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01-01-2018
Declínio da mortalidade por câncer cervical
Revista Brasileira de Enfermagem. 2018;71:585-590
Abstract
Declínio da mortalidade por câncer cervical
Revista Brasileira de Enfermagem. 2018;71:585-590
DOI 10.1590/0034-7167-2016-0530
Views0See moreRESUMEN
Objetivo:
Describir la ocurrencia de mortalidad por cáncer cervical en Recife (PE), en el noreste de Brasil.
Método:
Este fue un estudio ecológico de series temporales que utilizó datos del Sistema de Información de Mortalidad (SIM) sobre el número total de muertes por cáncer cervical (C53 ICD10) ocurridas entre 2000 y 2012.
Resultados:
Se observó que el riesgo de muerte por esta forma de cáncer fue mayor entre las mujeres mayores de 60 años, las de color de piel mixto (53.24%), las que sólo trabajaban en casa (63.16%) y las que no tenían pareja (44.32%).
Conclusión:
Se requieren esfuerzos adicionales para mantener los programas de detección precoz y educación sanitaria y para utilizar estrategias terapéuticas de mayor eficacia, ya que la mortalidad por esta forma de cáncer se considera evitable cuando se diagnostica tempranamente.
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RESEARCH01-01-2018
Adhesion to patient safety protocols in emergency care units
Revista Brasileira de Enfermagem. 2018;71:577-584
Abstract
RESEARCHAdhesion to patient safety protocols in emergency care units
Revista Brasileira de Enfermagem. 2018;71:577-584
DOI 10.1590/0034-7167-2017-0504
Views0See moreABSTRACT
Objective:
To investigate compliance of national patient safety protocols in Emergency Care Units (UPA) of the Paraná State.
Method:
From April until September 2016, the exploratory stage of the action research was conducted on stratified sampling with 377 patients of eight units, with use of verification instrument of basic safety actions.
Results:
The absence of systematic identification of patients, fall risk assessment and signaling and development of pressure injuries were evidenced. We observed that 52.8% of parenteral solutions in use were not identified and that, in only 29.4% of the cases, the allergic condition was investigated. In 80.6% of the emergency units there was availability of alcoholic solution to hand hygiene.
Conclusion:
We concluded that the non-compliance of basic actions concerning patient safety exposes users to preventable adverse events and demands systematized actions to comply with government guidelines and promote quality of health assistance.
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RESEARCH01-01-2018
Epidemiological overview of HIV/AIDS in pregnant women from a state of northeastern Brazil
Revista Brasileira de Enfermagem. 2018;71:568-576
Abstract
RESEARCHEpidemiological overview of HIV/AIDS in pregnant women from a state of northeastern Brazil
Revista Brasileira de Enfermagem. 2018;71:568-576
DOI 10.1590/0034-7167-2017-0495
Views0See moreABSTRACT
Objective:
To learn the epidemiological characteristics of HIV infection in pregnant women.
Method:
Descriptive study with quantitative approach. The study population was composed of pregnant women with HIV/AIDS residing in the state of Alagoas. Data were organized into variables and analyzed according to the measures of dispersion parameter relevant to the arithmetic mean and standard deviation (X ± S).
Results:
Between 2007 and 2015, 773 cases of HIV/AIDS were recorded in pregnant women in Alagoas. The studied variables identified that most of these pregnant women were young, had low levels of education and faced socioeconomic vulnerability.
Conclusion:
It is necessary to include actions aimed at increasing the attention paid to women, once the assurance of full care and early diagnosis of HIV are important strategies to promote adequate treatment adherence and reduce the vertical transmission.
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RESEARCH01-01-2018
Hand hygiene management among nurses: collective health challenges
Revista Brasileira de Enfermagem. 2018;71:562-567
Abstract
RESEARCHHand hygiene management among nurses: collective health challenges
Revista Brasileira de Enfermagem. 2018;71:562-567
DOI 10.1590/0034-7167-2017-0538
Views0See moreABSTRACT
Objective:
To describe the determining factors in hand hygiene management among nurses and identify associated collective health challenges.
Method:
Cross-sectional descriptive study. Data were collected using a questionnaire that was applied in four internal medicine units of a hospital of reference in Portugal.
Results:
The sample was composed of 50 nurses aged 26 to 55 years (mean age of 34.88 years); 80% were women, 58% had a Bachelor’s degree, and had 5-30 years of nursing practice (X̄ =11.94;±5.92). The vast majority of nurses (90%) reported complying with the existing recommendations on hand hygiene in pre-established moments. However, none of the nurses were able to identify all the moments for hand hygiene using water and soap or alcohol-based handrub.
Conclusion:
This study shows that continuous training, adequate materials/structures in the units, and redesigned administration/supervision practices are determining factors to achieve higher levels of adherence to hand hygiene among nurses, as well as increased quality and safety in care delivery, which is a current collective health challenge.
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RESEARCH01-01-2018
How do old men take care of their own health in Primary Care?
Revista Brasileira de Enfermagem. 2018;71:554-561
Abstract
RESEARCHHow do old men take care of their own health in Primary Care?
Revista Brasileira de Enfermagem. 2018;71:554-561
DOI 10.1590/0034-7167-2017-0131
Views0See moreABSTRACT
Objective:
To understand the care of elderly men with their own health.
Method:
A qualitative study with the participation of ten elderly men, through responses to the semi-structured interview guided by the “Tell me about your experiences of care with your health”, carried out in a basic health unit, during the period of October-December 2014. The speeches, after being transcribed were submitted to content analysis.
Results:
The ten interviewees were retired and had an average age of 67.3 years. From the analysis of the data, two categories have emerged: Elderly health care ways and health service as a supporter in the care (less) of the elderly, which revealed the restriction of health care to the triad: medicines, consultation to professionals and exams.
Final considerations:
Institutional and sociocultural barriers that need to be overcome so that the male population can be consolidated, guaranteeing care of their peculiarities, encouraging active behaviors for self-care.
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RESEARCH01-01-2018
Nurse liaison: a strategy for counter-referral
Revista Brasileira de Enfermagem. 2018;71:546-553
Abstract
RESEARCHNurse liaison: a strategy for counter-referral
Revista Brasileira de Enfermagem. 2018;71:546-553
DOI 10.1590/0034-7167-2017-0490
Views0See moreABSTRACT
Objective:
to identify the profile of the counter-referred patients by the “nurse liaison” and to describe the experience of the professionals who participated in the project.
Method:
intervention research, with twelve nursing nurses from a hospital and an Emergency Care Unit, and 26 nurses from Primary Health Care. Data were obtained through questionnaires and counter-referral forms.
Results:
Out of 43 counter-referred individuals, 62.8% are over sixty years, 53.5% are men with multi-pathologies. Among the positive aspects, the nurses highlighted the dialogue between health care services, agility in the acquisition of inputs for the continuity of care in primary care, benefiting patients after hospital discharge. The greatest challenge was the lack of time and the deficit of nurses to perform the function.
Final considerations:
the presence of the “nurse liaison” has proved to be an important strategy to improve integration between services and to promote continuity of care.
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RESEARCH01-01-2018
Depression in the wives of convicted men: prevalence and associated factors
Revista Brasileira de Enfermagem. 2018;71:538-545
Abstract
RESEARCHDepression in the wives of convicted men: prevalence and associated factors
Revista Brasileira de Enfermagem. 2018;71:538-545
DOI 10.1590/0034-7167-2017-0263
Views0See moreABSTRACT
Objective:
To estimate the prevalence of depression and to identify the main risk factors associated with depression in wives of convicted men.
Method:
Descriptive, cross – sectional, quantitative approach. The data were collected with 349 female partners of convicted patients in three penitentiaries in the state of Paraná, with a semistructured research, between January and June of 2016, being compiled in a database and analyzed using SPSS® 20.0 software.
Results:
It was possible to identify vulnerability to depression among wives of convicted men, most were young and 42.2% have or already had depression. It was verified that the variables to depression were ages equal to or above 30 years (50.3%, p <0.001), smoking (61.1%, p <0.013) and alcoholism (16.1%, p <0.001).
Conclusion:
It is the responsibility of the nurse with the multidisciplinary health team to invest in health promotion and prevention actions against these risk factors that were associated with depression in this population.
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01-01-2018
Primary health care: the experience of nurses
Revista Brasileira de Enfermagem. 2018;71:531-537
Abstract
Primary health care: the experience of nurses
Revista Brasileira de Enfermagem. 2018;71:531-537
DOI 10.1590/0034-7167-2016-0244
Views0ABSTRACT
Objective:
to understand the meaning of nursing care in primary health care from the perspective of Chilean nurses.
Method:
this was a qualitative study based on the social phenomenology of Alfred Schutz. Data was collected between January and April 2013, through interviews with 13 primary health care nurses in Chile.
Results:
the nurses perceived primary care as a gratifying experience, considering it an encounter of subjectivities. However, they felt burdened with multiple functions and by the hierarchical pressure to achieve targets. They strived to implement innovative care, expressed by the desire to go beyond traditional care practices, and improve the efficiency of management at the various levels of health care.
Conclusion:
it is important to discuss the results of the present study in the context of health care and especially nursing education, with the goal of better preparing nurses who will deliver care at the primary health care level.
Keywords:Family Nurse PractitionersNursing CarePractical NursingPrimary Health CareQualitative ResearchSee more
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ERRATUM04-22-2020
ERRATUM
Revista Brasileira de Enfermagem. 2020;73(3):202073n3e05
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2020;73(3):202073n3e05
DOI 10.1590/0034-7167.202073n3e05
Views0Article “Concept formation of ambience for labor and normal institutionalized delivery”, with number of DOI: , published in the journal Revista Brasileira de Enfermagem, 72(Suppl 3):348-59, on page 357:Include after Final Considerations the information:[…]See more -
ORIGINAL ARTICLE04-09-2020
Health promotion in schools: speeches, representations, and approaches
Revista Brasileira de Enfermagem. 2020;73(3):e20180774
Abstract
ORIGINAL ARTICLEHealth promotion in schools: speeches, representations, and approaches
Revista Brasileira de Enfermagem. 2020;73(3):e20180774
DOI 10.1590/0034-7167-2018-0774
Views0See moreABSTRACT
Objectives:
to analyze speeches, representations, and approaches on health and health promotion in schools, materialized in the speech of teachers.
Methods:
a qualitative study, of the case study type, carried out with 17 teachers from the municipal and state educational network. The data were obtained from interviews and analyzed by the Content-Oriented Discourse Analysis.
Results:
medical-sanitary and clinical-biological discourses predominated. Health is represented as the absence of disease, reflecting approaches that prioritize healthy habits and changes in behavior. Problematization of social determinants occurs in projects, in an intersectorial partnership.
Final Considerations:
carrying out projects of health promotion in schools ignores the solidification of partnerships and the construction of new speeches that represent it as quality of life conditioned by social, economic, and cultural factors as well as strategies for the ideological repositioning of those actors who act in this setting.
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ORIGINAL ARTICLE04-09-2020
Nursing work and competence in hemotherapy services: an ergological approach
- Sonia Rejane de Senna Frantz
, - Mara Ambrosina de Oliveira Vargas ,
- Denise Elvira Pires de Pires ,
- Maria José Menezes Brito ,
- Júlia Valéria de Oliveira Vargas Bitencourt , [ … ],
- Gerusa Ribeiro
Abstract
ORIGINAL ARTICLENursing work and competence in hemotherapy services: an ergological approach
Revista Brasileira de Enfermagem. 2020;73(3):e20180775
DOI 10.1590/0034-7167-2018-0775
- Sonia Rejane de Senna Frantz ,
- Mara Ambrosina de Oliveira Vargas ,
- Denise Elvira Pires de Pires ,
- Maria José Menezes Brito ,
- Júlia Valéria de Oliveira Vargas Bitencourt ,
- Gerusa Ribeiro
Views0See moreABSTRACT
Objetives:
to analyze the ingredients of the competence that the nurses use in the performance of their work in hemotherapy.
Methods:
qualitative study with 22 nurses, accomplished through documentary study, observation and semi-structured interview, with resources of Atlas.ti software based on the foundations of Historical Materialism Dialectic and Ergology. Performed Content Analysis.
Results:
the domain of specific knowledge of hemotherapy and the time of experience in the area, allied to the motivation of the worker and the ability to work in a team favor the competent action in the work activities. On the other hand, the lack of adequate work conditions, especially in relation to adequate materials, equipment and structure, impairs the work of the nurse in hemotherapy.
Final Considerations:
experience gained is critical to successful decision making. In addition, adequate working conditions, updating of knowledge and ability in teamwork favor a scenario of safe practices.
- Sonia Rejane de Senna Frantz
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ORIGINAL ARTICLE04-22-2020
Happiness as a strength in the promotion of adolescent and adult young health
- Henriqueta Ilda Verganista Martins Fernandes ,
- Luísa Maria Costa Andrade ,
- Maria Manuela Martins ,
- Karla Maria Carneiro Rolim ,
- Rejane Medeiros Millions , [ … ],
- Firmina Hermelinda Saldanha Albuquerque
Abstract
ORIGINAL ARTICLEHappiness as a strength in the promotion of adolescent and adult young health
Revista Brasileira de Enfermagem. 2020;73(3):e20190064
DOI 10.1590/0034-7167-2019-0064
- Henriqueta Ilda Verganista Martins Fernandes ,
- Luísa Maria Costa Andrade ,
- Maria Manuela Martins ,
- Karla Maria Carneiro Rolim ,
- Rejane Medeiros Millions ,
- Mirna Albuquerque Frota ,
- Firmina Hermelinda Saldanha Albuquerque
Views0See moreABSTRACT
Objectives:
to assess the relation between sociodemographic characteristics of young people associated with the subjectivity of being happy; to evaluate the relationship between the subjectivity of being happy and the perception of health status; to evaluate the relationship between the subjectivity of being happy and the school and family environments and peer groups at school.
Methods:
this is an observational study, with an intentional sample of 1,069 young Portuguese people, with ages varying from 14 to 24, most of them women, attending secondary education. The self-filling questionnaire was used.
Results:
there are statistically significant associations between the subjectivity of being happy and schooling, perception of health status, family APGAR, school and family involvement, absence of problems or teasing by peers at school.
Conclusions:
a positive and holistic care coupled with the potential of obtaining and consolidating healthy lifestyles for young people will enable health professionals to perceive them as agents of individual and social change.
- Henriqueta Ilda Verganista Martins Fernandes
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ORIGINAL ARTICLE04-22-2020
Preventing vertical HIV virus transmission: hospital care assessment
- Ana Paula Ferreira Holzmann ,
- Carla Silvana de Oliveira e Silva ,
- Janer Aparecida Silveira Soares ,
- Sibylle Emilie Vogt ,
- Carolina dos Reis Alves , [ … ],
- Dulce Aparecida Barbosa
Abstract
ORIGINAL ARTICLEPreventing vertical HIV virus transmission: hospital care assessment
Revista Brasileira de Enfermagem. 2020;73(3):e20190491
DOI 10.1590/0034-7167-2019-0491
- Ana Paula Ferreira Holzmann ,
- Carla Silvana de Oliveira e Silva ,
- Janer Aparecida Silveira Soares ,
- Sibylle Emilie Vogt ,
- Carolina dos Reis Alves ,
- Mônica Taminato ,
- Dulce Aparecida Barbosa
Views0See moreABSTRACT
Objectives:
assess the implementation of actions to prevent vertical transmission of HIV.
Methods:
a retrospective cohort study conducted in two maternity hospitals in the city of Montes Claros, State of Minas Gerais. All women admitted for childbirth diagnosed with HIV and their respective newborns were included from 2014 to 2017. Data were collected from medical records and analyzed descriptively.
Results:
population consisted of 46 pairs of mothers and newborns. Management was considered inadequate in 30 cases of parturient/postpartum women (65.2%) and 14 cases of newborns (30.4%). The main reasons for inadequate maternal management were lack of pharmacological inhibition of lactation (53.3%) and counseling/consent for HIV testing (43.3%). For newborns, late onsetoffirst dose ofZidovudine (50.0%) and no prescriptionofNevirapine (28.6%).
Conclusions:
important prevention opportunities were missed, pointing to the need for improved care.
- Ana Paula Ferreira Holzmann
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ORIGINAL ARTICLE06-08-2020
Maternal-child nursing care for adolescent mothers: health education
- Raquel Dully Andrade ,
- Jeniffer Stephanie Marques Hilário ,
- Jaqueline Silva Santos ,
- José de Paula Silva ,
- Luciana Mara Monti Fonseca , [ … ],
- Débora Falleiros de Mello
Abstract
ORIGINAL ARTICLEMaternal-child nursing care for adolescent mothers: health education
Revista Brasileira de Enfermagem. 2020;73(4):e20180769
DOI 10.1590/0034-7167-2018-0769
- Raquel Dully Andrade ,
- Jeniffer Stephanie Marques Hilário ,
- Jaqueline Silva Santos ,
- José de Paula Silva ,
- Luciana Mara Monti Fonseca ,
- Débora Falleiros de Mello
Views0See moreABSTRACT
Objectives:
to develop an educational intervention through a game that addresses aspects related to adolescent motherhood and child care.
Methods:
this is an action research based on diagnosis, intervention and apprehension stages.
Results:
the situational diagnosis was based on a literature review on adolescent motherhood and child care. In the intervention stage, the educational game’s first version was elaborated. In the third stage constituted by apprehension, the game was submitted to assessment of interdisciplinary experts. Suggestions of experts were adopted and the game had its second version.
Final Considerations:
the educational intervention in the present study appears a care technology that adds knowledge and practices to the work of nurses in Primary Health Care, focusing on adolescent women and children health care.
- Raquel Dully Andrade
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REVIEW06-01-2020
Access of the black population to health services: integrative review
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces , [ … ],
- Márcia Aparecida Ferreira de Oliveira
Abstract
REVIEWAccess of the black population to health services: integrative review
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
DOI 10.1590/0034-7167-2018-0834
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces ,
- Márcia Aparecida Ferreira de Oliveira
Views1See moreABSTRACT
Objectives:
demonstrate and discuss how the black population’s access to health services occurs
Methods:
integrative literature review with the following question: How does the black population’s access to health services occur? The search was carried out in the Scholar, LILACS and SciELO databases and used the descriptor “access to health services” and the term “population,” resulting in a sample with twelve articles.
Results:
studies show that the difficulty of access is a fundamental factor for the quality of life of people, directly compromising preventive services, especially for women’s health and, in addition, it has significant impact on the illness process of the black population within its particularities.
Final Considerations:
several limiting factors compromise the black population’s access to health services, including institutional and structural factors
- Nelma Nunes da Silva
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ORIGINAL ARTICLE05-18-2020
Militancy of nurses in the institutionality field: printed media versions
- Aline Di Carla Laitano ,
- Gilberto Tadeu Reis da Silva ,
- Deybson Borba de Almeida ,
- Maria Itayra Padilha ,
- Maria Angélica de Almeida Peres , [ … ],
- Victor Porfírio Ferreira Almeida Santos
Abstract
ORIGINAL ARTICLEMilitancy of nurses in the institutionality field: printed media versions
Revista Brasileira de Enfermagem. 2020;73(4):e20180835
DOI 10.1590/0034-7167-2018-0835
- Aline Di Carla Laitano ,
- Gilberto Tadeu Reis da Silva ,
- Deybson Borba de Almeida ,
- Maria Itayra Padilha ,
- Maria Angélica de Almeida Peres ,
- Victor Porfírio Ferreira Almeida Santos
Views0See moreABSTRACT
Objectives:
to analyze nurses’ professional militancy in the institutionality field, presented by the printed media from Bahia State in the 1970s and 1980s.
Methods:
a historical and qualitative research under Social History’s perspective, whose data source was the newspaper A Tarde. The temporal cut-off encompasses milestones such as professional body restructuring and creation.
Results:
the Associação Brasileira de Enfermagem democratization movement was reported in a superficial way, highlighting the struggle for power spaces. With respect to Conselhos Federal e Regional de Enfermagem daBahia, the newspaper notified creation and function of bodies, however, there was no visibility to the newspaper’s performance. Concerning the union, there was political fragility of nurses against the creation and union participation in the fight for labor rights.
Final Considerations:
organization of political action occurred from isolated groups mobilization of professionals who were already traveling in political spaces, not the large mass of professionals.
- Aline Di Carla Laitano
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ORIGINAL ARTICLE06-16-2021
Patient participation in care safety: Primary Health Care professionals’ perception
- Pedro Rodrigues Carvalho ,
- Emannuela Sofia Dantas Ferraz ,
- Cristiane Chagas Teixeira ,
- Valéria Bertonha Machado ,
- Ana Lúcia Queiroz Bezerra , [ … ],
- Thatianny Tanferri de Brito Paranaguá
Abstract
ORIGINAL ARTICLEPatient participation in care safety: Primary Health Care professionals’ perception
Revista Brasileira de Enfermagem. 2021;74(2):e20200773
DOI 10.1590/0034-7167-2020-0773
- Pedro Rodrigues Carvalho ,
- Emannuela Sofia Dantas Ferraz ,
- Cristiane Chagas Teixeira ,
- Valéria Bertonha Machado ,
- Ana Lúcia Queiroz Bezerra ,
- Thatianny Tanferri de Brito Paranaguá
Views0See moreABSTRACT
Objectives:
to analyze health professionals’ perception about the meaning and practice of patient involvement in care safety in Primary Health Care.
Methods:
this is an exploratory, qualitative study, developed with 22 professionals in the Federal District, Brazil. A semi-structured interview was conducted between October and November/2018. Content analysis was carried out according to Bardin.
Results:
nurses, physicians, dentists, among others, participated. The following categories emerged: Meaning of patient involvement in care safety; Factors intervening in patient involvement in care safety; Strategies for patient involvement in care safety; Qualification for patient involvement in care safety.
Final Considerations:
the meaning of patient involvement for care safety was associated with co-responsibility and patient-centered care. Professionals’ practice revealed intervening factors and the use of involvement strategies. A gap was identified in training on patient involvement in care safety.
- Pedro Rodrigues Carvalho
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REVIEW03-30-2020
Internet influence on the biopsychosocial health of adolescents: an integratitive review
- Elisabete Zimmer Ferreira ,
- Adriane Maria Netto de Oliveira ,
- Silvana Possani Medeiros ,
- Giovana Calcagno Gomes ,
- Marta Regina Cezar-Vaz , [ … ],
- Janaína Amorim de Ávila
Abstract
REVIEWInternet influence on the biopsychosocial health of adolescents: an integratitive review
Revista Brasileira de Enfermagem. 2020;73(2):e20180766
DOI 10.1590/0034-7167-2018-0766
- Elisabete Zimmer Ferreira ,
- Adriane Maria Netto de Oliveira ,
- Silvana Possani Medeiros ,
- Giovana Calcagno Gomes ,
- Marta Regina Cezar-Vaz ,
- Janaína Amorim de Ávila
Views0See moreABSTRACT
Objectives:
To identify scientific evidence on the influence of internet use on adolescents’ biopsychosocial health.
Methods:
Integrative review, with database search, using the descriptors “internet”, “adolescent health” and “adolescent behavior”. After applying the inclusion and exclusion criteria, 16 articles were selected.
Results:
Knowledge convergence produced for three main themes was demonstrated: “Internet exposure time and possible damages to adolescent health”; “Internet, adolescent and cyberbullying”; and “Internet as a source of information for adolescent health”.
Final considerations:
The network involves an intricate network of interactions, providing varied behaviors and attitudes that reflect on adolescent health. Therefore, it is important to articulate nursing actions with the school community and the family, in order to carry out health education.
- Elisabete Zimmer Ferreira
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REFLECTION07-10-2020
Psychosocial risks and the health of health workers: reflections on Brazilian labor reform
Revista Brasileira de Enfermagem. 2020;73:e20190092
Abstract
REFLECTIONPsychosocial risks and the health of health workers: reflections on Brazilian labor reform
Revista Brasileira de Enfermagem. 2020;73:e20190092
DOI 10.1590/0034-7167-2019-0092
Views0See moreABSTRACT
Objective:
to reflect on the psychosocial risks and their impacts on the health of health workers in light of the Brazilian economic context and Labor Reform.
Method:
reflective study on the Brazilian Labor Reform and its impacts on health of health workers.
Results:
although the changes observed in the labor sphere have contributed to improvements in health and safety policies for, these changes have also contributed to the emergence of new risks arising from work activities, including psychosocial risks, which affect all occupational categories.
Final considerations:
we understand that the Brazilian Labor Reform carried out in 2017 leads to the weakening of labor relations, increases workers’ exposure to risks in the workplace, increases the risk of illness, and opposes the global movement of international organizations aimed at the prevention of aggravation in workers’ health and also at preserving their health.
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REVIEW06-17-2020
The role of the nurse in caring for the critical patient with sepsis
- Maria João Chambel Branco ,
- Ana Paula Mirco Lucas ,
- Rita Margarida Dourado Marques ,
- Patrícia Pontífice Sousa
Abstract
REVIEWThe role of the nurse in caring for the critical patient with sepsis
Revista Brasileira de Enfermagem. 2020;73(4):e20190031
DOI 10.1590/0034-7167-2019-0031
- Maria João Chambel Branco ,
- Ana Paula Mirco Lucas ,
- Rita Margarida Dourado Marques ,
- Patrícia Pontífice Sousa
Views0See moreABSTRACT
Objectives:
to know the nursing interventions in the identification, prevention and control of sepsis in critical patients.
Methods:
integrative review of the literature, with two parallel researches using different MesH terms, using the EBSCO database and Google Scholar. Nine studies were included in the sample.
Results:
nursing interventions are centered on the creation/implementation of protocols for the early recognition of sepsis, the training of teams to ensure a safe and effective approach and the adoption of measures for infection prevention and control as a way to prevent sepsis.
Final Considerations:
the evidence shows that nurses are fundamental in the early identification, control and prevention of sepsis, preventing disease progression and contributing to decreased morbidity and mortality.
- Maria João Chambel Branco
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ORIGINAL ARTICLE05-15-2020
Configuration of power relations in physicians and nurses’ professional practices
- Tauana Wazir Mattar e Silva ,
- Isabela Silva Câncio Velloso ,
- Meiriele Tavares Araújo ,
- Aline da Rocha Kallás Fernandes
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
- Tauana Wazir Mattar e Silva ,
- Isabela Silva Câncio Velloso ,
- Meiriele Tavares Araújo ,
- Aline da Rocha Kallás Fernandes
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.
- Tauana Wazir Mattar e Silva
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ORIGINAL ARTICLE02-10-2020
Theater of the Oppressed and bullying: nursing performance in school adolescent health
- Lidiane Cristina da Silva Alencastro ,
- Jorge Luiz da Silva ,
- André Vilela Komatsu ,
- Fabiane Blanco Silva Bernardino ,
- Flávia Carvalho Malta de Mello , [ … ],
- Marta Angélica Iossi Silva
Abstract
ORIGINAL ARTICLETheater of the Oppressed and bullying: nursing performance in school adolescent health
Revista Brasileira de Enfermagem. 2020;73(1):e20170910
DOI 10.1590/0034-7167-2017-0910
- Lidiane Cristina da Silva Alencastro ,
- Jorge Luiz da Silva ,
- André Vilela Komatsu ,
- Fabiane Blanco Silva Bernardino ,
- Flávia Carvalho Malta de Mello ,
- Marta Angélica Iossi Silva
Views0See moreABSTRACT
Objective:
to assess the effects of an intervention based on the Theater of the Oppressed in reducing school bullying.
Method:
a quasi-experimental study with 232 first-year high school students from two public schools in the city of Cuiabá, Mato Grosso State, Brazil. An intervention was performed with the Theater of the Oppressed, a theatrical methodology created by Augusto Boal and inspired by Paulo Freire’s “Pedagogy of the Oppressed”, in which one school composed the intervention group, and another school, the comparison group. Both groups were assessed for involvement in bullying situations before and after intervention. For data analysis, Poisson Regression models with random effect were used.
Results:
intervention group presented a significant decrease in direct victimization (physical and verbal aggression).
Conclusion:
the Theater of the Oppressed represents an important strategy in reducing bullying victimization among school adolescents.
- Lidiane Cristina da Silva Alencastro
-
ORIGINAL ARTICLE02-10-2020
Common Mental Disorders and Contemporary Factors: 1982 Birth Cohort
- Lenice de Castro Muniz de Quadros ,
- Luciana de Avila Quevedo ,
- Helen Denise Gonçalves ,
- Bernardo Lessa Horta ,
- Janaína Vieira dos Santos Motta , [ … ],
- Denise Petrucci Gigante
Abstract
ORIGINAL ARTICLECommon Mental Disorders and Contemporary Factors: 1982 Birth Cohort
Revista Brasileira de Enfermagem. 2020;73(1):e20180162
DOI 10.1590/0034-7167-2018-0162
- Lenice de Castro Muniz de Quadros ,
- Luciana de Avila Quevedo ,
- Helen Denise Gonçalves ,
- Bernardo Lessa Horta ,
- Janaína Vieira dos Santos Motta ,
- Denise Petrucci Gigante
Views0See moreABSTRACT
Objective:
To describe the association between common mental disorders and socio-demographic variables, smoking habits and stressful events among the 30-year-old members of a 1982 cohort.
Method:
Mental disorder was analyzed by the Self-Reporting Questionnaire (SRQ-20). Poisson regression was used to analyze the unadjusted and adjusted associations.
Results:
Low level of education and stressful events increased the prevalence of mental disorders for both genders. Lower income for women and unemployment for men also remained associated with CMD.
Conclusion:
It was possible to describe the association between contemporary factors and mental disorders in a young population, to which prevention and control measures, through public policies proposed to the areas of Primary Care, Mental Health and Education, can represent a better quality of life and health.
- Lenice de Castro Muniz de Quadros
-
REVIEW12-21-2020
Lean Six Sigma methodology application in health care settings: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190861
Abstract
REVIEWLean Six Sigma methodology application in health care settings: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190861
DOI 10.1590/0034-7167-2019-0861
Views0See moreABSTRACT
Objective:
to analyze the scientific production on the results of Lean Six Sigma methodology in health care institutions.
Methods:
an integrative literature review, with the following question: what are the results in health institutions using Lean Six Sigma and Six Sigma methodology? The search was carried out at MEDLINE, LILACS, BDENF, CINAHL, Web of Science, and Scopus, with no time frame.
Results:
thirty-four articles were included, published between 2005 and 2019, of which 52.9% came from the United States of America. The most commonly found improvements were in hospital institutions and from the perspective of customers and internal processes.
Conclusion:
using Lean Six Sigma methodology proved to be effective in the different health care settings, evidencing a gap in its application regarding people engagement and training.
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