Articles - Revista Brasileira de Enfermagem

ORIGINAL ARTICLE12-04-2023

Work-related stress among nurses in the COVID-19 pandemic: What are the contributing factors?
- Tita Rohita ,
- Nursalam Nursalam ,
- Muhammad Hadi ,
- Iqbal Pramukti ,
- Dedeng Nurkholik ,
- Ika Adelia Susanti
Revista Brasileira de Enfermagem. 2023;76:e20220586

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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.
Abstract
ORIGINAL ARTICLE
Work-related stress among nurses in the COVID-19 pandemic: What are the contributing factors?
Revista Brasileira de Enfermagem. 2023;76:e20220586
DOI 10.1590/0034-7167-2022-0586
Tita Rohita ,
Nursalam Nursalam ,
Muhammad Hadi ,
Iqbal Pramukti ,
Dedeng Nurkholik ,
Arifah Septiane ,
Idyatul Hasanah ,
Ika Adelia Susanti
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ABSTRACT

Objective:

To analyze the contributing factors of work-related stress among nurses in the COVID-19 pandemic.

Methods:

A cross-sectional study was conducted with 101 nurse practitioners from two hospitals in West Java, Indonesia. We distributed an online questionnaire to evaluate work-related stress and the data were analyzed using ordinal logistic regression.

Results:

More than half of the nurses experienced moderate work-related stress. The study revealed that nurses aged over 35 years old had a lower likelihood of experiencing work-related stress (AOR: 0.173; 95%CI: 0.038-0.782). Married nurses had a higher likelihood (AOR: 7.156; 95% CI: 1.456-35.163). Additionally, nurses with low and moderate workloads had a lower likelihood (AOR: 0.003; 95%CI: 0.000-0.051) and (AOR: 0.025; 95%CI: 0.005-0.116), respectively.

Conclusion:

The consideration of age, marital status, and workload is essential in effectively addressing work-related stress among nurse practitioners.

Keywords:COVID-19 Nurses Occupational Stress Stress Workload
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ORIGINAL ARTICLE12-04-2023

Incidence and risk factors of pressure injuries in critically ill patients with COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220553

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Abstract
ORIGINAL ARTICLE
Incidence and risk factors of pressure injuries in critically ill patients with COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220553
DOI 10.1590/0034-7167-2022-0553
Aline de Oliveira Ramalho ,
Rodrigo Augusto Gonçalves Fonseca ,
Eliane Mazócoli ,
Alessandra Marin ,
Paula Cristina Nogueira
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ABSTRACT

Objective:

to analyze pressure injury (PI) incidence and risk factors in patients with COVID-19 admitted to an Intensive Care Unit and characterize the identified PIs.

Method:

a retrospective cohort study, consisting of 668 patients, carried out between March 2020 and February 2021. Clinical/demographic and PI variables were collected from medical records and electronic database. Data were analyzed using descriptive and inferential statistics. Logistic regression was performed to analyze risk factors for PI.

Results:

PI incidence was 30.2% (n=202), with the majority located in the sacral region (52.9%) and in stage 1 (39%). Risk factors were age (p<0.001), Diabetes Mellitus (p=0.005), length of stay (p<0.001), immunosuppression (p=0.034), nutritional risk (p=0.015) and mechanical ventilation (p<0.001).

Conclusion:

PI incidence in critically ill patients with COVID-19 was high.

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12-04-2023

La ética de la atención de enfermería a las personas transgénero
Revista Brasileira de Enfermagem. 2023;76:e20220797

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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.
Abstract
La ética de la atención de enfermería a las personas transgénero
Revista Brasileira de Enfermagem. 2023;76:e20220797
DOI 10.1590/0034-7167-2022-0797es
Enrique Oltra-Rodríguez ,
Eva González-López ,
Sofía Osorio-Álvarez ,
Andrea Rodríguez-Alonso
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RESUMEN

Objetivos:

debatir sobre aspectos éticos en la atención de enfermería a personas transgénero.

Métodos:

estudio reflexivo fundamentado sobre los dilemas que se plantean en los cuidados de enfermería a personas transgénero. El relato se ha estructurado en torno a los cuatro principios bioéticos.

Resultados:

la atención sanitaria a las personas trans es compleja, transversal a muchos dispositivos y especialidades y longitudinal en el tiempo por lo que precisa de la actuación coordinada. Existe un marco ético en el que se encuadran los cuidados de enfermería que se precisan en la atención a este colectivo.

Consideraciones Finales:

la enfermera como agente de salud puede asumir diversas líneas generales en la atención a pacientes transgénero. Para ello, se debe brindar formación adicional no solo a los profesionales, también a los estudiantes de enfermería y de las demás ciencias de la salud.

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ORIGINAL ARTICLE12-04-2023

Working conditions in nursing in the face of Covid-19 from the perspective of precariousness
Revista Brasileira de Enfermagem. 2023;76:e20220679

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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.
Abstract
ORIGINAL ARTICLE
Working conditions in nursing in the face of Covid-19 from the perspective of precariousness
Revista Brasileira de Enfermagem. 2023;76:e20220679
DOI 10.1590/0034-7167-2022-0679
Ana Paula Nogueira de Magalhães ,
Diego de Oliveira Souza ,
Fernanda Pereira de Macêdo ,
Sabrina Ângela França da Silva Cruz ,
Camila Pereira-Abagaro ,
Roselia Arminda Rosales-Flores
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ABSTRACT

Objective:

To investigate working conditions in nursing when facing the Covid-19 pandemic, in light of aspects of precarious work.

Methods:

Cross-sectional study, with 131 nursing workers who worked against Covid-19 in hospitals in Alagoas State, Northeast Brazil. Data were collected online, using a workers’ health assessment questionnaire. The Chi -Square or Fisher’s Exact test and logistic regression were used.

Results:

among nursing workers, 71% had precarious contracts, 33.6% reported extended working hours and 23.7% were union members. In the multivariable analysis, having little hospital experience was a predictor for poor employment (OR= 2.408; 95%CI= 1.051-5.518). The predictor variables for lengthening the working day were being a nurse (OR= 3.824; 95%CI= 1.274-11.483); overtime (OR= 3.668; 95%CI= 1.009-13.333) and inadequate number of workers (OR= 10.872; 95%CI= 3.409-34.675). Being a nursing technician was a predictor of being a union member (OR= 8.967; 95%CI=2.560-31.410).

Conclusions:

The pandemic has accentuated the precariousness of working conditions in nursing professionals, especially among nurses.

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12-04-2023

Estresse laboral entre enfermeiros na pandemia de COVID-19: Quais são os fatores contribuintes?
- Tita Rohita ,
- Nursalam Nursalam ,
- Muhammad Hadi ,
- Iqbal Pramukti ,
- Dedeng Nurkholik ,
- Ika Adelia Susanti
Revista Brasileira de Enfermagem. 2023;76:e20220586

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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.
Abstract
Estresse laboral entre enfermeiros na pandemia de COVID-19: Quais são os fatores contribuintes?
Revista Brasileira de Enfermagem. 2023;76:e20220586
DOI 10.1590/0034-7167-2022-0586
Tita Rohita ,
Nursalam Nursalam ,
Muhammad Hadi ,
Iqbal Pramukti ,
Dedeng Nurkholik ,
Arifah Septiane ,
Idyatul Hasanah ,
Ika Adelia Susanti
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RESUMEN

Objetivo:

Analizar los factores contribuyentes del estrés laboral entre enfermeros en la pandemia de COVID-19.

Métodos:

Estudio transversal realizado con 101 enfermeros de dos hospitales de Java Occidental, Indonesia. Se distribuyó un cuestionario en línea para evaluar el estrés laboral y los datos se analizaron mediante regresión logística ordinal.

Resultados:

Más de la mitad de los enfermeros experimentaron un estrés laboral moderado. El estudio reveló que los enfermeros mayores de 35 años tenían una menor probabilidad de experimentar estrés laboral (AOR: 0.173; IC95%: 0.038-0.782) y los enfermeros casados tenían una mayor probabilidad (AOR: 7.156; IC95%: 1.456-35.163). Los enfermeros con cargas de trabajo bajas y moderadas tenían una probabilidad menor, (AOR: 0.003; IC95%: 0.000-0.051) y (AOR: 0.025; IC95%: 0.005-0.116), respectivamente.

Conclusión:

Es fundamental considerar la edad, el estado civil y la carga de trabajo para un abordaje eficaz del estrés laboral entre los enfermeros.

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12-04-2023

Fatores que afetam a atitude da comunidade em relação à vacinação contra a COVID-19: estudo transversal
Revista Brasileira de Enfermagem. 2023;76:e20220597

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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.
Abstract
Fatores que afetam a atitude da comunidade em relação à vacinação contra a COVID-19: estudo transversal
Revista Brasileira de Enfermagem. 2023;76:e20220597
DOI 10.1590/0034-7167-2022-0597
Chintia Gracelia Amalo ,
Ezra Amarya Ekaristy ,
Maretty Wattileo ,
Martina Pakpahan ,
Ester Silitonga
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RESUMEN

Objetivo:

El objetivo de este estudio fue analizar los factores que afectan la actitud de la comunidad hacia la vacunación contra el COVID-19 en el distrito de Tangerang.

Métodos:

Estudio transversal en el que se utilizó un muestreo por conveniencia para seleccionar a 400 encuestados. Los criterios de inclusión fueron vivir en el distrito de Tangerang, edad 18-55 años y trabajar. Se utilizó un cuestionario en línea, el cual pasó pruebas de validez y confiabilidad. Este estudio recibió aprobación ética.

Resultados:

La mayoría de los encuestados tenía un alto nivel de educación (48,50%), bajos ingresos (72,50%), alto conocimiento (78%) y una actitud positiva (76,50%) respecto a la vacunación contra el COVID-19. La prueba chi-cuadrado reveló una correlación entre el conocimiento y las actitudes hacia la vacunación contra el COVID-19 (p=0,001) y los niveles educativos (p=0,001). No hubo correlación entre los ingresos y las actitudes (p=0,094).

Conclusiones:

Los profesionales de la salud deben realizar una amplia socialización y visitas cara a cara con personas con acceso limitado a la información para promover una actitud positiva y ampliar el alcance de la vacunación contra el COVID-19.

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ORIGINAL ARTICLE11-28-2023

Factors associated with psychopathological symptoms among nurses at a university hospital
Revista Brasileira de Enfermagem. 2023;76(1):e20220075

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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.
Abstract
ORIGINAL ARTICLE
Factors associated with psychopathological symptoms among nurses at a university hospital
Revista Brasileira de Enfermagem. 2023;76(1):e20220075
DOI 10.1590/0034-7167-2022-0075
Sheila Janaína Oliveira Araújo Lima ,
Danielle Christine Moura dos Santos ,
Maria de Fátima de Souza Santos ,
Felicialle Pereira da Silva ,
Darine Marie Rodrigues da Silva ,
Jael Maria de Aquino
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ABSTRACT

Objectives:

to analyze the factors associated with psychopathological symptoms among nurses at a university hospital.

Methods:

a cross-sectional study developed at a university hospital in Pernambuco, in which 90 nurses participated. A questionnaire with social and professional characteristics and the Symptom Assessment Scale were used.

Results:

an association was found between the variable changing profession and the presence of characteristic symptoms of psychoticism, somatization and anxiety among nurses.

Conclusions:

the emergence of psychopathological symptoms has influenced nurses’ desire to search for another profession. This evidence reinforces the need for greater investments in better working conditions and welcoming actions in the work environment, in order to provide a better quality of professional life and promote the health of these workers.

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11-28-2023

O diagnóstico e o tratamento da tuberculose latente por enfermeiros no Brasil: estratégia necessária
Revista Brasileira de Enfermagem. 2023;76(1):e760101

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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.
Abstract
O diagnóstico e o tratamento da tuberculose latente por enfermeiros no Brasil: estratégia necessária
Revista Brasileira de Enfermagem. 2023;76(1):e760101
DOI 10.1590/0034-7167.2023760101pt
Ricardo Alexandre Arcêncio ,
Pedro Fredemir Palha ,
Ethel Leonor Nóia Maciel
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A prevenção da tuberculose (TB), de impedir a progressão da infecção para a TB ativa, é a principal estratégia para reduzir a sua incidência e para o alcance das metas definidas pela Organização Mundial da Saúde, conforme a estratégia End TB().O Brasil, que ocupa a 19ª posição quanto ao número de casos, assumiu seu compromisso […]
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RESEARCH01-01-2018

Assistance flowchart for pain management in a Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2018;71:1281-1289

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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.
Abstract
RESEARCH
Assistance flowchart for pain management in a Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2018;71:1281-1289
DOI 10.1590/0034-7167-2017-0265
Danielle Lemos Querido,
Marialda Moreira Christoffel,
Viviane Saraiva de Almeida,
Ana Paula Vieira dos Santos Esteves,
Marilda Andrade,
Joffre Amim Junior
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ABSTRACT

Objective:

To describe and discuss the process of developing a flowchart collectively constructed by the health team of a Neonatal Intensive Care Unit for the management of neonatal pain.

Method:

This is a descriptive and an exploratory study with a qualitative approach that used Problem-Based Learning as a theoretical-methodological framework in the process of developing the assistance flowchart for the management of neonatal pain.

Results:

Based on this methodology, there was training in service and the discussion of key points of pain management by the health team, which served as input for the construction of the flowchart.

Final considerations:

The assistance flowchart for pain management, based on scientific evidence, provided means to facilitate the decision-making of the health team regarding the pain of the newborn. It is suggested to use the flowchart frequently to promote the permanent education of the team and identify possible points to be adjusted.

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RESEARCH01-01-2018

The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380

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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.
Abstract
RESEARCH
The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380
DOI 10.1590/0034-7167-2017-0242
Gutembergue Santos de Sousa,
Roberto Nadir Figueira da Silva,
Nathália Giordana Ferreira,
Maria Goreth Silva Ferreira
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ABSTRACT

Objective:

To understand the meaning of being institutionalized and in conflict with the law for the institutionalized adolescent.

Method:

A qualitative, phenomenological-comprehensive study carried out in a Socio-educational Service Foundation in the northern region of Brazil, with 05 institutionalized adolescents. The analysis was carried out under the understanding of the content suggested by Heidgger, thus allowing the construction of analytical categories for a hermeneutical interpretation.

Results:

Conflicting with the law means something negative and bad for the institutionalized adolescents, in which they understand that although there is deprivation of liberty, the period of hospitalization is an important moment for the reflection on the need to start over.

Conclusion:

The meaning of conflicting with the law goes far beyond a simple word, act or behaviour, it is something that only those who experience the phenomenon are able to unveil, arouse deep feelings and provide reflection to the adolescent about the damages caused by the infraction.

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RESEARCH01-01-2018

Identification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403

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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.
Abstract
RESEARCH
Identification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403
DOI 10.1590/0034-7167-2017-0325
Marcia Regina Cunha,
Maria Clara Padoveze,
Célia Regina Maganha e Melo,
Lucia Yasuko Izumi Nichiata
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ABSTRACT

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

Nursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506

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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.
Abstract
RESEARCH
Nursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506
DOI 10.1590/0034-7167-2017-0339
Fatima Maria de Melo Brito,
Célia Alves Rozendo,
Priscila de Oliveira Cabral Melo
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ABSTRACT

Objective:

to analyze the contribution of the laboratory of nursing to the critical education of nurses.

Method:

qualitative study, conducted among 18 professors of higher education institutions, being one public and the other private. Data were collected between February and November of 2016 by means of semi-structured interview. To analyze data, it was used a content analysis in the thematic modality.

Results:

it was observed the emphasis in the technical skills development by propagation of behavior and practices; the creation of bonds between professors and students happens on the limit of good interpersonal relationship; the laboratory of nursing may help the critical reflection about the practice, being a place that allows the learning of ethics.

Final considerations:

the nurse education, carried out by the laboratory of nursing, have to overcome the emphasis in the uncritical reproduction of practices and to observe the nurse’s power to think about the reality in the meaning of its modification.

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RESEARCH01-01-2018

Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547

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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.
Abstract
RESEARCH
Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547
DOI 10.1590/0034-7167-2017-0188
Maria Aparecida Baggio,
Rosilene Berres,
Bruna Penteado Silva Gregolin,
Solange Aikes
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ABSTRACT

Objective:

to understand the introduction of the School Health Program in the city of Cascavel, Paraná State, as opposed to the report of nurses.

Method:

a qualitative study with fifteen participants. The data were collected from April to August 2015, through semi-structured interviews, analyzed by content analysis and thematic modality.

Results:

the category “Introduction process” of the School Health Program integrates the subcategories “Identified health problems” and the “Challenges of intersectoriality”. The program was implemented quickly, with a fragile training of professionals to perform in the phases that compose it. Structural conditions of schools, human and material resources, and emerging intersectoral interaction were identified obstacles. The integration of the health, school, and family constitutes the program’s potentiality.

Final considerations:

it is understood that the actions of the program were based on health assessments of students, and it is necessary for professionals and managers to discuss and analyze the obstacles identified to achieve all the proposed objectives.

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RESEARCH01-01-2018

Knowledge about precautions in Primary Health Care: tool validation
Revista Brasileira de Enfermagem. 2018;71:1589-1595

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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.
Abstract
RESEARCH
Knowledge about precautions in Primary Health Care: tool validation
Revista Brasileira de Enfermagem. 2018;71:1589-1595
DOI 10.1590/0034-7167-2017-0886
Michelli Pacheco Sako,
Adriana Maria da Silva Felix,
Julia Yaeko Kawagoe,
Maria Clara Padoveze,
Silvia Alice Ferreira,
Silvia Helena Zem-Mascarenhas,
Stephen Timmons,
Isis Pienta Batista Dias Passos,
Rosely Moralez de Figueiredo
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ABSTRACT

Objective:

To elaborate and validate a tool to assess knowledge and behavior of nursing professionals about standards and specific precautions in the Primary Health Care.

Method:

Methodological study of the elaboration and validation of the tool by thirteen experts judges, using a Likert scale of 4 points, with Content Validity Index ≥ 0.80, on clarity, relevance and pertinence.

Results:

A tool composed of 47 dichotomous questions to assess knowledge and 12 questions, with five options of answers, for the referred behavior. In the validation, only one item was deleted, related to the “Hands Hygiene” axis and one item was reformulated, regarding “Use of Common Gloves” and another 11 changed writing. The tool as a whole was assessed for relevance, comprehensiveness and representativeness within the scope of the topic investigated.

Conclusion:

The developed tool has been validated and is now available for use in Primary Health Care.

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RESEARCH01-01-2018

Training in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618

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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.
Abstract
RESEARCH
Training in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618
DOI 10.1590/0034-7167-2017-0792
Magda Coeli Vitorino Sales Coêlho,
Camila Aparecida Pinheiro Landim Almeida,
Ana Roberta Vilarouca da Silva,
Luana Kelle Batista Moura,
Lucíola Galvão Gondim Corrêa Feitosa,
Laura Barbosa Nunes
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ABSTRACT

Objective:

seize meanings attributed by primary care nurses to training in diabetes education.

Method:

exploratory and descriptive study, with a qualitative approach, with twenty primary care nurses; semistructured interview script, with interviews processed in the IRaMuTeQ software and analyzed through the Descending Hierarchical Classification. The results were subsidized in the Representational Theory of Meaning.

Results:

nurse training in diabetes education is insufficient for holistic action, although it allows the community to be instrumentalized in specific issues about the disease, using the limited tools available, especially lectures. Nurses find themselves in a context of challenges, improvisations, weaknesses, and limitations that determine the meaning attributed to diabetes education and subsequent actions.

Conclusion:

the meanings attributed by the nurses revealed an incipient training, which limits the quality of care provided and instigates the search for qualification.

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RESEARCH01-01-2018

Nursing international student mobility in the University of São Paulo
Revista Brasileira de Enfermagem. 2018;71:1619-1625

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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.
Abstract
RESEARCH
Nursing international student mobility in the University of São Paulo
Revista Brasileira de Enfermagem. 2018;71:1619-1625
DOI 10.1590/0034-7167-2017-0754
Inara Mariela da Silva Cavalcante,
Glauteice Freitas Guedes,
Vilanice Alves de Araújo Püschel
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ABSTRACT

Objective:

To characterize the experiences of undergraduate students of the School of Nursing of the University of São Paulo (EEUSP) who participated in international mobility programs between January 2011 and July 2017.

Method:

Exploratory, descriptive study with quantitative approach. Of 68 reports, only 38 (56%) were considered valid and were submitted to descriptive statistical analysis. Data were categorized in general, institutional, academic and cultural aspects and cost of living.

Results:

The main destination was Portugal and the years with most participation were 2012 and 2013. The mean stay was six months and the students took a mean of three to four courses. The main funder was the university of origin.

Conclusion:

Academic activities were limited to theoretical and practical courses, with little insertion in research. There is a need to increase investment in learning other languages and to expand partnerships with larger centers of foreign education and research.

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ORIGINAL ARTICLE05-24-2021

PEDCARE: validation of a mobile application on diabetic foot self-care
Revista Brasileira de Enfermagem. 2021;74:e20200856

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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.
Abstract
ORIGINAL ARTICLE
PEDCARE: validation of a mobile application on diabetic foot self-care
Revista Brasileira de Enfermagem. 2021;74:e20200856
DOI 10.1590/0034-7167-2020-0856
Antonio Dean Barbosa Marques ,
Thereza Maria Magalhães Moreira ,
Rhanna Emanuela Fontenele Lima de Carvalho ,
Edna Maria Camelo Chaves ,
Shérida Karanini Paz de Oliveira ,
Gilvan Ferreira Felipe ,
Jarbas Aryel Nunes da Silveira
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ABSTRACT

Objective:

to describe the process of validating a multimedia application on a mobile platform to promote foot care for people with diabetes.

Method:

a technological production and methodological type study. Content and appearance were validated by 39 judges (29 nursing judges and ten information and communication technology judges and 15 people from the target audience).

Results:

nursing judges made it possible to validate the material with a total Content Validity Index of 0.95, a non-significant binomial test for most items and Cronbach’s alpha of 0.92, information and communication technology judges with Suitability Assessment of Materials of 99.2% and the target audience with an agreement index of 98%.

Conclusion:

the application proved to be valid and reliable for use in clinical practice as an educational technology to promote foot care for people with diabetes.

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ORIGINAL ARTICLE06-27-2019

Package of menthol measures for thirst relief: a randomized clinical study
- Viviane Moreira Serato ,
- Lígia Fahl Fonseca ,
- Marcela Maria Birolim ,
- Edilaine Giovanini Rossetto ,
- Lílian Denise Mai ,
- Aline Korki Arrabal Garcia
Revista Brasileira de Enfermagem. 2019;72(3):600-608

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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.
Abstract
ORIGINAL ARTICLE
Package of menthol measures for thirst relief: a randomized clinical study
Revista Brasileira de Enfermagem. 2019;72(3):600-608
DOI 10.1590/0034-7167-2018-0057
Viviane Moreira Serato ,
Lígia Fahl Fonseca ,
Marcela Maria Birolim ,
Edilaine Giovanini Rossetto ,
Lílian Denise Mai ,
Aline Korki Arrabal Garcia
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ABSTRACT

Objective:

To evaluate the effectiveness of the menthol package (lip hydration and ice popsicles) compared to a package of non-menthol measures (lip hydration and ice popsicles) as a way to relieve thirst in patients in the Anesthetic Recovery Room.

Method:

Randomized and parallel trial study, with 120 patients randomized patients in an experimental group – menthol measurements (n=59) and control group – measures without menthol (n = 61).

Results:

There was a significant (p<0.05) decrease in intensity, hydration, dryness and taste in the oral cavity between the three moments of assessment/intervention in the two groups. The difference was significant in the experimental group for thirst intensity at the second assessment/intervention point (p<0.05) after a single administration of the menthol package.

Conclusion:

There was a reduction in thirst intensity in both groups. Patients who received menthol packages showed a significant decrease in intensity after a single evaluation/intervention time. NCT: 02869139.

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ORIGINAL ARTICLE06-27-2019

Caring for the carer: quality of life and burden of female caregivers
Revista Brasileira de Enfermagem. 2019;72(3):728-736

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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.
Abstract
ORIGINAL ARTICLE
Caring for the carer: quality of life and burden of female caregivers
Revista Brasileira de Enfermagem. 2019;72(3):728-736
DOI 10.1590/0034-7167-2018-0334
Michelly Guedes de Oliveira Araújo ,
Michelinne Oliveira Machado Dutra ,
Carla Carolina Silva Leite Freitas ,
Tatiane Gomes Guedes ,
Francisco Stélio de Souza ,
Rosilene Santos Baptista
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ABSTRACT

Objective:

To assess the quality of life and the burden of female caregivers.

Method:

Descriptive, cross-sectional, quantitative study carried out with 224 informal caregivers from March to July 2016. Three instruments were used: a characterization form for the caregiver, the WHOQOL-Bref questionnaire and the Zarit Burden Interview. The following tests were used: Cronbach’s Alpha, Kolmogorov-Smirnov, Kruskal-Wallis, Spearman and Mann-Whitney.

Results:

The mean age of caregivers was 51.8 years with a standard deviation of 13.7. They were predominantly married, had a low income and low level of education, were first-degree relatives, had been providing care for one to five years and presented some pathology. The associations of quality of life that presented statistical significance were: income, marital status, number of people living with the caregiver and time of care.

Conclusion:

The burden was negatively correlated with QOL, that is, the greater the burden, the more impaired will be the life of these caregivers.

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REVIEW03-24-2021

Development of clinical competence in nursing in simulation: the perspective of Bloom’s taxonomy
Revista Brasileira de Enfermagem. 2021;74(1):e20200135

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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.
Abstract
REVIEW
Development of clinical competence in nursing in simulation: the perspective of Bloom’s taxonomy
Revista Brasileira de Enfermagem. 2021;74(1):e20200135
DOI 10.1590/0034-7167-2020-0135
Juliana da Silva Garcia Nascimento ,
Tainá Vilhar Siqueira ,
Jordana Luiza Gouvêa de Oliveira ,
Mateus Goulart Alves ,
Daniela da Silva Garcia Regino ,
Maria Celia Barcellos Dalri
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ABSTRACT

Objectives:

to investigate the scientific evidence on the use of Bloom’s taxonomy for developing competence in nursing professionals and students in clinical simulation.

Methods:

integrative review of the National Library of Medicine (NLM), National Institutes of Health (NIH), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Latin American and Caribbean Literature in Health Sciences (LILACS), Web of Science and SCOPUS databases, using the Rayyan application.

Results:

a total of 871 studies were identified; four composed the sample. The development of clinical competence occurred through the coordination of knowledge, skills, and attitudes. To develop the cognitive domain, the objectives of knowledge and comprehension of the Bloom’s taxonomy were mobilized. The psychomotor domain required development of the skills demanded by the proposed clinical care. The affective domain was developed through will and motivation to learn.

Conclusions:

it is possible to develop clinical competence in nursing by adopting Bloom’s taxonomy in each phase of clinical simulation.

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ORIGINAL ARTICLE12-04-2020

Pressure injury related to the use of personal protective equipment in COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200670

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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.
Abstract
ORIGINAL ARTICLE
Pressure injury related to the use of personal protective equipment in COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200670
DOI 10.1590/0034-7167-2020-0670
Manuela de Mendonça Figueirêdo Coelho ,
Viviane Mamede Vasconcelos Cavalcante ,
Juliano Teixeira Moraes ,
Luciana Catunda Gomes de Menezes ,
Sarah Vieira Figueirêdo ,
Mírian Ferreira Coelho Castelo Branco ,
Solange Gurgel Alexandre
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ABSTRACT

Objective:

To describe the prevalence and factors associated with pressure injuries related to the use of personal protective equipment during the COVID-19 pandemic.

Methods:

Cross-sectional study conducted using an instrument made available in social networks with 1,106 health professionals. The data were analyzed using descriptive statistics and compared, considering pvalue < 0.05.

Results:

There was a prevalence of 69.4% for pressure injuries related to the use of personal protective equipment, with an average of 2.4 injuries per professional. The significant factors were: under 35 years of age, working and wearing personal protective equipment for more than six hours a day, in hospital units, and without the use of inputs for protection.

Conclusion:

Pressure injuries related to the use of medical devices showed a high prevalence in this population. The recognition of the damage in these professionals makes it possible to advance in prevention strategies.

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03-27-2020

Coronavirus 2020
- Angélica Gonçalves Silva Belasco ,
- Cassiane Dezoti da Fonseca
Revista Brasileira de Enfermagem. 2020;73(2):e2020n2

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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.
Abstract
Coronavirus 2020
Revista Brasileira de Enfermagem. 2020;73(2):e2020n2
DOI 10.1590/0034-7167-2020730201
Angélica Gonçalves Silva Belasco ,
Cassiane Dezoti da Fonseca
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Emerging and reemerging infectious diseases are constant challenges for public health worldwide. Recent cases of pneumonia of unknown cause in Wuhan, China, have led to the discovery of a new type of Coronavirus (2019-nCoV), which are enveloped RNA viruses, commonly found in humans, other mammals and birds, capable of causing respiratory, enteric, hepatic, and neurological […]
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ORIGINAL ARTICLE12-13-2019

Accessibility of children with special health needs to the health care network
Revista Brasileira de Enfermagem. 2019;72:65-71

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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.
Abstract
ORIGINAL ARTICLE
Accessibility of children with special health needs to the health care network
Revista Brasileira de Enfermagem. 2019;72:65-71
DOI 10.1590/0034-7167-2017-0899
Eliane Tatsch Neves ,
Aline Cristiane Cavicchioli Okido ,
Fernanda Luisa Buboltz ,
Raíssa Passos dos Santos ,
Regina Aparecida Garcia de Lima
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ABSTRACT

Objective:

To know how children with special health needs access the health care network.

Method:

This is a qualitative research of descriptive-exploratory type, developed using semi-structured interviews mediated by the Talking Map design. Participants were 19 family caregivers of these children in two Brazilian municipalities. Data were submitted to inductive thematic analysis.

Results:

Difficulties were mentioned from the diagnosis moment to the specialized follow-up, something represented by the itinerary of the c hild and his/her family in the search for the definition of the medical diagnosis and the access to a specialized professional; a gap between the children’s needs and the care offered was observed in primary health care.

Conclusion:

The access of children with special health needs is filled with obstacles such as slowness in the process of defining the child’s diagnosis and referral to a specialist. Primary health care services were replaced by care in emergency care units.

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ORIGINAL ARTICLE07-13-2020

Incontinence-associated dermatitis in elderly patients: prevalence and risk factors
Revista Brasileira de Enfermagem. 2020;73:e20180475

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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.
Abstract
ORIGINAL ARTICLE
Incontinence-associated dermatitis in elderly patients: prevalence and risk factors
Revista Brasileira de Enfermagem. 2020;73:e20180475
DOI 10.1590/0034-7167-2018-0475
Mariana Ferreira ,
Luciana Abbade ,
Silvia Cristina Mangini Bocchi ,
Hélio Amante Miot ,
Paulo Villas Boas ,
Heloísa Quatrini Carvalho Passos Guimaraes
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ABSTRACT

Objective:

To determine the prevalence and risk factors for incontinence-associated dermatitis in the elderly.

Method:

Cross-sectional exploratory study carried out in public hospitals. The dermatitis prevalence and associations were obtained by calculating the ratio. The effect dimension was estimated by the odds ratio with a 95% confidence interval and statistical significance p <0.05.

Results:

138 elderly people were included, with an average age of 77.2 years old (± 9.3); 69 (50%) had combined fecal and urinary incontinence. The dermatitis prevalence was 36.2% (50); 28% (14) had pressure injuries; 14% (7), candidiasis. Risk factors were: longer hospital stay (Odds Ratio = 5.8 [2.6-12.9]), obesity (Odds Ratio = 3.6 [1.2-10.4]), high level of dependence (Odds Ratio = 2.4 [1,1-5,0]) and high risk for pressure injury (Odds Ratio = 6.1 [1,4-26,9]).

Conclusion:

The study found a high prevalence of dermatitis associated with incontinence. The early recognition of risk factors favors effective preventive actions.

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Work-related stress among nurses in the COVID-19 pandemic: What are the contributing factors?

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Incidence and risk factors of pressure injuries in critically ill patients with COVID-19

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La ética de la atención de enfermería a las personas transgénero

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Objetivos:

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Resultados:

Consideraciones Finales:

Working conditions in nursing in the face of Covid-19 from the perspective of precariousness

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Estresse laboral entre enfermeiros na pandemia de COVID-19: Quais são os fatores contribuintes?

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Conclusión:

Fatores que afetam a atitude da comunidade em relação à vacinação contra a COVID-19: estudo transversal

RESUMEN

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Conclusiones:

Factors associated with psychopathological symptoms among nurses at a university hospital

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O diagnóstico e o tratamento da tuberculose latente por enfermeiros no Brasil: estratégia necessária

Assistance flowchart for pain management in a Neonatal Intensive Care Unit

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Final considerations:

The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it

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Conclusion:

Identification of post-cesarean surgical site infection: nursing consultation

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Conclusion:

Nursing laboratory and critical education of nurses: approaches and distances

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Final considerations:

Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses

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Objective:

Method:

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Final considerations:

Knowledge about precautions in Primary Health Care: tool validation

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Conclusion:

Training in diabetes education: meanings attributed by primary care nurses