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ORIGINAL ARTICLE09-19-2022
Colorectal cancer mortality in women: trend analysis in Brazil and its regions and states
Revista Brasileira de Enfermagem. 2022;75(2):e20210751
Abstract
ORIGINAL ARTICLEColorectal cancer mortality in women: trend analysis in Brazil and its regions and states
Revista Brasileira de Enfermagem. 2022;75(2):e20210751
DOI 10.1590/0034-7167-2021-0751
Views0See moreABSTRACT
Objectives:
to analyze colorectal cancer mortality trends in women in Brazil and its regions and states.
Methods:
ecological, time-series study with trend analysis of deaths caused by colorectal cancer in women in Brazil and its regions and states between 2008 and 2019. Polynomial regression was used to treat the data.
Results:
48,225 deaths of women caused by colorectal cancer were examined. There was an increasing mortality trend in Brazilian women, with regional differences that resulted from socioeconomic, political, and cultural inequalities. The South Region stood out with the highest rate (7.32) in 2008, which increased to 8.65 in 2019, followed by the Southeast Region, whose rates were 6.72 and 9.05 in 2008 and 2019, respectively.
Conclusions:
colorectal cancer mortality increased, which indicates the need to expand public policies oriented toward screening and early diagnosis of colorectal cancer in women.
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REVIEW09-19-2022
Authentic leadership in the educational system and in nursing education: an integrative review
Revista Brasileira de Enfermagem. 2022;75(1):e20220122
Abstract
REVIEWAuthentic leadership in the educational system and in nursing education: an integrative review
Revista Brasileira de Enfermagem. 2022;75(1):e20220122
DOI 10.1590/0034-7167-2022-0122
Views0See moreABSTRACT
Objectives:
to identify and analyze the knowledge produced in literature about authentic leadership in the educational system, as well as in nursing education.
Methods:
an integrative review, carried out in the Scopus, Web of Science, CINAHL, MEDLINE/PubMed, ERIC, LILACS databases. Articles that addressed authentic leadership in the educational system from a general perspective and within the nursing scope, as well as teaching practices of this leadership model, were eligible.
Results:
twenty-three articles met the inclusion criteria, most published in 2019, highlighting studies in the context of teaching, with a predominance in the nursing course and which were synthesized into three thematic categories.
Final Considerations:
it was found that the higher the levels of authentic leadership in the educational system, the higher the rates of other positive factors related to it, such as trust, involvement, academic optimism, responsibility, creativity, among others.
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ORIGINAL ARTICLE09-19-2022
ICNP® nursing diagnoses for clinical practice in spinal cord injury rehabilitation
Revista Brasileira de Enfermagem. 2022;75(1):e20210670
Abstract
ORIGINAL ARTICLEICNP® nursing diagnoses for clinical practice in spinal cord injury rehabilitation
Revista Brasileira de Enfermagem. 2022;75(1):e20210670
DOI 10.1590/0034-7167-2021-0670
Views0See moreABSTRACT
Objectives:
to construct statements of nursing diagnoses for the clinical practice of rehabilitation of people with spinal cord injury using the International Classification for Nursing Practice (ICNP®) and Orem’s theory of self-care.
Methods:
methodological study developed in four steps: identification of relevant terms to clinical nursing practice in the rehabilitation of people with spinal cord injury; mapping of selected terms with ICNP® terms; construction of nursing diagnoses statements; mapping of statements constructed with pre-coordinated concepts of the ICNP®.
Results:
241 statements of nursing diagnoses were constructed and categorized according to the self-care requisites of the theory. The most prevalent statements were those related to universal requisites, followed by developmental requisites and health deviation requisites.
Conclusions:
the constructed nursing diagnoses reflect the complexity of phenomena evidenced in the clinical practice of rehabilitation, allowing a systematic and comprehensive care to the person with spinal cord injury.
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ORIGINAL ARTICLE09-19-2022
Clustering the engagement of Brazilian nurses in political advocacy
Revista Brasileira de Enfermagem. 2022;75(1):e20210105
Abstract
ORIGINAL ARTICLEClustering the engagement of Brazilian nurses in political advocacy
Revista Brasileira de Enfermagem. 2022;75(1):e20210105
DOI 10.1590/0034-7167-2021-0105
Views0See moreABSTRACT
Objectives:
to analyze the level of nurses’ engagement in political advocacy by performing cluster analysis.
Methods:
observational study, with a quantitative approach. A total of 184 nurses working in primary, secondary, and tertiary care in a city in the south of Brazil completed the Policy Advocacy Engagement Scale. Data analysis consisted of descriptive statistics, cluster analysis, analysis of variance, and chi. The Institutional Review Board approved the study.
Results:
four differentiated clusters were found according to professional experience, level of healthcare complexity, and unit. The cluster analysis revealed that patient advocacy for community-based obtained the highest mean, indicating that political advocacy is effective in organizational environments and that professional qualification favors greater engagement in political advocacy.
Conclusions:
the results reveal that nurses play an active role in political advocacy, seeking to promote positive changes in health, especially those working in tertiary care, the nurse group that obtained the highest means.
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ORIGINAL ARTICLE09-19-2022
The experience of trans or transvestite women in accessing public health services
Revista Brasileira de Enfermagem. 2022;75:e20210713
Abstract
ORIGINAL ARTICLEThe experience of trans or transvestite women in accessing public health services
Revista Brasileira de Enfermagem. 2022;75:e20210713
DOI 10.1590/0034-7167-2021-0713
Views0See moreABSTRACT
Objective:
to understand the meanings of being a trans or transvestite woman in the care provided by Unified Health System health professionals.
Methods:
qualitative research, guided by Heidegger’s phenomenology, with 10 trans or transvestitewomen residing and using the Unified Health System in a municipality in Minas Gerais. Fieldwork was carried out by interviews.
Results:
trans or transvestitewomen reproduce the social patterns constructed and accepted by the female, with the search for hormonization being common, and, when it is difficult to obtain a prescription, they resort to self-medication. Social name use and acceptance by health professionals promote recognition. Trans or transvestitewomen experience prejudice on a daily basis, not only by professionals, but also because of the assumption of diagnoses by other users.
Final considerations:
transphobia promotes withdrawal from health services, due to fear, shame, knowledge about professionals’ unpreparedness, triggering illness, social exclusion and violence.
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ORIGINAL ARTICLE09-19-2022
Neurobehavioral signals in preterm infants in body weight check: a quasi-experimental study
Revista Brasileira de Enfermagem. 2022;75:e20210584
Abstract
ORIGINAL ARTICLENeurobehavioral signals in preterm infants in body weight check: a quasi-experimental study
Revista Brasileira de Enfermagem. 2022;75:e20210584
DOI 10.1590/0034-7167-2021-0584
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Objective:
to describe and compare the frequency of neurobehavioral signs in preterm infants in traditional and humanized body weight check.
Methods:
a quantitative, quasi-experimental, cross-over study, carried out in a Neonatal Unit at a university hospital with a sample of 30 preterm newborns, randomly assigned and allocated in control group (traditional) and intervention group (humanized), with collection of general data, vital signs before and after procedures and footage.
Results:
there was a higher frequency of approach signs in humanized weight check compared to traditional check. Moreover, withdrawal signs were more frequent in traditional weight check compared to humanized check.
Conclusion:
in this regard, humanized body weight check provided greater benefits to preterm infants, making it necessary to foster discussions about humanization of care, so that this practice can be performed routinely in health units.
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ORIGINAL ARTICLE09-19-2022
Implications of health conditions on rural soybean workers’ quality of life
Revista Brasileira de Enfermagem. 2022;75:e20210983
Abstract
ORIGINAL ARTICLEImplications of health conditions on rural soybean workers’ quality of life
Revista Brasileira de Enfermagem. 2022;75:e20210983
DOI 10.1590/0034-7167-2021-0983
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Objective:
to analyze the implications of health conditions on rural workers’ quality of life in the context of soybean production.
Method:
a cross-sectional study, with an intentional sample of 299 male rural workers. Data collection took place between October and December 2019. The following instruments were used: World Health Organization Quality Life-bref; Rural Workers’ Living & Health Conditions questionnaire; International Physical Activity Questionnaire; Cut down, Annoyed, Guilty, and Eye-opener. They were analyzed via descriptive and inferential statistics, using bivariate (Mann-Whitney; Kruskal-Wallis) and multivariate tests (generalized additive models for location, scale and shape).
Results:
the presence of a diagnosis of morbidity, alcohol dependence, occupational accidents and absenteeism implied a decrease in workers’ quality of life scores.
Conclusion:
the existence of unfavorable health conditions has a negative impact on rural soybean workers’ quality of life.
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ORIGINAL ARTICLE09-19-2022
Terminological relationships between nursing diagnoses for children with kidney diseases
Revista Brasileira de Enfermagem. 2022;75:e20210841
Abstract
ORIGINAL ARTICLETerminological relationships between nursing diagnoses for children with kidney diseases
Revista Brasileira de Enfermagem. 2022;75:e20210841
DOI 10.1590/0034-7167-2021-0841
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Objective:
To identify the relationships between the statements of nursing diagnoses for children with kidney diseases prepared according to the International Classification for Nursing Practice (ICNP®) with the diagnoses of NANDA International (NANDA-I).
Methods:
Methodological study operationalized by the steps: 1) Survey of clinical findings through interviews and physical examination with children; 2) Elaboration of nursing diagnoses through Gordon’s clinical judgment; 3) Cross-mapping of diagnostic statements between the NANDA-I and ICNP® classification systems; 4) Content validation using the Delphi technique, in two rounds, with specialist nurses.
Results:
90 children participated. A total of 151 diagnoses were made, of which 66.3% (n=100) used ICNP® terminology and 33.7% (n=51) used NANDA-I; 55 diagnoses showed equivalence of meanings.
Conclusions:
Cross-mapping of diagnoses was achieved starting from the reality of children, using clinical reasoning and validation by specialist nurses.
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ORIGINAL ARTICLE10-21-2019
Child and adolescent violence: oral story of women who attempted suicide
Revista Brasileira de Enfermagem. 2019;72(6):1450-1456
Abstract
ORIGINAL ARTICLEChild and adolescent violence: oral story of women who attempted suicide
Revista Brasileira de Enfermagem. 2019;72(6):1450-1456
DOI 10.1590/0034-7167-2017-0814
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Objective:
To unveil expressions of intrafamily violence experienced in childhood and/or adolescence by women who attempted suicide.
Method:
This is a study with a qualitative approach based on Oral Story. Participants were ten women with a history of suicide attempt, who experienced intrafamily violence in childhood and/or adolescence. The research was carried out at the Center for the Study and Prevention of Suicide, linked to a Toxicological Information Center in the city of Salvador, Bahia, Brazil.
Results:
From the orality of women, the study allowed the emergence of the following representative categories of intrafamily abuse experienced in childhood and/or adolescence: psychological violence, rejection, neglect, physical violence and sexual violence.
Final considerations:
The study alerts to intrafamily violence as an aggravation related to suicidal behavior, offering elements that help in the identification of their expressions, which will raise awareness to suicidal behavior and consequently suicide prevention.
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ORIGINAL ARTICLE07-08-2020
Cognition and quality of life relationship among the elderly community: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73:e20190030
Abstract
ORIGINAL ARTICLECognition and quality of life relationship among the elderly community: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73:e20190030
DOI 10.1590/0034-7167-2019-0030
Views0See moreABSTRACT
Objective:
to assess cognitive functions and their association with quality of life among elderly people enrolled in a Family Health Unit (FHU) of Primary Health Care in Recife-PE.
Methods:
a quantitative, descriptive, cross-sectional study in which elderly aged 60 years and over were studied.
Results:
76.7% of the elderly were women and the age group was less than or equal to 70 years. 68.6% had cognitive impairment, and in the quality of life assessment it was found that the social participation facet had the highest mean score among the elderly (14.25), while the lowest was observed in the sensory functioning facet (9.10). There was an association between cognitive decline and quality of life.
Conclusion:
most of the elderly had good quality of life rates, but low cognitive level. Using screening tools allows early detection of health problems, guiding the nursing staff in the construction of preventive measures.
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ORIGINAL ARTICLE03-30-2020
Meanings assigned by families about children’s chronic disease diagnosis
Revista Brasileira de Enfermagem. 2020;73(2):e20180742
Abstract
ORIGINAL ARTICLEMeanings assigned by families about children’s chronic disease diagnosis
Revista Brasileira de Enfermagem. 2020;73(2):e20180742
DOI 10.1590/0034-7167-2018-0742
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Objectives:
to understand the meanings assigned by family caregivers about children’s chronic disease diagnosis.
Methods:
qualitative study, which used as theoretical framework the Symbolic Interactionism, and methodological, the Grounded Theory. It was held in a pediatric unit in Southern Brazil, in 2016, through interviews submitted to open and axial analysis, with the participation of 20 family caregivers of hospitalized children.
Results:
relatives, interacting with the nursing/health staff, perceive children’s disease at birth. They are diagnosed with chronic disease by the physician and deny it. Subsequently, they accept and seek information on care.
Conclusions:
the results pointed out the stages that relatives experience by assigning meanings to about children’s chronic disease diagnosis. These meanings provide subsidies for nurses’ actions, which need to be aware of children’s and family’s needs in order to offer comprehensive and humanized care.
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ORIGINAL ARTICLE04-03-2020
Nurse as an integrator in healthcare management of children with chronic condition
Revista Brasileira de Enfermagem. 2020;73(3):e20180453
Abstract
ORIGINAL ARTICLENurse as an integrator in healthcare management of children with chronic condition
Revista Brasileira de Enfermagem. 2020;73(3):e20180453
DOI 10.1590/0034-7167-2018-0453
Views0See moreABSTRACT
Objectives:
to understand the practice of the nurse in healthcare management of children with chronic condition in the hospital setting.
Methods:
analytical study of qualitative approach with theoretical and methodological reference of institutional ethnography. Developed in the pediatric unit of a university hospital, in a municipality in Northeastern Brazil. Data collections techniques were: participant observation, documentary analysis and semi-structured interview. Participants of the study totaled twenty professionals, including nurses, social workers, psychologists, pharmacists, nutritionists, physiotherapists, and doctors. For data analysis, it was used the Bardin’s Content Analysis with interface of the Atlas.ti software.
Results:
categories of analysis were “Nurse as mediator of healthcare management”; “Nursing process as a mechanism of healthcare management”.
Final
considerations: the nurse proved to be essential for healthcare management of the child with chronic condition, acting as mediator of the relationship between the doctor, the members of the health team, the user and their family.
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ORIGINAL ARTICLE09-18-2020
Nursing recommendations for facing dissemination of COVID-19 in Brazilian Nursing Homes
Revista Brasileira de Enfermagem. 2020;73:e20200260
Abstract
ORIGINAL ARTICLENursing recommendations for facing dissemination of COVID-19 in Brazilian Nursing Homes
Revista Brasileira de Enfermagem. 2020;73:e20200260
DOI 10.1590/0034-7167-2020-0260
Views0See moreABSTRACT
Objective:
to develop a protocol of recommendations for facing dissemination of COVID-19 in Brazilian Nursing Homes.
Method:
a study of experts’ recommendations using a structured form applied through the Delphi Technique, obtaining 100% agreement among professionals after four rounds of analysis. The population comprised six nurses members of the Scientific Department of Gerontological Nursing of the Brazilian Association of Nursing (Associação Brasileira de Enfermagem)
Results:
the protocol was structured in a nucleus of nursing interventions to face the spread of COVID-19 in Nursing Homes, consisting of 8 actions.
Final considerations:
the protocol can help nurse managers to organize assistance to face the pandemic, which can be adaptable to each reality, making training nurses and health teams easier.
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REVIEW12-21-2020
Skill acquisition of safe medication administration through realistic simulation: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190880
Abstract
REVIEWSkill acquisition of safe medication administration through realistic simulation: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190880
DOI 10.1590/0034-7167-2019-0880
Views0See moreABSTRACT
Objective:
to investigate evidence that indicates the contribution of realistic high, medium or low fidelity simulation to acquire knowledge, skills and attitudes in safe medication administration by nursing students.
Methods:
an integrative review of experimental studies from MEDLINE, LILACS, Web of Science, Scopus and Science Direct. The descriptors “nursing students”, “simulation”, “high fidelity simulation training”, “medication errors” and “pharmacology” were used to identify 14 studies that answered the research question, and were assessed for accuracy methodological level and level of evidence.
Results:
there was a sample of quasi-experimental studies, (level 3 of evidence; 78.6%) and randomized clinical trials (level 2 of evidence; 21.4%), whose expressive majority showed superiority of the simulation strategy over the traditional methodology (71.4%).
Conclusion:
using low and high fidelity simulators, standardized patients and virtual simulation can promote acquisition of essential skills for patient safety.
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ORIGINAL ARTICLE12-07-2020
Sarcopenia screening in elderly in primary health care: nurse knowledge and practices
Revista Brasileira de Enfermagem. 2020;73:e20200421
Abstract
ORIGINAL ARTICLESarcopenia screening in elderly in primary health care: nurse knowledge and practices
Revista Brasileira de Enfermagem. 2020;73:e20200421
DOI 10.1590/0034-7167-2020-0421
Views0See moreABSTRACT
Objective:
Describe the knowledge and practices of the Primary Health Care nurse on sarcopenia screening in the elderly.
Methods:
Qualitative study conducted with 24 Primary Health Care nurses. The data was collected through semi-structured interviews, recorded and later transcribed. The speeches were grouped in thematic categories, later analyzed, supported by Paulo Freire’s reference.
Results:
The findings showed that the primary care nurses’ knowledge of sarcopenia screening in the elderly was incipient and fragile. This reality is reflected in a gap in practice, although some instruments already require the registration of characteristics indicative of sarcopenia, such as the evaluation of the calf circumference.
Final Considerations:
The need to train nurses to perform sarcopenia screening and to implement a promotional and preventive care plan, which will result in improving the quality of life of the elderly assisted in Primary Care, was highlighted.
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ORIGINAL ARTICLE10-21-2019
Inclusion of mental health in primary health care: care strategy in the territory
Revista Brasileira de Enfermagem. 2019;72(6):1677-1682
Abstract
ORIGINAL ARTICLEInclusion of mental health in primary health care: care strategy in the territory
Revista Brasileira de Enfermagem. 2019;72(6):1677-1682
DOI 10.1590/0034-7167-2018-0806
Views0See moreABSTRACT
Objective:
To analyze the strategies, challenges and possibilities of the articulation between mental health and primary health care from the perspective of health managers.
Method:
Exploratory, qualitative research carried out with 28 managers of mental health and primary care. The data were collected through semi-structured interviews between July and November 2013 and submitted to thematic content analysis.
Results:
The inclusion of mental health actions in primary care made it possible, in the view of managers, to increase users’ access to the care they need. This care strategy allows the extension of care practices in the territory, with matrix support as the main tool for the implementation of this care strategy.
Final considerations:
The articulation between primary care and mental health is a powerful device for psychosocial care, but it demands a new conformation of the Psychosocial Care Centers (Caps) and primary care services.
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