Articles - Revista Brasileira de Enfermagem

  • RESEARCH

    Mortality from external causes in Pernambuco, 2001-2003 and 2011-2013

    Revista Brasileira de Enfermagem. 2015;68(5):855-861
    01-01-2015

    Abstract

    RESEARCH

    Mortality from external causes in Pernambuco, 2001-2003 and 2011-2013

    Revista Brasileira de Enfermagem. 2015;68(5):855-861
    01-01-2015

    DOI 10.1590/0034-7167.2015680513i

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    ABSTRACT

    Objective:

    to describe the mortality from external causes, by Health Regions in Pernambuco, during the periods of2001-2003 and 2011-2013.

    Method:

    descriptive study with data from the Mortality Information System. For data analysis we used percentage, percentage variation and proportion ratio.

    Results:

    mortality from external causes reduced in Pernambuco, however, mortality increased in some health regions of the countryside. Increased numbers of deaths from accidents and event of undetermined intent were registered. There was an increase of deaths classified as “other/unspecified” event of undetermined intent.

    Conclusion:

    there was a change in the spatial distribution of mortality from external causes moving to Pernambuco countryside regions. We found necessity for data classification regarding deaths from external causes and strengthening of the monitoring.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH

    Evaluation of scientific production, patents and human resources training in the Brazilian nursing

    Revista Brasileira de Enfermagem. 2015;68(5):846-854
    01-01-2015

    Abstract

    RESEARCH

    Evaluation of scientific production, patents and human resources training in the Brazilian nursing

    Revista Brasileira de Enfermagem. 2015;68(5):846-854
    01-01-2015

    DOI 10.1590/0034-7167.2015680512i

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    ABSTRACT

    Objective:

    to evaluate scientifi c production, patents and human resources training of nursing researchers with scholarships of research productivity (PQ) in National Counsel for Technological and Scientific Development (CNPq) in the 2000-2012 historic series; to verify the association between this production and characteristics of the researchers regarding gender, education and origin.

    Methods:

    this analytic cross-sectional study whose inclusion criterion was to be a nursing PQ/CNPq researcher during the period in question. We analyzed curriculum lattes of 208 researchers with scholarships between 2000 and 2012. For statistical analyses we used the SPSS® software.

    Results:

    the study points to female predominance, concentration in the Southeast region and existence of an association between scientific production, patents and human resources training and education, gender and origin of the researcher.

    Conclusion:

    the study presents a significant participation of nursing PQ/CNPq researchers in scientific production and in human resources training, and a modest involvement in the production of patents.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Evaluation of scientific production, patents and human resources training in the Brazilian nursing
  • RESEARCH

    Structure, process and outcomes of organ and tissue donation for transplantation

    Revista Brasileira de Enfermagem. 2015;68(5):837-845
    01-01-2015

    Abstract

    RESEARCH

    Structure, process and outcomes of organ and tissue donation for transplantation

    Revista Brasileira de Enfermagem. 2015;68(5):837-845
    01-01-2015

    DOI 10.1590/0034-7167.2015680511i

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    ABSTRACT

    Objective:

    to analyze the factors related to the structure, process and outcomes of organ and tissue donation for transplantation.

    Method:

    analytic, longitudinal and quantitative study, conducted in six hospitals in Natal/RN, between August 2010 and February 2011, with 65 potential donors (PD), by means of no participant observation structured script.

    Results:

    regarding the donation structure, there was deficiencies of physical resources (temperature control), materials (mobile radiology) human resources (nurse technicians) and lack of adequate records and care protocols. In the process of donation, the biggest problems were related to the evaluation stages, brain death diagnosis, maintenance and documentation, with greater proportion of care for the non-donor.

    Conclusion:

    the structure and process possibly determined the result of 72.3% no donation implementation of potential donors, indices compatible with the national data, but contradictory to those of Spain, which manages to transplant organs of 86.7% of its donors.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Structure, process and outcomes of organ and tissue donation for transplantation
  • RESEARCH

    The nurse in the area of collective health: conceptions and competencies

    Revista Brasileira de Enfermagem. 2015;68(5):830-836
    01-01-2015

    Abstract

    RESEARCH

    The nurse in the area of collective health: conceptions and competencies

    Revista Brasileira de Enfermagem. 2015;68(5):830-836
    01-01-2015

    DOI 10.1590/0034-7167.2015680510i

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    ABSTRACT

    Objective:

    to learn coordinators and professors’ conceptions from undergraduate Nursing courses of public universities in northern Brazil regarding collective health and to know the necessary competencies to work in the area.

    Method:

    data were collected through semi-structured interviews and subjected to thematic analysis.

    Results:

    the participants consider population health as an essential area for the training of nurses, where professionals have autonomy and confidence. It is an interdisciplinary, intersectoral and multidisciplinary field, with extensive scope, that studies the Unified Health System (SUS). The competencies to work in collective health identified were: to work at the SUS, to understand the health and disease process and its determinants and to develop actions towards integrality, to conduct health education, researches and systematization of the nursing care.

    Conclusion:

    the variety of conceptions about collective health among participants might reflect in training of nurses and their working area.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH

    Level of dependence among patients in a surgical unit

    Revista Brasileira de Enfermagem. 2015;68(5):824-829
    01-01-2015

    Abstract

    RESEARCH

    Level of dependence among patients in a surgical unit

    Revista Brasileira de Enfermagem. 2015;68(5):824-829
    01-01-2015

    DOI 10.1590/0034-7167.2015680509i

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    ABSTRACT

    Objective:

    to identify the complexity of the nursing care of inpatient surgical unit patients, using the Perroca patients classification scale.

    Method:

    a descriptive, cross-sectional study with 546 reviews of 187 patients between October and December of 2012. Data were analyzed using SPSS 18.0 and the Kappa test, to measure interrater agreement.

    Results:

    a predominance of patients in the categories of semi-intensive (46.5%) and intermediate care (44.0%) was found, with a prevalence of unassisted bath (58.4%) in the total sample, and bed bath (69.3%) in the semi-intensive care patients. The level of agreement between two pairs of raters was considered good.

    Conclusion:

    the systematic application of the instrument was useful as a complementary measure of the level of patient dependence, and may contribute to the improvement of the working process, refl ecting on management decision-making with regard to nursing workload

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH

    Psychological violence in the nursing work

    Revista Brasileira de Enfermagem. 2015;68(5):817-823
    01-01-2015

    Abstract

    RESEARCH

    Psychological violence in the nursing work

    Revista Brasileira de Enfermagem. 2015;68(5):817-823
    01-01-2015

    DOI 10.1590/0034-7167.2015680508i

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    ABSTRACT

    Objective:

    to investigate and characterize psychological violence practices within teams in the relationship between patients, caregivers and other professionals with the nursing staff of the public hospital network of Caxias, in the State of Maranhão, Brazil.

    Method:

    descriptive, quantitative, cross-sectional study with data collected by form between November/2013-May/2014.

    Results:

    verbal aggression is the most common psychological violence subtype 95% (84), followed by bullying 27% (24). Emergency rooms 51% (45) are the most frequent place; patients 60% (53) are the main aggressors; nurses 76% (19) suffer more violence, being mostly female, young and inexperienced.

    Conclusion:

    the largest number of occurrences was of verbal aggression perpetrated by patients against nurses in the emergency room. Workers try to pretend that nothing happened or are inert in the face of violence. Employers do little about the case, referring to the need for strategies to control violence.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH

    Dietary intake and stress in patients with acute coronary syndrome

    Revista Brasileira de Enfermagem. 2015;68(5):810-816
    01-01-2015

    Abstract

    RESEARCH

    Dietary intake and stress in patients with acute coronary syndrome

    Revista Brasileira de Enfermagem. 2015;68(5):810-816
    01-01-2015

    DOI 10.1590/0034-7167.2015680507i

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    ABSTRACT

    Objective:

    to assess whether dietary intake of patients with acute coronary syndrome (ACS) meets national and international recommendations and whether there is a relationship with the levels of stress.

    Method:

    a cross-sectional study with 150 patients with ACS, who were interviewed with the Food Frequency Questionnaire and the Perceived Stress Scale-10.

    Results:

    daily intake above the recommendations: cholesterol (92%), fiber (42.7%) and protein (68%); intake below the recommendations: potassium (88%) and carbohydrates (68.7%); intake according to the recommendations: sodium (53.3%) and lipids (53.3%). Most patients with inadequate dietary intake (54%) were stressed or highly stressed. There was a signifi cant association between a lower stress level and a higher fi ber intake.

    Conclusion:

    in patients with ACS, dietary intake did not meet the guideline recommendations, and a lower fi ber intake occurs concomitantly with higher stress levels. Educational efforts can support patients in dietary intake adequacy and stress control.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH

    Nursing actions in primary care and the control of diseases preventable through vaccines

    Revista Brasileira de Enfermagem. 2015;68(5):803-809
    01-01-2015

    Abstract

    RESEARCH

    Nursing actions in primary care and the control of diseases preventable through vaccines

    Revista Brasileira de Enfermagem. 2015;68(5):803-809
    01-01-2015

    DOI 10.1590/0034-7167.2015680506i

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    ABSTRACT

    Objective:

    to discuss the actions performed by nurses in the control and eradication of diseases preventable with vaccines in healthcare setting, according to the National Primary Health Care Policy.

    Method:

    qualitative research supported by the social phenomenology of Schutz. It had as its setting a Family Health Clinic, located in the city of Rio de Janeiro (Brazil), with ten nurses. The data collection occurred through interviews.

    Results:

    nurses’ actions aimed at the control and eradication of preventable diseases mainly involve updating a vaccination card, administering the vaccine, and guiding the user of the Health Unit, with the purpose of preventing diseases. The National Primary Care Policy and all manuals from the Ministry of Health recognize the importance of focusing on the service user.

    Conclusion:

    the user’s lifestyle must be considered, and his access to services aiming at the expansion of the control of diseases preventable with vaccines should be promoted.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Nursing actions in primary care and the control of diseases preventable through vaccines

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