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RESEARCH01-01-2018
Nursing diagnoses for elderly women vulnerable to HIV/AIDS
Revista Brasileira de Enfermagem. 2018;71:1435-1444
Abstract
RESEARCHNursing diagnoses for elderly women vulnerable to HIV/AIDS
Revista Brasileira de Enfermagem. 2018;71:1435-1444
DOI 10.1590/0034-7167-2017-0086
Views0See moreABSTRACT
Objective:
Classify the diagnoses in the conceptual framework of vulnerability of Ayres and in the Orem’s self-care theory; Elaborate operational definitions of nursing diagnoses for elderly women vulnerable to HIV/AIDS.
Method:
A descriptive exploratory study, developed from March to December 2016 in the stages: 1. Classification of diagnoses in the conceptual framework of vulnerability of Ayres and in the Orem’s self-care theory; 2. Operational definition of nursing diagnoses.
Results:
70 nursing diagnoses were classified in the conceptual framework of vulnerability of Ayres and Orem’s self-care theory, and their operational definitions were constructed, where 75.7% of these were validated.
Final consideration:
Diagnoses represent conditions that make older women vulnerable to HIV/AIDS and are linked to their self-care practices. Operational definitions contribute to a systematic approach to care and greater clarity in its implementation.
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RESEARCH01-01-2018
Sexual function of undergraduate women: a comparative study between Brazil and Italy
Revista Brasileira de Enfermagem. 2018;71:1428-1434
Abstract
RESEARCHSexual function of undergraduate women: a comparative study between Brazil and Italy
Revista Brasileira de Enfermagem. 2018;71:1428-1434
DOI 10.1590/0034-7167-2016-0669
Views0See moreABSTRACT
Objective:
to evaluate the sexual function of Italian and Brazilian nursing students using the Female Sexual Function Index (FSFI), to estimate the prevalence of sexual dysfunctions and related factors.
Method:
this is a cross-sectional study involving 84 Brazilian and 128 Italian undergraduate. For the evaluation of sexual function, the Female Sexual Function Index (FSFI) questionnaire was used.
Results:
Italian women presented significantly higher sexual dysfunction index (n=78/60.9%) than the Brazilian women (n=32/38.1%) (p=0.00). Only the “desire” and “excitation” domains showed no difference between groups. Younger, single and without a steady relationship women had a higher rate of sexual dysfunction (p<0.05).
Conclusion:
the high rate of sexual dysfunction in a young public suggests the need for more research to increase knowledge about the influence of psychosocial and related factors on female sexual function, directing care towards the promotion of sexual and reproductive health.
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RESEARCH01-01-2018
Children hospitalized due to maltreatment in the ICU of a Public Health Service
Revista Brasileira de Enfermagem. 2018;71:1420-1427
Abstract
RESEARCHChildren hospitalized due to maltreatment in the ICU of a Public Health Service
Revista Brasileira de Enfermagem. 2018;71:1420-1427
DOI 10.1590/0034-7167-2017-0502
Views0See moreABSRACT
Objective:
to characterize children hospitalized due to violence in a pediatric ICU in 2011; to relate violence and the mechanisms of trauma with death; to know the contextualization of violence, from the records in the medical records.
Method:
retrospective cohort, performed in a first aid hospital, Porto Alegre city, in the records of 22 children hospitalized in the ICU due to violence. Quantitative analysis was performed by absolute and relative frequency rates, chi-square and relative risk.
Results:
54.5% were boys, 81.8% were white and 50% were up to three years old. Physical violence 50% and neglect 36.4%, family of children (77.3%), highlighting the mother (35.3%). Mechanisms of aggression: fall (22.7%), burns (18.2%). Burns were at high risk for death. Discharge to go home after ICU admission (59.1%).
Conclusion:
It is considered that the characterization of the cases of violence reflects the complexity of the theme, mainly, in face of the life histories that surround each case of children hospitalized by this aggravation.
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RESEARCH01-01-2018
Validation of primer for promoting maternal self-efficacy in preventing childhood diarrhea
Revista Brasileira de Enfermagem. 2018;71:1412-1419
Abstract
RESEARCHValidation of primer for promoting maternal self-efficacy in preventing childhood diarrhea
Revista Brasileira de Enfermagem. 2018;71:1412-1419
DOI 10.1590/0034-7167-2017-0341
Views0See moreABSTRACT
Objective:
to validate an educational primer, regarding content and design, for promoting maternal self-efficacy in preventing childhood diarrhea.
Method:
methodological study composed of 31 mothers of children under five years of age, in which the validation of the primer You can prevent diarrhea in your child! was carried out from the Content Validity Index (CVI), being evaluated as to the domains understanding, attractiveness, self-efficacy, cultural acceptance, and persuasion.
Results:
the primer was considered relevant and clear, with average concordance of 99.4% and 99.8%, respectively. The overall CVI was of 0.99, evidencing satisfactory level of agreement between the mothers. The assessment of domains generated satisfactory results.
Conclusion:
the primer was considered valid by the target audience; thus, it can be implemented for promoting maternal confidence to prevent childhood diarrhea.
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RESEARCH01-01-2018
Water balance in pediatric nephrology: construction of a Standard Operating Procedure
Revista Brasileira de Enfermagem. 2018;71:1404-1411
Abstract
RESEARCHWater balance in pediatric nephrology: construction of a Standard Operating Procedure
Revista Brasileira de Enfermagem. 2018;71:1404-1411
DOI 10.1590/0034-7167-2017-0045
Views0See moreABSTRACT
Objective:
To construct a Standard Operating Procedure (SOP) about the water balance, to be used by the health team in the care of children hospitalized in a pediatric nephrology unit.
Method:
The study was carried out in two stages: integrative review of the literature for the development of SOP and validation by specialists. The search for literature occurred in the electronic databases PUBMED, SCOPUS, LILACS, BDENF. After the bibliographic survey the construction of the SOP was performed, which was evaluated by specialists. The analysis was performed by calculating the Content Validity Index (CVI).
Results:
nine studies were selected as results of the integrative review. The sample of specialists was composed of nine professionals. The study was evaluated in six items, five of which presented CVI = 1 and one obtained CVI = 0.77.
Conclusion:
the evaluation of specialists culminated in the validation of SOP, suggesting changes that were accepted and discussed with the literature.
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RESEARCH01-01-2018
Identification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403
Abstract
RESEARCHIdentification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403
DOI 10.1590/0034-7167-2017-0325
Views0See moreABSTRACT
Objective:
To describe the profile of women in relation to their living conditions, health status and socio-demographic profile, correlating it with the presence of signs and symptoms suggestive of post-cesarean surgical site infection, identifying information to be considered in the puerperium consultation performed by nurses and proposing a roadmap for the systematization of care.
Method:
Quantitative, exploratory, descriptive, cross-sectional and retrospective review of medical records of women who had cesarean deliveries in 2014, in the city of São Paulo.
Results:
89 medical records were analyzed, 62 of them with incomplete information. In 11, there was at least one of the signs and symptoms suggestive of infection.
Conclusion:
Given the results of the study, the systematization of puerperal consultation is essential. The roadmap is an instrument that can potentially improve the quality of service and the recording of information.
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RESEARCH01-01-2018
Assessment of the preparation and administration of oral medications to institutionalized children
Revista Brasileira de Enfermagem. 2018;71:1388-1394
Abstract
RESEARCHAssessment of the preparation and administration of oral medications to institutionalized children
Revista Brasileira de Enfermagem. 2018;71:1388-1394
DOI 10.1590/0034-7167-2017-0197
Views0See moreABSTRACT
Objective:
to evaluate the preparation and administration of oral medications to institutionalized children by nursing professionals.
Method:
quantitative study, developed from August to September 2016, in a shelter in Fortaleza, Ceará. 323 observations of preparation and administration of oral drugs were carried out. Interview and non-participant direct observation of the process of drug administration were performed, whose data were analyzed through descriptive statistics.
Results:
Of the 29 actions of preparation and administration of the drugs, ten were considered satisfactory. Sanitizing of hands before touching the pills occurred in only 5.2% of the observations and cleansing of the bottle for liquid drugs was performed in 23.8%. The actions “check the right child”; “checking medication with the prescription”, and “check the right dose” obtained percentages below 15%.
Conclusion:
measures recommended by the literature for the administration of medication were not, in their clear majority, followed, making specific training and protocols necessary.
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RESEARCH01-01-2018
The pain of children with sickle cell disease: the nursing approach
Revista Brasileira de Enfermagem. 2018;71:1381-1387
Abstract
RESEARCHThe pain of children with sickle cell disease: the nursing approach
Revista Brasileira de Enfermagem. 2018;71:1381-1387
DOI 10.1590/0034-7167-2016-0648
Views0See moreABSTRACT
Objective:
To describe how nurses identify the pain in children with sickle cell disease (SCD) and to list the strategies used by them in the evaluation and control of pain.
Method:
This is a qualitative, descriptive and exploratory research, performed through semi-structured interviews with 13 nurses. The interviews were transcribed and after this process the qualitative data were organized according to thematic analysis.
Results:
This study showed that the nurses can identify pain in children with SCD from the signals they emit, such as: constant crying, restlessness, facial expressions and verbal reports. Pain is difficult to evaluate due to the lack of instruments, such as a pain scale. For pain control they use emotional support, promotion of comfort and the administration of drugs prescribed by the doctor.
Final considerations:
The nurses recognize the pain of the child and use pharmacological and non-pharmacological methods to control it but have difficulties to assess it.
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08-19-2019
Institutional strategies to prevent violence in nursing work: an integrative review
Revista Brasileira de Enfermagem. 2019;72(4):1052-1060
Abstract
Institutional strategies to prevent violence in nursing work: an integrative review
Revista Brasileira de Enfermagem. 2019;72(4):1052-1060
DOI 10.1590/0034-7167-2018-0687
Views0See moreABSTRACT
Objective:
To analyze the production of research that adopted as object of investigation: institutional strategies, actions and programs to curb and/or prevent the nursing workplace violence.
Method:
Integrative review of 14 articles in full, available in the databases LILACS, PubMed Central, Scopus, CINAHL and Web of Science.
Results:
Of the articles analyzed, most arise from quantitative research (71%), carried out in the United States (65%), with educational actions (57%) and programs (43%), denoting policies.
Conclusion:
Results showed various ways to curb or prevent nursing workplace violence. These are specific strategies, there are few programs deployed worldwide, usually centered in the United States, Canada and Sweden. Most of them is well evaluated and can serve as a model for the development and dissemination of policies according to the needs of each location.
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08-19-2019
Professional education on dementias in Primary Health Care: an integrative review
Revista Brasileira de Enfermagem. 2019;72(4):1086-1093
Abstract
Professional education on dementias in Primary Health Care: an integrative review
Revista Brasileira de Enfermagem. 2019;72(4):1086-1093
DOI 10.1590/0034-7167-2018-0652
Views0See moreABSTRACT
Objective:
To investigate the most commonly used educational approaches in dementia training for primary health care professionals.
Method:
Integrative literature review, conducted between April and June of 2018, in PubMed, LILACS and IBECS databases. The descriptors used were: Training, Health Personnel, Dementia, Primary Health Care for PubMed; and the MeSH terms, Training Programs, Health Personnel, Dementia, and Primary Health Care for LILACS and IBECS.
Results:
The sample consisted of 13 articles; eight were published in the last five years (62%); seven articles with a quantitative approach (54%); seven articles produced on the European continent (54%), followed by five published on the North American continent (38%). All journals were from the health area (100%).
Conclusion:
Educational strategies were combined and used for education. Significant improvements in knowledge, skills, and attitudes of the teams with regard to professional management of dementias were evidenced.
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ORIGINAL ARTICLE12-05-2019
Factors associated with metabolic syndrome in older adults: a population-based study
Revista Brasileira de Enfermagem. 2019;72:221-228
Abstract
ORIGINAL ARTICLEFactors associated with metabolic syndrome in older adults: a population-based study
Revista Brasileira de Enfermagem. 2019;72:221-228
DOI 10.1590/0034-7167-2018-0620
Views0See moreABSTRACT
Objective:
To estimate the prevalence of the metabolic syndrome and clusters of its components and to identify possible associated factors in older adults.
Method:
Cross-sectional and population-based study, involving 271 older people. We collected sociodemographic, behavioral, clinical, biochemical, and anthropometric data. Data were analyzed by descriptive and logistic regression techniques.
Results:
The prevalence of metabolic syndrome was 59% and was associated with women, overweight/obesity, and the C-reactive protein. Concerning the clusters, 11.4% of the sample had all the components of the metabolic syndrome, and only 5.2% of individuals did not have any of its components.
Conclusion:
We found there is a high prevalence of metabolic syndrome and clusters of its components in older adults. It is important to deepen studies on this matter, considering clinical aspects in relation to sex and healthy behavioral habits for creating public policies as well as emphasizing actions aimed at promoting self-care in all cycles of life.
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ORIGINAL ARTICLE02-10-2020
Common mental disorders in nursing students of the professionalizing cycle
Revista Brasileira de Enfermagem. 2020;73(1):e20180154
Abstract
ORIGINAL ARTICLECommon mental disorders in nursing students of the professionalizing cycle
Revista Brasileira de Enfermagem. 2020;73(1):e20180154
DOI 10.1590/0034-7167-2018-0154
Views0See moreABSTRACT
Objectives:
to verify the suspicion of common mental disorders in nursing students of the professionalizing cycle and the association with sociodemographic features.
Method:
cross-sectional study with a sample of 85 students from a public university in the state of Rio de Janeiro (RJ) who responded to the Self-Report Questionnaire-20 and sociodemographic questions.
Results:
the suspicion prevalence of common mental disorders (CMD) in the sample was 55.3% and it was identified the association with the consumption of alcohol. Of the most frequent SRQ-20 complaints, 95.3% reported “feeling nervous, tense or worried”, 72.9% “having difficulty making decisions”, 60% “sleeping poorly” and 37.6% “having lost interest by things “.
Conclusion:
high prevalence of CMD in the sample and the association with the consumption of alcohol requires preventive and therapeutic actions among the students that minimize the possibility of severe mental disorders related to the consumption of alcohol and other drugs.
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REVIEW07-13-2020
Prevention and control measures for neonatal COVID-19 infection: a scoping review
Revista Brasileira de Enfermagem. 2020;73:e20200467
Abstract
REVIEWPrevention and control measures for neonatal COVID-19 infection: a scoping review
Revista Brasileira de Enfermagem. 2020;73:e20200467
DOI 10.1590/0034-7167-2020-0467
Views0See moreABSTRACT
Objective:
to identify with the literature the measures to prevent and control neonatal infection by COVID-19.
Methods:
a scope review carried out by searching for studies in databases and institutional health websites. The final sample was 25 articles.
Results:
among the main measures are the use of masks by suspected or infected people in contact with healthy newborns, hand hygiene before and after each care and feeding as well as the tools used for milking. It is indispensable to use personal protective equipment by health professionals in neonatology services to maintain a private room for infected newborns or to use physical barriers. Early diagnosis and timely case management is essential to reduce virus transmissibility.
Conclusions:
the research contributed to elucidate health and nursing actions in preventing and controlling neonatal infection by COVID-19.
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ORIGINAL ARTICLE06-27-2019
Insertion of central vascular catheter: adherence to infection prevention bundle
Revista Brasileira de Enfermagem. 2019;72(3):774-779
Abstract
ORIGINAL ARTICLEInsertion of central vascular catheter: adherence to infection prevention bundle
Revista Brasileira de Enfermagem. 2019;72(3):774-779
DOI 10.1590/0034-7167-2018-0124
Views0See moreABSTRACT
Objective:
To evaluate the compliance of the care process involving insertion of central vascular catheter (CVC) in hemodialysis.
Method:
Cross-sectional quantitative approach developed at the hemodialysis service of a reference hospital in Sergipe, Brazil. Sample consisting of 1,342 actions evaluated, corresponding to 122 forms for monitoring and control of CVC insertion. Data collection was held from July to December 2016.
Results:
The adherence rate to the use of the insertion form was 54.9%. The procedure evaluated achieved 93% overall compliance. Of the 11 specific actions observed, seven (64%) presented 100% compliance. The density of the overall incidence of primary bloodstream infections reduced from 10.6 to 3.1 infections per 1,000 patients/day.
Conclusion:
Although the observed actions reached specific desired conformities, the use of the checklist was lower than expected. Strategies for monitoring, coaching and educational and organizational actions can contribute to safe care.
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REVIEW06-17-2020
Prevention and conduct against the Extravasation of antineoplastic chemotherapy: a scoping review
Revista Brasileira de Enfermagem. 2020;73(4):e20190008
Abstract
REVIEWPrevention and conduct against the Extravasation of antineoplastic chemotherapy: a scoping review
Revista Brasileira de Enfermagem. 2020;73(4):e20190008
DOI 10.1590/0034-7167-2019-0008
Views0See moreABSTRACT
Objectives:
to identify and synthesize scientific evidence on prevention and management of extravasation of antineoplastic agents in adult patients by nurses.
Methods:
scoping review, according to Joanna Briggs Institute and PRISMA-ScR. Research was conducted in five electronic databases, Cochrane Library and eight catalogs of theses and dissertations. Data collection occurred from April to July 2018, with no time limit. The extracted data were analyzed and synthesized in a narrative way.
Results:
a total of 3,110 records were retrieved and 18 studies were kept for review. Most publications (66.6%) had a qualitative approach and addressed both aspects, i.e., prevention and management of extravasation of chemotherapy in adult patients.
Conclusions:
the implementation of protocols based on scientific evidence on prevention and management of extravasation of antineoplastic agents is paramount in order to provide patient safety and support to the nursing staff.
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ORIGINAL ARTICLE12-05-2019
Functional health literacy in hypertensive elders at primary health care
Revista Brasileira de Enfermagem. 2019;72:266-273
Abstract
ORIGINAL ARTICLEFunctional health literacy in hypertensive elders at primary health care
Revista Brasileira de Enfermagem. 2019;72:266-273
DOI 10.1590/0034-7167-2018-0897
Views0See moreABSTRACT
Objective:
to assess the relationship between inadequate functional health literacy and inadequate blood pressure control in older people with hypertension in Primary Health Care.
Method:
a cross-sectional study with sample calculated at 392. SAHLPA-18 tool was used for functional health literacy; blood pressure was measured; sociodemographic and clinical data were collected. Hierarchical logistic regression was used.
Results:
(high) inadequate blood pressure and (low) functional inadequate health literacy were present in 41.6% and 54.6% of the people, respectively. Factors associated with inadequate blood pressure were: inadequate functional health literacy, black-brown skin color, overweight-obesity, hypertension diagnosis time, non-adherence to exercise/diet, drug treatment. Schooling had no association with inadequate blood pressure
Conclusion:
hypertensive elderly people with inadequate health literacy were more likely to have inadequate blood pressure. Thus, health professionals need to value functional health literacy as a possible component to control blood pressure.
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