations.
Results:
The implementation of the MCH has shown positive results in the humanization of care for the elderly, namely in the reduction of agitation behaviors and better acceptance of care. There was a change in organizational culture, more focused on the person and on the humanization of care.
Conclusion:
The results reflect the need to introduce innovative care methodologies in the training of health professionals, with a focus on interaction, for a professionalized relational care that dignifies the person cared for and the care giver.
Keywords:Evidence-based NursingHumanization of CareNeurocognitive DisordersNurse-Patient RelationsOrganizational InnovationPatient-Centered CareSee more -
ORIGINAL ARTICLE08-19-2019
Factors related to impaired comfort in chronic kidney disease patients on hemodialysis
Revista Brasileira de Enfermagem. 2019;72(4):889-895
Abstract
ORIGINAL ARTICLEFactors related to impaired comfort in chronic kidney disease patients on hemodialysis
Revista Brasileira de Enfermagem. 2019;72(4):889-895
DOI 10.1590/0034-7167-2018-0120
Views0See moreABSTRACT
Objective:
to analyze the factors related to the impaired comfort of chronic kidney diseases (CKD) patients on hemodialysis.
Method:
this is a cross-sectional study with 80 patients undergoing hemodialysis in a renal replacement therapy unit through interviews using two instruments, one for clinical and sociodemographic characteristics and the General Comfort Questionnaire, during the hemodialysis session. Mann-Whitney tests and the logistic regression model were used for data analysis.
Results:
the study found that being younger (p=0.045); being married (p=0.05); and absence of impaired physical mobility (p=0.007) were contributing factors for greater comfort in CKD patients on hemodialysis. Thus, when establishing the odds ratio, it was possible to observe that being 55 years of age or older, being single and having impaired physical mobility represents a 45.7% chance of developing this diagnosis.
Conclusions:
sociodemographic and clinical variables contribute to the study outcome, demanding attention during the planning of nursing interventions.
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