Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE03-06-2023

    Construct elaboration and validity of the Pregnancy Depression Risk Scale

    Revista Brasileira de Enfermagem. 2023;76(2):e20220306

    Abstract

    ORIGINAL ARTICLE

    Construct elaboration and validity of the Pregnancy Depression Risk Scale

    Revista Brasileira de Enfermagem. 2023;76(2):e20220306

    DOI 10.1590/0034-7167-2022-0306

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    ABSTRACT

    Objectives:

    to elaborate and analyze the Pregnancy Depression Risk Scale psychometric properties.

    Methods:

    methodological research, in six steps: theoretical model empirical definition; elaboration of scale items with literature review; consultation with five professional health experts and 15 pregnant women; content validity with six experts; pre-test-semantic validity with 24 pregnant women; scale factor structure definition with 350 pregnant women; pilot study with 100 pregnant women, totaling 489 pregnant women and 11 experts. Data were analyzed by content analysis, exploratory factor analysis, multitrait-multimethod analysis and internal consistency.

    Results:

    sixty-eight risk factors were identified for item formulation. The final version of the scale consisted of 24 items in five domains. The scale demonstrated satisfactory construct content, semantic, validity and reliability.

    Conclusions:

    the scale proved to be valid in terms of content and semantics, with a factor structure defined according to the adopted theoretical model and satisfactory psychometric properties.

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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.
  • ORIGINAL ARTICLE03-06-2023

    Medication reconciliation in pediatrics: a validation of instruments to prevent medication errors

    Revista Brasileira de Enfermagem. 2023;76(2):e20210755

    Abstract

    ORIGINAL ARTICLE

    Medication reconciliation in pediatrics: a validation of instruments to prevent medication errors

    Revista Brasileira de Enfermagem. 2023;76(2):e20210755

    DOI 10.1590/0034-7167-2021-0755

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    ABSTRACT

    Objectives:

    to develop and validate the content of two instruments for promoting medication reconciliation for the transition of care of hospitalized children.

    Methods:

    methodological study, conducted in five stages: scope review for conceptual structure; elaboration of the initial version; content validation with five specialists using the Delphi technique; reassessment; and construction of the final version of the instruments. A content validity index of at least 0.80 was adopted.

    Results:

    three rounds of evaluation were carried out to reach the validity index of the proposed contents, whereas a new analysis of 50% of the 20 items of the instrument aimed at families, and 28.5% of the 21 items aimed at professionals was necessary. The instrument aimed at families reached an index of 0.93, and the instrument for professionals, 0.90.

    Conclusions:

    the proposed instruments were validated. It is now possible to proceed with practical implementation studies to identify their influence on safety during medication reconciliation at transition of care.

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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.
    Medication reconciliation in pediatrics: a validation of instruments to prevent medication errors
  • REVIEW03-06-2023

    Nursing protocols to reduce urinary tract infection caused by indwelling catheters: an integrative review

    Revista Brasileira de Enfermagem. 2023;76(2):e20220067

    Abstract

    REVIEW

    Nursing protocols to reduce urinary tract infection caused by indwelling catheters: an integrative review

    Revista Brasileira de Enfermagem. 2023;76(2):e20220067

    DOI 10.1590/0034-7167-2022-0067

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    ABSTRACT

    Objectives:

    to analyze the production of knowledge in research articles about the effectiveness of nursing protocols for reducing indwelling urinary catheter dwell time and catheter-associated urinary tract infection rate in hospitalized adult and older patients.

    Methods:

    an integrative review of three full articles, available in the MEDLINE Complete – EBSCO, Scopus and Web of Science databases, from 01/01/2015 to 04/26/2021.

    Results:

    the three protocols reduced infection rates, and from the review/synthesis of their knowledge, a level IV body of evidence emerged to compose the nursing care process aimed at reducing indwelling urinary catheter dwell time and catheter-associated urinary tract infection.

    Final Considerations:

    this process gathers scientific evidence to support the elaboration of nursing protocols and, consequently, the conduction of clinical trials on its effectiveness in reducing urinary tract infection by indwelling urinary catheter.

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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.
    Nursing protocols to reduce urinary tract infection caused by indwelling catheters: an integrative review
  • ORIGINAL ARTICLE03-06-2023

    Organizational politics and professional struggles in nursing

    Revista Brasileira de Enfermagem. 2023;76(1):e20220180

    Abstract

    ORIGINAL ARTICLE

    Organizational politics and professional struggles in nursing

    Revista Brasileira de Enfermagem. 2023;76(1):e20220180

    DOI 10.1590/0034-7167-2022-0180

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    ABSTRACT

    Objective:

    to analyze the professional struggles between nursing organizational entities, in Rio de Janeiro, during the Regional Nursing Council’s electoral process (1990-1993 administration).

    Method:

    historical study. We used journalistic articles, normative documents, legislation and semi-structured interviews with five nursing professionals who participated in this process. Interpretation of findings was supported by Bourdieu’s concepts of habitus, field, capital, and symbolic power.

    Results:

    Electoral Code changes of the aforementioned council, under the influence of administration (1987-1990), candidate for re-election, influenced the disclosure and eligibility criteria, making it difficult for broad participation, especially of Associação Brasileira de Enfermagem Rio de Janeiro Section.

    Final considerations:

    nursing, in this period, generated a field of disputes related to positions of power and gender, which was evidenced in the electoral process studied, which highlighted using limiting strategies by a group, making it difficult for the entire category to participate.

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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.
  • ORIGINAL ARTICLE03-06-2023

    The pandemic changes daily life and ways of living: technosociality and user/families experiences

    Revista Brasileira de Enfermagem. 2023;76:e20220177

    Abstract

    ORIGINAL ARTICLE

    The pandemic changes daily life and ways of living: technosociality and user/families experiences

    Revista Brasileira de Enfermagem. 2023;76:e20220177

    DOI 10.1590/0034-7167-2022-0177

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    ABSTRACT

    Objectives:

    understand the changes imposed by the COVID-19 pandemic in the daily lives of users of Primary Health Care and their families and its impact on self-care and health promotion.

    Methods:

    this is a holistic-qualitative multiple case study, based on the Comprehensive Sociology of Everyday Life, in which 61 users participated.

    Results:

    experiencing a new daily life in COVID-19 pandemic times, users express their feelings, adaptation to new habits and ways of living. Health technologies and virtual social networks stand out in helping with everyday tasks, in communicating with loved ones and health professionals, and in validating dubious information. Faith and spirituality arise in the face of uncertainty and suffering.

    Final Considerations:

    it is imperative to pay close attention to the changes in daily life caused by the COVID-19 pandemic, in order to offer care directed to the singular and collective needs.

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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.
    The pandemic changes daily life and ways of living: technosociality and user/families experiences
  • ORIGINAL ARTICLE03-06-2023

    The self-care process of community-dwelling older adults during the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76:e20220644

    Abstract

    ORIGINAL ARTICLE

    The self-care process of community-dwelling older adults during the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76:e20220644

    DOI 10.1590/0034-7167-2022-0644

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    ABSTRACT

    Objectives:

    to understand the self-care process of community-dwelling older adults during the COVID-19 pandemic.

    Methods:

    this is an explanatory study with a qualitative approach based on the constructivist Grounded Theory, carried out with 18 community-dwelling older adults. Data collection took place through interviews and content was analyzed through initial and focused coding.

    Results:

    two categories were obtained: “Building connections to support self-care practices” and “Living with the risk group stigma”. From their interaction, the phenomenon “Performing self-care in old age during the COVID-19 pandemic” emerged.

    Final Considerations:

    it was possible to identify how older adults’ experiences curing the COVID-19 pandemic had repercussions on their self-care process, being influenced by factors such as information about the disease and the impacts of risk group stigmas.

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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.
    The self-care process of community-dwelling older adults during the COVID-19 pandemic
  • 03-06-2023

    Palliative care strategies in the management of people with serious cases of COVID-19

    Revista Brasileira de Enfermagem. 2023;76:e20220308

    Abstract

    Palliative care strategies in the management of people with serious cases of COVID-19

    Revista Brasileira de Enfermagem. 2023;76:e20220308

    DOI 10.1590/0034-7167-2022-0308

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    ABSTRACT

    Objectives:

    to analyze the assistance strategies in palliative care developed in the COVID-19 pandemic for critically ill patients and their families.

    Methods:

    an integrative review carried out in August 2021 and updated in April 2022 in the Base de Dados de Enfermagem (BDENF), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), US National Library of Medicine (PubMed), Web of Science databases, and presented in the PRISMA flowchart.

    Results:

    thirteen works were selected for reading and content analysis, from which emerged the two main themes that reflect the reality evidenced in this context: The sudden advent of COVID-19 with impacts on palliative care; and The strategies used in palliative care to mitigate these impacts.

    Final Considerations:

    palliative care is the best strategy for providing health care, used as a comfort to bring relief and comfort to patients and families.

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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.
    Palliative care strategies in the management of people with serious cases of COVID-19
  • 02-06-2023

    The challenge of university teaching in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76(2):e760201

    Abstract

    The challenge of university teaching in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76(2):e760201

    DOI 10.1590/0034-7167.2023760201

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    This planet’s history has been a long and sometimes tortuous one. To date, a total of five disappearances of life on Earth have been distinguished: the great oxidation; the Ordovician-Silurian extinction; the Devonian extinction; the Permian-Triassic extinction; the Triassic-Jurassic extinction; and the Cretaceous-Tertiary extinction. The causes? Very varied and diverse: anoxia phenomena in the marine […]
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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.

  • ORIGINAL ARTICLE08-19-2019

    Functional capacity and social support to people affected by cerebrovascular accident

    Revista Brasileira de Enfermagem. 2019;72(4):868-873

    Abstract

    ORIGINAL ARTICLE

    Functional capacity and social support to people affected by cerebrovascular accident

    Revista Brasileira de Enfermagem. 2019;72(4):868-873

    DOI 10.1590/0034-7167-2017-0854

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    ABSTRACT

    Objective:

    To investigate the functional capacity and its relationship with the level of social support to people affected by cerebrovascular accident.

    Methods:

    Cross-sectional and quantitative research, conducted with 108 individuals with sequelae of cerebrovascular accident in João Pessoa/PB. Data were collected through interviews, using a sociodemographic instrument – the Barthel Index and the Social Support Scale.

    Results:

    We observed the prevalence of functional dependency in 93.5%, and the mild dependency stood out in 40.7%. Medium social support was the most found, with 48.2%. The predominant dimensions of social support were the material dimension, followed by the emotional. There was a significant association (p ≤ 0.05) between very serious dependency and high social support.

    Conclusion:

    The results found allow us to reflect on the need for involvement of health professionals in strengthening the social support of patients with disabling diseases, such as the cerebrovascular accident.

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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.
    Functional capacity and social support to people affected by cerebrovascular accident
  • ORIGINAL ARTICLE11-26-2022

    Vulnerability and quality of life of older persons in the community in different situations of family care

    Revista Brasileira de Enfermagem. 2022;75:e20210034

    Abstract

    ORIGINAL ARTICLE

    Vulnerability and quality of life of older persons in the community in different situations of family care

    Revista Brasileira de Enfermagem. 2022;75:e20210034

    DOI 10.1590/0034-7167-2021-0034

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    ABSTRACT

    Objective:

    to correlate socio-contextual aspects, physical vulnerability and quality of life of older persons in the community in different situations of family care.

    Methods:

    epidemiological, a cross-sectional and analytical study, with elderly people in the community (n=769), with application of the instruments: Vulnerable Elders Survey-13 (VES-13), World Health Organization Quality of Life for Older Persons (WHOQOL-OLD) and the World Health Organization Quality of Life (WHOQOL-BREF); and socio-contextual data questionnaire.

    Results:

    the population assessed presented an average of regular quality of life in both the WHOQOL-BREF and the WHOQOL-OLD. Older non-vulnerable persons (62.2%) and those with close family contact (82.6%) have a better quality of life than the vulnerable (p<0.0001).

    Conclusion:

    lower quality of life scores and more distant families are related to vulnerable elderly people; thus, the assessment of family proximity and physical vulnerability of older persons is shown to be an important factor in improving quality of life.

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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.
  • ORIGINAL ARTICLE03-30-2020

    Risk and protective factors for sudden infant death syndrome

    Revista Brasileira de Enfermagem. 2020;73(2):e20190458

    Abstract

    ORIGINAL ARTICLE

    Risk and protective factors for sudden infant death syndrome

    Revista Brasileira de Enfermagem. 2020;73(2):e20190458

    DOI 10.1590/0034-7167-2019-0458

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    ABSTRACT

    Objectives:

    To verify the occurrence of the risk and protective factors for sudden infant death syndrome during nursing consultation.

    Methods:

    Retrospective cohort study conducted based on medical records from a primary care unit in the municipality of São Paulo. The sample consisted of 63 infants assisted from January to December 2016.

    Results:

    The average age of infants was 3.2 months. The main risk factors identified were the presence of soft objects in the crib (93.6%) and bed sharing (58.7%). Predominant protective factors were breastfeeding (95.2%) followed by updated immunization (90.5%).

    Conclusions:

    Risk and protective factors for sudden infant death syndrome were identified in the study sample, indicating the importance of addressing the issue with families of children under 1 year of age to prevent the occurrence of such events.

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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.
  • ORIGINAL ARTICLE03-30-2020

    Professional skills for health promotion in caring for tuberculosis patients

    Revista Brasileira de Enfermagem. 2020;73(2):e20180943

    Abstract

    ORIGINAL ARTICLE

    Professional skills for health promotion in caring for tuberculosis patients

    Revista Brasileira de Enfermagem. 2020;73(2):e20180943

    DOI 10.1590/0034-7167-2018-0943

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    ABSTRACT

    Objectives:

    to understand the health promotion skills found in the speeches of health practitioners in care for TB patients.

    Methods:

    qualitative study, developed with seven practitioners involved in care for TB patients, identified from a sociocentric approach, whose speeches were submitted to analysis based on the health promotion skills model in the Galway Consensus.

    Results:

    there were four domains: Catalyzing change; Leadership; Planning; and Partnerships. These domains resulted from health education actions, contribution of management nursing practitioners, seeking to meet patients’ needs and articulation of professional sectors.

    Final considerations:

    there were some skill domains in the speeches of health practitioners, with the nurse being quoted in the development of essential skills for health promotion activities, such as catalyzing change and leading care for TB patients.

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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.
  • ORIGINAL ARTICLE04-22-2020

    (Dis)continuation of care of the pre-term newborn at the border

    Revista Brasileira de Enfermagem. 2020;73(3):e20180827

    Abstract

    ORIGINAL ARTICLE

    (Dis)continuation of care of the pre-term newborn at the border

    Revista Brasileira de Enfermagem. 2020;73(3):e20180827

    DOI 10.1590/0034-7167-2018-0827

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    ABSTRACT

    Objectives:

    to understand how continuation of care for the preterm newborn in the health care network at the border.

    Methods:

    the Grounded Theory was the methodological framework. Data were collected through 17 semi-structured interviews between July 2016 and March 2017.

    Results:

    “Describing the structure and functioning of the Child Nutrition Center” represents the context; “Experiencing and signifying premature birth” are the causal conditions; “Identifying conditions that intervene in the process of continuation of care for the preterm newborn” are the intervening conditions; “Ensuring continuation of care for the preterm newborn” are strategies; “Identifying (dis)continuation of care flows for the preterm newborn at the border” are the study’s consequences and phenomenon.

    Final Considerations:

    there is a need to plan referral and counter-referral flows of the preterm newborn and the commitment of public health managers to ensure continuation of care.

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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.
  • ORIGINAL ARTICLE12-05-2019

    Quality of life, burden, family emotional support: a model for older adults who are caregivers

    Revista Brasileira de Enfermagem. 2019;72:169-176

    Abstract

    ORIGINAL ARTICLE

    Quality of life, burden, family emotional support: a model for older adults who are caregivers

    Revista Brasileira de Enfermagem. 2019;72:169-176

    DOI 10.1590/0034-7167-2018-0439

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    ABSTRACT

    Objective:

    To investigate associations between quality of life, sex, age, burden, and nature of emotional support available in the family in older adults who are caregivers of older relatives.

    Method:

    Cross-sectional and correlational study on 148 caregivers gathered in public and private healthcare services, who were subjected to psychological measures of quality of life, burden, exchange of emotional support, sex, and age. Data were analyzed using Chi-square, Fisher’s exact test and path analyses (p < 0.05).

    Results:

    A total of 77% women, average age of 69.7 years. There were significant associations between exchange of support and burden due to the provided assistance, being a woman and satisfaction with the received support, satisfaction with the received support and burden, burden and quality of life, and satisfaction with the received support and feeling of burden due to the provided support.

    Conclusion:

    Satisfaction with the received emotional support moderate the association between sex and burden, and such moderate the association between satisfaction with emotional support and perceived quality of life.

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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.
    Quality of life, burden, family emotional support: a model for older adults who are caregivers
  • ORIGINAL ARTICLE09-16-2019

    Social representations of the elderly about HIV/AIDS

    Revista Brasileira de Enfermagem. 2019;72(5):1349-1355

    Abstract

    ORIGINAL ARTICLE

    Social representations of the elderly about HIV/AIDS

    Revista Brasileira de Enfermagem. 2019;72(5):1349-1355

    DOI 10.1590/0034-7167-2018-0296

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    ABSTRACT

    Objective:

    to understand the representational content about HIV/AIDS among seropositive elderly people.

    Method:

    a qualitative study carried out from April to May 2017, in the city of Recife/PE, with 48 seropositive elderly people, through a semi-structured interview. The Social Representations Theory was used as theoretical framework and the method of lexical analysis through IRAMUTEQ software.

    Results:

    it was observed that the social representation of HIV is structured around the proximity of death and that it is a disease of restricted groups, leading to feelings of sadness. On the other hand, it is evident a transformation of the representation linked to the reified knowledge, leading to the process of naturalization of the disease.

    Final considerations:

    it is concluded that the elderly living with HIV, when they undergo a process of reframing about the disease, become more flexible to deal with their condition of seropositivity.

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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.
  • ORIGINAL ARTICLE04-22-2020

    Indicators of effectiveness of nursing care in the dimension of patient safety

    Revista Brasileira de Enfermagem. 2020;73(3):e20180833

    Abstract

    ORIGINAL ARTICLE

    Indicators of effectiveness of nursing care in the dimension of patient safety

    Revista Brasileira de Enfermagem. 2020;73(3):e20180833

    DOI 10.1590/0034-7167-2018-0833

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    ABSTRACT

    Objectives:

    to validate nursing care effectiveness indicators of patient safety dimension.

    Methods:

    quantitative survey, using the electronic Delphi sampli, with 52 participants selected by the Snowball sampling. Eight indicators were evaluated regarding the attributes: availability, reliability, simplicity, representativeness, sensitivity, comprehensiveness, objectivity, cost, utility, stability and timeliness. For validation, the minimum agreement criterion was 70%.

    Results:

    Cronbach’s alpha (0.942) evidenced the high internal consistency among the attributes. The indicators fall with damage, hip fracture, and postoperative hip fracture, incidents related to equipment, incidents due to failures in patient identification, and pressure injury were validated in all attributes, and those of medication error and hand Hygiene were not validated.

    Conclusions:

    the validated indicators allow assessment of the effectiveness of hospital nursing care. Unavailability of data is an obstacle to monitoring patient safety.

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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.

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