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01-01-2017
Adecuación de escalas para medir cargas de trabajo mediante metodología de calidad
Revista Brasileira de Enfermagem. 2017;70(1):39-46
Abstract
Adecuación de escalas para medir cargas de trabajo mediante metodología de calidad
Revista Brasileira de Enfermagem. 2017;70(1):39-46
DOI 10.1590/0034-7167-2016-0246
Views0RESUMEN
Objetivo:
Determinar cuál de las escalas evaluadas (NEMS y NAS), es más adecuada para Unidades de Cuidados Intensivos aplicando metodología de calidad.
Método:
Tras identificar como oportunidad de mejora la no adecuación de la escala NEMS para determinar cargas de trabajo de enfermería en UCI, se aplica metodología de los ciclos de mejora a dicha escala y a la NAS, como propuesta de mejora, evaluando los criterios: medición de cargas de trabajo al día y por turno, inclusión de todas las actividades enfermeras, y análisis por paciente y unidad.
Resultados:
Escala NEMS no muestra diferencias significativas en el cumplimiento (67%). Comparación NEMS-NAS, todos los criterios excepto el 1º, obtienen mejora significativa. NEMS sólo valora el criterio 1 (64,22%), y NAS todos con un cumplimiento para el 1º, 2º y 4º del 64,74%, y el 3º del 100%.
Conclusión:
La escala NAS es más adecuada para medir cargas de trabajo de enfermería en UCI.
Keywords:Carga de TrabajoControl de CalidadEnfermeríaGestión de la CalidadUnidades de Cuidados IntensivosSee more
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01-01-2017
Assessing the adequacy of workload measurement tools using a quality-based methodology
Revista Brasileira de Enfermagem. 2017;70(1):39-46
Abstract
Assessing the adequacy of workload measurement tools using a quality-based methodology
Revista Brasileira de Enfermagem. 2017;70(1):39-46
DOI 10.1590/0034-7167-2016-0246
Views0See moreABSTRACT
Objective:
determine which tool (NEMS and NAS) is most suitable for use in intensive care units using a quality-based methodology.
Method:
after identifying the opportunity for improvement “Inadequacy of the NEMS for determining nursing workload in the intensive care unit (ICU)”, we assessed the NEMS and the NAS, as a proposed improvement to the NEMS, using quality improvement cycles methodology based on the following criteria: measurement of daily nursing workload on a daily and shift basis; the tool encompasses all nursing activities undertaken in the ICU; and workload assessed per patient and unit.
Results:
there was no significant difference in level of compliance for the NEMS (67%). The comparison NEMS-NAS showed that there was a statistically significant improvement for all criteria except criterion 1. The NEMS only assesses criterion 1 (64.22%); while the NAS assessed all four criteria, obtaining a compliance rate of 64.74% for criteria 1, 2, and 4, and 100% for criterion 3.
Conclusion:
the NAS is more suitable for measuring nursing workload in UCIs.
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01-01-2017
Educational nursing intervention to reduce the hyperphosphatemia in patients on hemodialysis
Revista Brasileira de Enfermagem. 2017;70(1):31-38
Abstract
Educational nursing intervention to reduce the hyperphosphatemia in patients on hemodialysis
Revista Brasileira de Enfermagem. 2017;70(1):31-38
DOI 10.1590/0034-7167-2016-0015
Views0See moreABSTRACT
Objective:
to evaluate the effectiveness of an educational nursing intervention to reduce hyperphosphataemia in chronic renal patients on hemodialysis.
Method:
quasi-experimental study with 63 hyperphosphatemic patients on hemodialysis. The intervention consisted of developing and providing a printed and illustrated manual to patients containing information on disease control. The participant was asked to complete a daily checklist with the aim to reinforce aspects provided in the manual. Laboratory tests and itching intensity were analyzed at the beginning of the study, and at 30 and 60 days after the educational intervention.
Results:
the mean age of participants was 58±13.1 years, with a treatment time of 51.1±44.7 months. A reduction in serum phosphorus values of 7.06 ± 1.43 to 5.80 ± 1.53 (p <0.001) and the intensity of itching after the intervention was observed.
Conclusion:
the educational nursing intervention was effective in reducing phosphate and decreasing itching in hyperphosphatemic patients.
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01-01-2017
Filial care and the relationship with the elderly in families of different nationalities
Revista Brasileira de Enfermagem. 2017;70(1):22-30
Abstract
Filial care and the relationship with the elderly in families of different nationalities
Revista Brasileira de Enfermagem. 2017;70(1):22-30
DOI 10.1590/0034-7167-2015-0050
Views0See moreABSTRACT
Objective:
identify how filial care and the relationship with the elderly occur in families of different nationalities.
Method:
qualitative study carried out in a town on the triple frontier of Paraná, comprising 33 elderly people of five different nationalities, adopting the Symbolic Interactionism and the Grounded Theory as theoretical-methodological strategy.
Results:
among Lebanese people, the Muslim religion teaches children to obey and respect parents; among French, distant family relationships and institutions for the elderly stand out. Paraguayans hold close family relationships; Chinese people consider filial care as a tacit obligation; Brazilians, in turn, tend to embrace and take care of their parents in old age.
Conclusion:
family care prevailed, but the traditions of each society lead the actions of that care, demanding health professionals’ capacity of recognizing in which context the elderly is inserted.
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01-01-2017
Excess fluid volume: sociodemographic and clinical analysis in haemodialysis patients
Revista Brasileira de Enfermagem. 2017;70(1):15-21
Abstract
Excess fluid volume: sociodemographic and clinical analysis in haemodialysis patients
Revista Brasileira de Enfermagem. 2017;70(1):15-21
DOI 10.1590/0034-7167-2015-0138
Views0See moreABSTRACT
Objective:
To analyse the defining characteristics and related factors in the nursing diagnosis Excess fluid volume and its relationship to sociodemographic and clinical variables in haemodialysis patients.
Method:
Cross-sectional study, conducted using a form and physical examination, with a sample of 100 patients, between December 2012 and April 2013 at a university hospital and a dialysis clinic.
Results:
It was found 10 significant statistical associations between the defining characteristics/ related factors of Excess fluid volume and the sociodemographic and clinical variables.
Conclusion:
The defining characteristics and related factors of Excess fluid volume could be influenced by sociodemographic and clinical variables in haemodialysis clientele.
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01-01-2017
Excesso de volume de líquidos: análise clínica e sociodemográfica em pacientes de hemodiálise
Revista Brasileira de Enfermagem. 2017;70(1):15-21
Abstract
Excesso de volume de líquidos: análise clínica e sociodemográfica em pacientes de hemodiálise
Revista Brasileira de Enfermagem. 2017;70(1):15-21
DOI 10.1590/0034-7167-2015-0138
Views0See moreRESUMEN
Objetivo:
analizar las características definitorias y los factores relacionados con el diagnóstico enfermero de exceso de volumen líquido y su relación con variables sociodemográficas y clínicas en pacientes de hemodiálisis.
Método:
estudio transversal, realizado mediante un formulario y examen físico, con una muestra de 100 pacientes, entre diciembre de 2012 y abril de 2013 en un hospital universitario y una clínica de diálisis.
Resultados:
se encontraron 10 asociaciones estadísticamente significativas entre las características definitorias, factores relacionados de volumen de exceso de líquido y las variables sociodemográficas y clínicas.
Conclusión:
las características definitorias y los factores relacionados de exceso de volumen líquido podrían estar influenciados por variables sociodemográficas y clínicas en clientes de hemodiálisis.
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01-01-2017
Enfrentando desafios em tempos de adversidades
Revista Brasileira de Enfermagem. 2017;70(1):1-2
Abstract
Enfrentando desafios em tempos de adversidades
Revista Brasileira de Enfermagem. 2017;70(1):1-2
DOI 10.1590/0034-7167.2017700101
Views0Na confluência da tradição, do respeito pela história e da abordagem crítica das questões inerentes ao desenvolvimento da profissão de enfermagem, a Associação Brasileira de Enfermagem (ABEn) vem consolidando uma trajetória exemplar na sociedade brasileira. Ao longo da sua história, as reflexões, discussões e decisões sobre assuntos pertinentes e prementes da profissão têm possibilitado intervenções […]See more -
01-01-2017
Facing challenges in times of adversity
Revista Brasileira de Enfermagem. 2017;70(1):1-2
Abstract
Facing challenges in times of adversity
Revista Brasileira de Enfermagem. 2017;70(1):1-2
DOI 10.1590/0034-7167.2017700101
Views0At the confluence of tradition, respect for history and a critical approach to the issues inherent to the development of the nursing profession, the Brazilian Nursing Association (ABEn) has been consolidating an exemplary trajectory in Brazilian society. Throughout its history, the reflections, discussions and decisions on pertinent and urgent subjects of the profession have made […]See more
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ORIGINAL ARTICLE02-10-2020
Group Brief Intervention: effectiveness in motivation to change alcohol intake
Revista Brasileira de Enfermagem. 2020;73(1):e20180138
Abstract
ORIGINAL ARTICLEGroup Brief Intervention: effectiveness in motivation to change alcohol intake
Revista Brasileira de Enfermagem. 2020;73(1):e20180138
DOI 10.1590/0034-7167-2018-0138
Views0See moreABSTRACT
Objective:
To verify the effectiveness of the group brief intervention (GBI), performed by nurses in motivational stages to change the pattern of alcohol intake.
Method:
Randomized controlled trial with 3-month follow-up. The ruler of readiness for change was applied in 180 individuals with risk or harmful alcohol intake pattern in basic health unit. Only the experimental group (EG) was submitted to the intervention. Both groups (experimental and control [CG]) participated in the follow-up.
Results:
EG had a mean score before GBI=6.55 (SD=3.41) points (preparation). After GBI=8.00 (SD=2.88) points (action) and in the follow-up 7.92 (SD=3.06) points (action). CG presented a mean score before GBI=5.42 (SD=3.26) points (preparation); after GBI=6.67 (SD=3.05) points (preparation) and in the follow up had a mean score of 4.80 (SD=2.86) points (contemplation). There was a statistically significant difference between the two groups at the motivational stages (p≤ 0,03).
Conclusion:
It was evidenced that GBI was effective in increasing the motivation to change harmful alcohol intake.
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EXPERIENCE REPORT11-13-2020
Pedagogical mediations for non-formal nursing teaching during the COVID-19 pandemic
- Juliana Amaral Prata
, - Alex Simões de Mello ,
- Frances Valéria Costa e Silva ,
- Magda Guimarães de Araujo Faria
Abstract
EXPERIENCE REPORTPedagogical mediations for non-formal nursing teaching during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200499
DOI 10.1590/0034-7167-2020-0499
- Juliana Amaral Prata ,
- Alex Simões de Mello ,
- Frances Valéria Costa e Silva ,
- Magda Guimarães de Araujo Faria
Views0See moreABSTRACT
Objective:
to report the experience of developing pedagogical mediations in a Virtual Learning Environment implemented in a nursing faculty during the COVID-19 pandemic.
Methods:
an experience report on the construction of a distance course aimed at graduates and residents of a nursing faculty at a public university located in the city of Rio de Janeiro.
Results:
the course’s conception, operationalization and implementation were the result of a collective work that culminated in a non-formal, virtual and problematic teaching process, which reached a participation rate of 82% of enrolled students.
Final considerations:
even in times of social isolation, the course promoted collaborative learning of knowledge about COVID-19 and strengthened the relationship between professors and students. The possibility of carrying out distance activities based on solid methodological proposals that contradict the content logic often observed in distance learning is emphasized.
- Juliana Amaral Prata
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EXPERIENCE REPORT02-05-2021
Paulo Freire’s culture circles: contributions to nursing research, teaching, and professional practice
- Jeane Barros de Souza ,
- Maria Helena Pires Araújo Barbosa ,
- Helen Bruggemann Bunn Schmitt ,
- Ivonete Terezinha Schülter Buss Heidemann
Abstract
EXPERIENCE REPORTPaulo Freire’s culture circles: contributions to nursing research, teaching, and professional practice
Revista Brasileira de Enfermagem. 2021;74(1):e20190626
DOI 10.1590/0034-7167-2019-0626
- Jeane Barros de Souza ,
- Maria Helena Pires Araújo Barbosa ,
- Helen Bruggemann Bunn Schmitt ,
- Ivonete Terezinha Schülter Buss Heidemann
Views0See moreABSTRACT
Objectives:
to share the contributions of culture circles for teaching, research, and professional nursing practice, having as framework Paulo Freire’s Research Itinerary.
Methods:
this is an experience report of a culture circle, with participation of three professors and ten students, enrolled in a course of a Graduate Program in Nursing in southern Brazil. In this culture circle, a tree was built in which the roots formed the thematic investigation, the stem, coding and decoding, and the leaves, the Research Itinerary critical unveiling.
Results:
participants demonstrated empowerment of Paulo Freire’s assumptions, and building a tree made it possible to discuss in a pleasant and playful way culture circle use in teaching, research, and professional nursing practice.
Final Considerations:
the culture circle promoted reflection and action on nursing praxis, turning Freirean thoughts into something concrete and transforming realities.
- Jeane Barros de Souza
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ORIGINAL ARTICLE05-24-2021
Critical thinking in nursing training: evaluation in the area of competence Education in Health
Revista Brasileira de Enfermagem. 2021;74:e20200979
Abstract
ORIGINAL ARTICLECritical thinking in nursing training: evaluation in the area of competence Education in Health
Revista Brasileira de Enfermagem. 2021;74:e20200979
DOI 10.1590/0034-7167-2020-0979
Views0See moreABSTRACT
Objective:
To analyze the constitution of critical thinking in nursing training in the approach by competence and the integrated curriculum, considering the evaluation process by capturing its challenges, and proposing overcoming strategies.
Methods:
Qualitative. In the first phase of data collection, interviews were conducted with twenty-four professors, nine preceptors, and fifteen students to reconstruct the profile of competence, and in the second phase, a workshop to validate the profile identified challenges and proposals. The Collective Subject Discourse was used to analyze the interviews and the holistic competence reference in reconstructing the profile.
Results:
The critical thinking is built based on experiences in the world of work, and evaluation is the conductor of reflections towards emancipation.
Final considerations:
It signals the importance of professor training in the learning evaluation and working with the collective construction of subjects to overcome challenges that happen in the changes of training.
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ORIGINAL ARTICLE03-09-2020
Assessment of premature mortality for noncommunicable diseases
- Plinio Tadeu Istilli ,
- Carla Regina de Souza Teixeira ,
- Maria Lúcia Zanetti ,
- Rafael Aparecido Dias Lima ,
- Marta Cristiane Alves Pereira , [ … ],
- Waleska Zafred Ricci
Abstract
ORIGINAL ARTICLEAssessment of premature mortality for noncommunicable diseases
Revista Brasileira de Enfermagem. 2020;73(2):e20180440
DOI 10.1590/0034-7167-2018-0440
- Plinio Tadeu Istilli ,
- Carla Regina de Souza Teixeira ,
- Maria Lúcia Zanetti ,
- Rafael Aparecido Dias Lima ,
- Marta Cristiane Alves Pereira ,
- Waleska Zafred Ricci
Views0See moreABSTRACT
Objectives:
to analyze premature mortality and Potential Years of Life Lost by noncommunicable diseases in a city in the countryside of São Paulo from 2010 to 2014.
Methods:
ecological study of temporal tendency, using secondary source. For analysis, the premature mortality coefficient and the Potential Years of Life Lost indicator were used.
Results:
males had the highest premature mortality rate due to cardiovascular disease, with 213.04 deaths per 100 thousand inhabitants, followed by neoplasms, with 188.44. In women, there was an inversion with 134.22 deaths from cancer and 110.71 deaths from cardiovascular disease. Regarding Potential Years of Life Lost, males had an average of 12.19 years lost by death and females of 13.45 years lost.
Conclusions:
the results reinforce the need to increase public health prevention and promotion policies to reduce premature deaths, especially among men.
- Plinio Tadeu Istilli
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REFLECTION10-19-2020
Contributions of Florence Nightingale as a social entrepreneur: from modern to contemporary nursing
Revista Brasileira de Enfermagem. 2020;73:e20200064
Abstract
REFLECTIONContributions of Florence Nightingale as a social entrepreneur: from modern to contemporary nursing
Revista Brasileira de Enfermagem. 2020;73:e20200064
DOI 10.1590/0034-7167-2020-0064
Views0See moreABSTRACT
Objective:
To reflect on the transformations of modern and contemporary nursing as well as on Florence Nightingale’s social entrepreneurship.
Method:
This is a logical-reflective exhibition, with an emphasis on the theoretical assumptions of social entrepreneurship and the legacy of Florence Nightingale, from modern to contemporary nursing, based on readings of texts extracted from electronic databases, especially periodicals, books and theses.
Results:
The logical-reflective exhibition focuses on two fundamental aspects: 1) Florence Nightingale’s legacy as a social entrepreneur; 2) The evolution of Brazilian nursing: from modernity to contemporaneity.
Final considerations:
Florence Nightingale’s legacy is undeniable with regard to the evolution of modern and contemporary nursing and transcends different areas of knowledge. In addition to being a precursor to modern nursing, it is distinguished by its visionary attitude, humanitarian social value and potential for transforming the paths and realities present in the Contemporary Era.
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ORIGINAL ARTICLE06-14-2021
Mothers’ knowledge of premature newborn care and application of Kangaroo Mother Care at home
- Marcilene Pimentel Gomes ,
- Salma Brito Saráty ,
- Alexandre Aguiar Pereira ,
- Andressa Tavares Parente ,
- Mary Elizabeth de Santana , [ … ],
- Andreza Duarte Martins Figueira
Abstract
ORIGINAL ARTICLEMothers’ knowledge of premature newborn care and application of Kangaroo Mother Care at home
Revista Brasileira de Enfermagem. 2021;74(6):e20200717
DOI 10.1590/0034-7167-2020-0717
- Marcilene Pimentel Gomes ,
- Salma Brito Saráty ,
- Alexandre Aguiar Pereira ,
- Andressa Tavares Parente ,
- Mary Elizabeth de Santana ,
- Maria de Nazaré da Silva Cruz ,
- Andreza Duarte Martins Figueira
Views0See moreABSTRACT
Objective:
to identify mothers’ knowledge about premature newborn care and application of Kangaroo Mother Care at home.
Methods:
a descriptive, qualitative study carried out with 15 mothers of premature newborns in a reference Maternal and Child Hospital in northern Brazil using two semi-structured interviews with open- and closed-ended questions. The testimonies were analyzed using thematic analysis technique, proposed by Bardin.
Results:
two thematic categories originated: “Caring for a premature newborn at home: strengths and weaknesses” and “Applying Kangaroo Mother Care at home: new knowledge acquired during hospitalization”.
Final considerations:
the speeches of the interviewed mothers pointed out their knowledge about home care of premature NBs and understanding the importance of Kangaroo Mother Care, mainly acquired and improved with the guidance of professionals during hospitalization and application of the method, in addition to fears, possible difficulties in home care and the need to be better informed at hospital discharge.
- Marcilene Pimentel Gomes
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03-19-2021
Life satisfaction and health self-assessment of older adults assisted through home care
- Mariane Lurdes Predebon ,
- Gilmara Ramos ,
- Fernanda Laís Fengler Dal Pizzol ,
- Juana Vieira Soares ,
- Lisiane Manganelli Girardi Paskulin , [ … ],
- Idiane Rosset
Abstract
Life satisfaction and health self-assessment of older adults assisted through home care
Revista Brasileira de Enfermagem. 2021;74:e20200357
DOI 10.1590/0034-7167-2020-0357
- Mariane Lurdes Predebon ,
- Gilmara Ramos ,
- Fernanda Laís Fengler Dal Pizzol ,
- Juana Vieira Soares ,
- Lisiane Manganelli Girardi Paskulin ,
- Idiane Rosset
Views0See moreABSTRACT
Objective:
to identify sociodemographic and health characteristics according to age groups and to analyze the association between self-assessed health status and satisfaction with regular/bad life with sociodemographic characteristics, global functioning and falls of older adults linked to home care within the primary health care network.
Method:
cross-sectional study with 124 older adults, conducted using home interviews. A sociodemographic data and health status questionnaire was used, together with Barthel Index, Lawton Instrumental Activities of Daily Living Scale (IADL), the Mini-Mental State Examination, the Geriatric Depression Scale and the Timed Up and Go Test. Bivariate and multivariate analyses (Poisson regression) were applied.
Results:
there was a predominance of female octogenarians. Self-assessment of regular/bad health was associated with mild (p=0.002) and severe (p<0.001) depressive symptoms. Satisfaction with regular/bad life was associated with fear of falling (p=0.019) and with mild (p<0.001) and severe (p<0.001) depressive symptoms.
Conclusion:
depressive symptoms were associated with a worse life satisfaction and health self-assessment.
- Mariane Lurdes Predebon
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