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RESEARCH01-01-2017
Care management and nursing governance in a maternity ward: grounded theory
Revista Brasileira de Enfermagem. 2017;70(6):1277-1283
Abstract
RESEARCHCare management and nursing governance in a maternity ward: grounded theory
Revista Brasileira de Enfermagem. 2017;70(6):1277-1283
DOI 10.1590/0034-7167-2016-0116
Views0ABSTRACT
Etjective:
To understand the care management strategies used by nurses in the governance of nursing practice in a maternity ward.
Method:
Qualitative study based on grounded theory conducted with 27 participants, partitioned into four sample groups. The data were collected through semi-structured interviews and analyzed through open, axial, and selective coding.
Result:
The care management strategies used by the nurses were: planning professional practice, leading the nursing team, search for scientific knowledge, and training inthe best practices in obstetric care.
Conclusion:
Associating care management with nursing governance can foster better care outcomes and strengthen nursing autonomy when coordinating nursing work in maternity wards.
Keywords:ManagementNursing CareNursing SupervisionObstetric NursingResearch About Nursing AdministrationSee more
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RESEARCH01-01-2017
Cross-cultural adaptation of the Filial Responsibility protocol for use in Brazil
Revista Brasileira de Enfermagem. 2017;70(6):1268-1276
Abstract
RESEARCHCross-cultural adaptation of the Filial Responsibility protocol for use in Brazil
Revista Brasileira de Enfermagem. 2017;70(6):1268-1276
DOI 10.1590/0034-7167-2016-0479
Views0See moreABSTRACT
Objective:
To carry out a cross-cultural adaptation of the Filial Responsibility protocol for use in Brazil with adult child caregivers for elderly parents.
Method:
A methodological study that included the steps of initial translation, synthesis of translations, back-translation, committee of experts, pre-test, evaluation of psychometric measures and submission to authors. The protocol comprises a qualitative step, closed questions and seven scales: Filial Expectation, Subsidiary Compassion, Caregiver burden, Life Satisfaction, Personal Well-being and Quality of Relationships.
Results:
The final version in Portuguese was applied, through a pre-test, to a sample of 30 caregivers for elderly parents. In order to verify internal consistency, we used Cronbach’s alpha coefficient: Filial Expectation (α = 0.64), Filial Duty (α = 0.65), Satisfaction with Life (α = 0.75), Personal Wellbeing (α = 0.87).
Final considerations:
The Brazilian version presented good conceptual and face equivalence. The results demonstrate that the concepts used in the Canadian protocol are applicable in the Brazilian context.
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RESEARCH01-01-2017
Profile of intimate partner violence in Family Health Units
Revista Brasileira de Enfermagem. 2017;70(6):1259-1267
Abstract
RESEARCHProfile of intimate partner violence in Family Health Units
Revista Brasileira de Enfermagem. 2017;70(6):1259-1267
DOI 10.1590/0034-7167-2016-0007
Views0See moreABSTRACT
Objective:
To estimate the profile of intimate partner violence involving women in a scenario of Family Health Strategy in the municipality of Nova Iguaçu (Rio de Janeiro).
Method:
A transversal study was conducted in four units with a sample of 640 women between the ages of 25 to 64. The phenomena of violence was determined using the tool Revised Conflict Tactics Scales, validated for Brazil. Statistical analysis took into consideration an estimation of prevalence in the calculation of the p values.
Results:
The situations of violence and the sociodemographic profiles demonstrated a statistically significant relationship with the variables of educational level and housing conditions. Age, ethnicity and economic class demonstrated an association with certain types of violence, varying in type and severity.
Conclusion:
The study investigated the profile of these situations of violence and enabled reflection regarding the approaches adopted by the Family Health Strategy teams.
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RESEARCH01-01-2017
Educational practices of nursing in the puerperium: social representations of puerperal mothers
Revista Brasileira de Enfermagem. 2017;70(6):1250-1258
Abstract
RESEARCHEducational practices of nursing in the puerperium: social representations of puerperal mothers
Revista Brasileira de Enfermagem. 2017;70(6):1250-1258
DOI 10.1590/0034-7167-2016-0136
Views0See moreABSTRACT
Objective:
To understand the social representations of puerperal women regarding the contents of the educational practices carried out by nursing in the puerperium.
Method:
Descriptive and qualitative study, carried out from June to September 2014, in Fortaleza, Ceará State, Brazil. Nineteen puerperal women were administered a semi-structured interview. The Theory of Social Representations was used as a theoretical reference. Lexical analysis was performed with ALCESTE (version 2012) software.
Results:
The contents of the representations on educational practice were associated to the nursing team’s orientations, with emphasis on breastfeeding and nursing. A lack of educational action regarding self-care of the puerperal woman was also revealed.
Final considerations:
It is necessary to redirect educational practices in the puerperium, in order to cover the biopsychosocial needs of women in this period of life. The educational actions should be based on the problematizing model, with a stimulus for the autonomy of puerperal mothers and valorization of their social knowledge.
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RESEARCH01-01-2017
Influence of Therapeutic Play on the anxiety of hospitalized school-age children: Clinical trial
Revista Brasileira de Enfermagem. 2017;70(6):1244-1249
Abstract
RESEARCHInfluence of Therapeutic Play on the anxiety of hospitalized school-age children: Clinical trial
Revista Brasileira de Enfermagem. 2017;70(6):1244-1249
DOI 10.1590/0034-7167-2016-0353
Views0ABSTRACT
Objective:
To evaluate the effects of Dramatic Therapeutic Play (DTP) technique on the degree of anxiety in hospitalized school-age children.
Method:
Randomized clinical trial performed in two hospitals ofSão Paulo, between May and October 2015. The intervention consisted of the application of DTP and the outcome was evaluated through the Child Drawing: Hospital (CD: H) instrument. The Wilcoxon-Mann Whitney, Corrected t, Fisher’s exact and Chi-square tests were used in the analysis. Statistical significance was set at 5%.
Results:
In all, 28 children participated in the study. The majority of children (75%) had a low anxiety score, with a mean CD: H score of 73.9 and 69.4 in the intervention and control groups respectively, and with no significant difference.
Conclusion:
Children submitted to DTP had the same degree of anxiety as those in the control group. However, it is suggested that new studies be performed with a larger number of children in different hospitalization scenarios.
Keywords:AnxietyGames and ToysHospitalized ChildPediatric NursingRandomized Controlled Clinical TrialSee more
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RESEARCH01-01-2017
Social representations of sex and gender among trans people
Revista Brasileira de Enfermagem. 2017;70(6):1235-1243
Abstract
RESEARCHSocial representations of sex and gender among trans people
Revista Brasileira de Enfermagem. 2017;70(6):1235-1243
DOI 10.1590/0034-7167-2016-0581
Views0See moreABSTRACT
Objective:
To analyze the social representations of sex and gender among transsexual people, through their life histories.
Method:
Qualitative, multicenter and descriptive research. The participants were 70 transsexuals from Brazil and Costa Rica. Data were analyzed according to the technique of Content Analysis.
Results:
Two complementary representations related to sex were identified: “Sex as a natural categorical imposition sealed and acquired (irremediably) at birth” and “Sex as an element that labels, condemns and differentiates people.” Regarding gender, a single representation was associated with “synthetic-social constructions associated with (necro/bio) power, cisnormativity and culture.”
Final considerations:
The former absolute division of gender as social construction and of sex as considered as natural must be questioned in order to analyze both concepts as an interconnected dyad. In addition, it should be recognized that this dyad presents itself as an organizational and cognitive construct, mediated by the still prevalent cispatriarchal (necro/bio) power.
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RESEARCH01-01-2017
Critical points for the control of Tuberculosis on Primary Health Care
Revista Brasileira de Enfermagem. 2017;70(6):1227-1234
Abstract
RESEARCHCritical points for the control of Tuberculosis on Primary Health Care
Revista Brasileira de Enfermagem. 2017;70(6):1227-1234
DOI 10.1590/0034-7167-2016-0467
Views0See moreABSTRACT
Objective:
To analyze the discourses of professionals that work on the reference service about the critical points that affects the essential attributes of the Primary Health Care (PHC) related to the control of tuberculosis in the city of João Pessoa.
Method:
The empirical material collected from August to October in 2014, through the interview technique was analyzed through the methodological-theoretical framework of French Discourse Analysis.
Results:
The discourses demonstrated the critical points on the control of the disease on PHC as being the lack of bond and welcoming from the professionals in relation to patients with tuberculosis. It was realized that the professionals have prejudice about the disease, that they have difficulties on the access to conducting exams, appointments and treatments, as well as there are fails on the reference and counter-referencing system.
Final Considerations:
Managers should be aware about the results that were found, so that facing actions can be planned and executed in order to minimize the existent of critical points.
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RESEARCH01-01-2017
Challenges in the end-of-course paper for nursing technical training
Revista Brasileira de Enfermagem. 2017;70(6):1212-1219
Abstract
RESEARCHChallenges in the end-of-course paper for nursing technical training
Revista Brasileira de Enfermagem. 2017;70(6):1212-1219
DOI 10.1590/0034-7167-2016-0105
Views0See moreABSTRACT
Objective:
To verify the opinion of Nursing Technical Training students on the stages of construction of the End-of-Course Paper.
Method:
A cross-sectional study with a qualitative and quantitative approach. A total of 94 students participated from a Nursing Technical course of an institution in the State of São Paulo. A questionnaire was used with assertions, followed by a “Likert Scale” and open field for additional comments.
Results:
The students gave a positive evaluation of the stages involved in completing the paper, but negative responses regarding the time available and obligatory nature (38%). Nevertheless, they understood the essence of the task, in order to foster personal and professional growth; with perspectives to advance in other modalities of the course.
Conclusion:
It is important that course administrators and professors are prepared to support their students, aiming at an effective transformation for the way of thinking and practice in health care.
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Overview of clinical trial protocols for behavioral insomnia in infants
Revista Brasileira de Enfermagem. 2021;74:e20200769
Abstract
Overview of clinical trial protocols for behavioral insomnia in infants
Revista Brasileira de Enfermagem. 2021;74:e20200769
DOI 10.1590/0034-7167-2020-0769
Views1See moreABSTRACT
Objective:
to describe the overview of clinical trial protocols for behavioral insomnia in infants.
Methods:
an analytical study that reviewed protocols registered with the International Clinical Trials Registry Platform between August and September 2019, aiming to identify the interventions for behavioral insomnia in infants, the comparators, the main primary, secondary outcomes and their respective measurements.
Results:
eleven protocols registered between 2004 and 2018 were included. Nurses were the main coordinators of protocols (45.5%), with proposals using educational technologies, one-to-one and online follow-up consultations. The main outcome was improvement of infant and maternal sleep patterns. Secondary outcomes were anxiety, depression, and parental sexual satisfaction. To measure them, the following were used: sleep diary (54.5%), actigraphy (45.4%), and the Pittsburgh Sleep Quality Interview (36.3%) and Extended Brief Infant Sleep Questionnaire (27.2%) were used.
Conclusion:
the protocols proposed interventions for independent sleep, aiming at quality of sleep for the whole family.
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Individual and contextual variables associated with smoking and alcohol consumption during pregnancy
- Antonio Fernando Boing
, - Alexandra Crispim Boing ,
- Katia Jakovljevic Pudla Wagner ,
- Suélen dos Santos Saraiva ,
- Yaná Tamara Tomasi
Abstract
Individual and contextual variables associated with smoking and alcohol consumption during pregnancy
Revista Brasileira de Enfermagem. 2021;74:e20200804
DOI 10.1590/0034-7167-2020-0804
- Antonio Fernando Boing ,
- Alexandra Crispim Boing ,
- Katia Jakovljevic Pudla Wagner ,
- Suélen dos Santos Saraiva ,
- Yaná Tamara Tomasi
Views1See moreABSTRACT
Objective:
to analyze the association between individual characteristics and housing context with smoking and alcohol consumption during pregnancy.
Methods:
a cross-sectional study with a probabilistic sample of 3,580 pregnant women who underwent prenatal care in the Unified Health System in 2019. The outcomes were firsthand, secondhand smoke and alcohol consumption during pregnancy. Individual characteristics and the living environment were used as exploratory variables.
Results:
living in a neighborhood with episodes of violence, without social cohesion and without urban elements that encourage physical activity was associated with smoking. Alcohol consumption during pregnancy was associated with living in environments that do not encourage physical activity. Smoking was also associated with lower income and education.
Conclusions:
individual characteristics and the living environment are associated with smoking, secondhand smoke and alcohol consumption during pregnancy.
- Antonio Fernando Boing
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Socioeconomic factors related to leprosy: an integrative literature review
- Heloisy Alves de Medeiros Leano ,
- Kleane Maria da Fonseca Azevedo Araújo ,
- Isabela de Caux Bueno ,
- Eyleen Nabyla Alvarenga Niitsuma ,
- Francisco Carlos Félix Lana
Abstract
Socioeconomic factors related to leprosy: an integrative literature review
Revista Brasileira de Enfermagem. 2019;72(5):1405-1415
DOI 10.1590/0034-7167-2017-0651
- Heloisy Alves de Medeiros Leano ,
- Kleane Maria da Fonseca Azevedo Araújo ,
- Isabela de Caux Bueno ,
- Eyleen Nabyla Alvarenga Niitsuma ,
- Francisco Carlos Félix Lana
Views0See moreABSTRACT
Objective:
To investigate in the literature the relation of socioeconomic factors in the incidence of the disease and other outcomes related to leprosy.
Method:
Integrative review conducted in Lilacs, Medline, Scopus databases and SciELO online library with studies from 2000 to 2016.
Results:
32 studies were included. Only studies that analyzed statistical associations of socioeconomic factors and outcomes related to leprosy were selected.
Conclusion:
Leprosy is greatly affected by the social context in which the patient is inserted, the chances of exposure to illness are the result of a set of not only individual aspects, but also of contexts or collective conditions. It is imperative for Nursing, as an essential part of the multiprofessional team entrusted with the care and surveillance of the disease, to recognize these factors to predict unfavorable outcomes and to develop new practices capable of reducing inequities.
- Heloisy Alves de Medeiros Leano
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ORIGINAL ARTICLE06-27-2019
Literacy in health and self-care in people with type 2 diabetes mellitus
- Nádya dos Santos Moura ,
- Bárbara Brandão Lopes ,
- João Joadson Duarte Teixeira ,
- Mônica Oliveira Batista Oriá ,
- Neiva Francenely Cunha Vieira , [ … ],
- Maria Vilani Cavalcante Guedes
Abstract
ORIGINAL ARTICLELiteracy in health and self-care in people with type 2 diabetes mellitus
Revista Brasileira de Enfermagem. 2019;72(3):700-706
DOI 10.1590/0034-7167-2018-0291
- Nádya dos Santos Moura ,
- Bárbara Brandão Lopes ,
- João Joadson Duarte Teixeira ,
- Mônica Oliveira Batista Oriá ,
- Neiva Francenely Cunha Vieira ,
- Maria Vilani Cavalcante Guedes
Views0See moreABSTRACT
Objective:
To evaluate the effect of educational intervention in the adherence to self-care activities and functional health literacy and numeracy in people with type 2 diabetes mellitus.
Methods:
This was a quasi-experimental study conducted in two units of the Brazilian Family Health Strategy, involving people with diabetes. Educational interventions occurred in three meetings, weekly, lasting 60 minutes on average. Data were collected using the Questionário de Autocuidado com o Diabetes, before and after the interventions.
Results:
55 people participated in the study. After the interventions, the greatest difference for a better adherence to self-care was the item “inspecting the inside of the shoes before putting them on”, with 3.29 days in the week delta at analytical level. The worst was “taking insulin shots as recommended”, with 0.00 days a week delta at basic level.
Conclusion:
Educational interventions had a positive effect on adherence to self-care and functional literacy in health.
- Nádya dos Santos Moura
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EDITORIAL08-19-2019
Qualitative research in health: a reflective approach
- Ellen Synthia Fernandes de Oliveira ,
- Cristina Lavareda Baixinho ,
- Maria Helena Carvalho Valente Presado
Abstract
EDITORIALQualitative research in health: a reflective approach
Revista Brasileira de Enfermagem. 2019;72(4):830-831
DOI 10.1590/0034-7167.2019-720401
- Ellen Synthia Fernandes de Oliveira ,
- Cristina Lavareda Baixinho ,
- Maria Helena Carvalho Valente Presado
Views0Qualitative research makes possible the development of health knowledge, because it works with complex phenomena whose totality, besides depth, depends on the intensity. For Minayo, the objective of the qualitative research is to make explicit data, indicators, verified trends and/or construct theoretical models applicable to practice. Therefore, its purpose is to study history, representations, relationships, […]See more - Ellen Synthia Fernandes de Oliveira
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ORIGINAL ARTICLE12-05-2019
Occurrence of violence in the elderly and its associated factors
- Paulo Henrique Silva Maia ,
- Efigênia Ferreira e Ferreira ,
- Elza Machado de Melo ,
- Andréa Maria Duarte Vargas
Abstract
ORIGINAL ARTICLEOccurrence of violence in the elderly and its associated factors
Revista Brasileira de Enfermagem. 2019;72:64-70
DOI 10.1590/0034-7167-2018-0014
- Paulo Henrique Silva Maia ,
- Efigênia Ferreira e Ferreira ,
- Elza Machado de Melo ,
- Andréa Maria Duarte Vargas
Views0See moreABSTRACT
Objective:
to analyze the occurrence of violence in the elderly and its associated factors in the city of Betim, Minas Gerais.
Method:
cross-sectional study constituted by a population survey conducted through structured interviews. The sample was stratified by clusters and included 178 elderly people at the end. Data were analyzed by the chi-square test and was performed a Correspondence Analysis.
Results:
The most prevalent forms of violence were: lack of access to social rights (31%), verbal violence (22%), moral/psychological (19%), lack of care (16%), physical violence (6%), sexual (3%) and discrimination (3%). Women suffered more abuse than men and violence had greater association with the degree of depressive symptoms.
Conclusion:
our research has direct implication for the sectors interested in coping with violence in the elderly, especially for nurses, because it shows violence is part of a cycle with characteristic associated factors that conforms a model nested mainly in the family relationship.
- Paulo Henrique Silva Maia
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REFLECTION07-01-2020
How to translate scientific knowledge into practice? Concepts, models and application
Revista Brasileira de Enfermagem. 2020;73(5):e20190179
Abstract
REFLECTIONHow to translate scientific knowledge into practice? Concepts, models and application
Revista Brasileira de Enfermagem. 2020;73(5):e20190179
DOI 10.1590/0034-7167-2019-0179
Views0See moreABSTRACT
Objectives:
to present the concept of Knowledge Translation and Exchange as it has been used in the international literature and in Canada, particularly. Next, to describe a renowned conceptual model to guide its implementation, entitled Knowledge-to-Action Cycle.
Results:
we described the use of the model in the context of the municipal primary health care system in southern Brazil for the implementation of pain management strategies during vaccination.
Conclusions:
in this theoretical reflection, we argue that in order to promote health equity and quality of care in the Unified Health System (Brazilian SUS) it is important to translate scientific knowledge to various practice settings and create opportunities for exchange with users of this knowledge, such as health professionals, managers, policy makers, patients, family members and other stakeholders.
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REVIEW04-22-2020
Polycyclic aromatic hydrocarbons and development of respiratory and cardiovascular diseases in workers
- Helenize Ferreira Lima Leachi ,
- Maria Helena Palucci Marziale ,
- Júlia Trevisan Martins ,
- Patricia Aroni ,
- Maria José Quina Galdino , [ … ],
- Renata Perfeito Ribeiro
Abstract
REVIEWPolycyclic aromatic hydrocarbons and development of respiratory and cardiovascular diseases in workers
Revista Brasileira de Enfermagem. 2020;73(3):e20180965
DOI 10.1590/0034-7167-2018-0965
- Helenize Ferreira Lima Leachi ,
- Maria Helena Palucci Marziale ,
- Júlia Trevisan Martins ,
- Patricia Aroni ,
- Maria José Quina Galdino ,
- Renata Perfeito Ribeiro
Views0ABSTRACT
Objectives:
to identify the scientific evidence on the development of cardiovascular and respiratory diseases due to workplace contamination by polycyclic aromatic hydrocarbons.
Methods:
integrative literature review. The search for primary articles was held in October 2017 in the Medical Literature Analysis and Retrieval System Online (through Pubmed), Web of Science and Latin American and Caribbean Literature in Health Sciences (LILACS).
Results:
the 16 studies analyzed showed that exposure to polycyclic aromatic hydrocarbons was associated with cardiovascular diseases, such as increased blood pressure, heart rate variation, and ischemic heart disease; and respiratory disorders, such as decreased lung function, chronic obstructive pulmonary disease, asthma, wheeze, coughing, pulmonary wheezing, chest tightness, effort dyspnea, and sore throat.
Conclusions:
polycyclic aromatic hydrocarbons cause deleterious effects on the cardiovascular and respiratory systems through mutations and cellular inflammation, being a risk to exposed individuals.
Keywords:Cardiovascular DiseasesPolycyclic Aromatic HydrocarbonsRespiratory DiseasesVolatile Organic CompoundsWorkersSee more
- Helenize Ferreira Lima Leachi
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ORIGINAL ARTICLE02-17-2020
Occupational stress in nursing professionals of a university hospital
Revista Brasileira de Enfermagem. 2020;73(2):e20180997
Abstract
ORIGINAL ARTICLEOccupational stress in nursing professionals of a university hospital
Revista Brasileira de Enfermagem. 2020;73(2):e20180997
DOI 10.1590/0034-7167-2018-0997
Views0ABSTRACT
Objectives:
To identify the presence of occupational stress in nursing professionals of a university hospital in the inlands of the state of Minas Gerais and examine influence of sociodemographic and occupational characteristics in this disease.
Methods:
Cross-sectional, exploratory and quantitative study with 124 professional nurses from a university hospital in the inlands of the state of Minas Gerais. The adapted and validated Portuguese version of the Job Stress Scale (JSS) was used for the performance of the study.
Results:
Most professionals were women (87.9%) with a mean age of 40.2 years, 80.6% were nursing technicians and 71.8% of the sample had some degree of exposure to occupational stress.
Conclusions:
The occupational stress index was higher than that observed in previous studies. Data obtained in the study point to the need to implement institutional measures for the prevention of occupational stress, especially by strengthening social support at work.
Keywords:Nursing ProfessionalsNursing, TeamOccupational HealthOccupational StressUniversity HospitalSee more -
ORIGINAL ARTICLE07-08-2020
Development and validation a nursing care protocol with educational interventions for family caregivers of elderly people after stroke
- Naiana Oliveira dos Santos ,
- Mariane Lurdes Predebon ,
- Carla Cristiane Becker Kottwitz Bierhals ,
- Carolina Baltar Day ,
- Diani de Oliveira Machado , [ … ],
- Lisiane Manganelli Girardi Paskulin
Abstract
ORIGINAL ARTICLEDevelopment and validation a nursing care protocol with educational interventions for family caregivers of elderly people after stroke
Revista Brasileira de Enfermagem. 2020;73:e20180894
DOI 10.1590/0034-7167-2018-0894
- Naiana Oliveira dos Santos ,
- Mariane Lurdes Predebon ,
- Carla Cristiane Becker Kottwitz Bierhals ,
- Carolina Baltar Day ,
- Diani de Oliveira Machado ,
- Lisiane Manganelli Girardi Paskulin
Views0See moreABSTRACT
Objective:
development and validation the content of a nursing care protocol with educational interventions for family caregivers of elderly people after stroke.
Methods:
a methodological study conducted in three stages: (1) protocol development through literature review; (2) pretest with multidisciplinary team, analyzed with literature articulation; (3) protocol validation by the Delphi Technique.
Results:
the protocol was structured in the following areas: Disease Guidelines; Emotional Support; Using the Health Care Network; Diet; Airways; Medications; Hygiene; Skin Care; Disposal; Dressing/Undressing; Positioning and Transfer; Fall Prevention. In the pretest, eight experts assessed protocol clarity and content. In validation, there were two rounds by the Delphi Technique. The validated protocol consisted of 12 domains, containing 42 items and 240 care guidelines.
Conclusion:
the protocol qualifies the transition of care after hospital discharge assisting nurses in home care practice.
- Naiana Oliveira dos Santos
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