Articles - Revista Brasileira de Enfermagem

  • EXPERIENCE REPORT05-21-2021

    Management of coping with the risks of COVID-19 in an onco-hematological outpatient clinic: an experience report

    Revista Brasileira de Enfermagem. 2021;74:e20201080

    Abstract

    EXPERIENCE REPORT

    Management of coping with the risks of COVID-19 in an onco-hematological outpatient clinic: an experience report

    Revista Brasileira de Enfermagem. 2021;74:e20201080

    DOI 10.1590/0034-7167-2020-1080

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    ABSTRACT

    Objective:

    to describe the experience of a private outpatient network for hematology and oncology treatment in the adoption of management tools to face the risk of contamination by SARS-CoV-2.

    Method:

    an experience report on the use of a root cause analysis method to identify potential risks of contamination by COVID-19 among patients and employees. Through the risks identified through the Ishikawa Diagram, we built an action plan, linked to the 5W2H tool, for planning and decision-making implemented.

    Results:

    the number of attendances in person and people circulating in the units was reduced, protective distance measures and new protection barriers were fundamental to control the risks of spreading COVID-19 in patients and employees.

    Final considerations:

    the management tools served as a valuable tool in the construction of measures, making the measures in question more clearly and applicable.

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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.
    Management of coping with the risks of COVID-19 in an onco-hematological outpatient clinic: an experience report
  • ORIGINAL ARTICLE09-06-2022

    Evaluation of the health level of the elderly: patient care team considerations

    Revista Brasileira de Enfermagem. 2022;75(1):e20201277

    Abstract

    ORIGINAL ARTICLE

    Evaluation of the health level of the elderly: patient care team considerations

    Revista Brasileira de Enfermagem. 2022;75(1):e20201277

    DOI 10.1590/0034-7167-2020-1277

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    ABSTRACT

    Objective:

    To understand the differences of physicians, nurses, and social workers in the evaluation of the health status of the elderly.

    Methods:

    A cross-sectional quantitative study, using descriptive statistics. Non-probabilistic sample, consisting of 291 participants from three professional categories: 71 (24.4%) physicians, 192 (66%) nurses, and 28 (9.6%) social workers. We used a questionnaire including the variables: sociodemographic characteristics and instruments used for evaluation.

    Results:

    Instruments with greater utility for the evaluation of the elderly: for physicians, Mini Mental State Examination; for nurses, Braden scale; and for social workers, genogram. In the physical examination, the data most collected by physicians and nurses are the vital signs; and by social workers, the condition for performing the Activities of Daily Living.

    Conclusions:

    The evaluation of the elderly is based on a diversity of instruments and is an area in which health and social professionals need to share information.

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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.
    Evaluation of the health level of the elderly: patient care team considerations
  • ORIGINAL ARTICLE09-24-2022

    Patient safety in nursing technician training

    Revista Brasileira de Enfermagem. 2022;75(1):e20201364

    Abstract

    ORIGINAL ARTICLE

    Patient safety in nursing technician training

    Revista Brasileira de Enfermagem. 2022;75(1):e20201364

    DOI 10.1590/0034-7167-2020-1364

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    ABSTRACT

    Objectives:

    to analyze the contents on patient safety in the training of nursing technicians.

    Methods:

    a documentary study, conducted in three technical nursing courses at a public university in northeastern Brazil, based on the Multi-Professional Patient Safety Curriculum Guide, published by the World Health Organization.

    Results:

    we found that, of the 26 subjects in each course, the tracking terms were found in 22 subjects in the A/C courses, 23 in the B course. The topics of the guide with the highest number of terms were the improvement in medication safety, with 85 terms (22.6%), and Infection prevention and control, with 75 terms (20%). The contents do not express the comprehensiveness of patient safety education; some subjects had this focus, while others did not.

    Conclusions:

    the documents revealed gaps in the contents related to patient safety and demonstrated that they are addressed only in the course syllabus and discipline plans.

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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 ARTICLE03-24-2021

    Content and usability validation of the Retire with Health web software

    Revista Brasileira de Enfermagem. 2021;74(1):e20200133

    Abstract

    ORIGINAL ARTICLE

    Content and usability validation of the Retire with Health web software

    Revista Brasileira de Enfermagem. 2021;74(1):e20200133

    DOI 10.1590/0034-7167-2020-0133

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    ABSTRACT

    Objectives:

    to validate the content and usability of the Retire with Health web software.

    Methods:

    a methodological study. The content validation was carried out by seven experts in the aging subject, using an instrument that evaluated the objectives, contents, relevance, and the environment of the web software. Usability was validated by seven experts in software development, referring to ergonomics, functionality, usability, and efficiency. The data were submitted to statistical analysis, described by calculating the Content Validity Index.

    Results:

    the global Content Validity Index found 0.97 for the usability aspects and 1.00 for the content. After incorporating all the experts’ suggestions, the Retire with Health web software was made available on the internet (www.aposentarsecomsaude.com.br).

    Conclusions:

    content validation and usability showed that the web software meets the objective of supporting reflection on retirement, with a high level of agreement among experts.

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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 ARTICLE09-29-2022

    Construction and validation of an instrument for classifying nipple and areola complex lesions resulting from breastfeeding

    Revista Brasileira de Enfermagem. 2022;75(1):e20210051

    Abstract

    ORIGINAL ARTICLE

    Construction and validation of an instrument for classifying nipple and areola complex lesions resulting from breastfeeding

    Revista Brasileira de Enfermagem. 2022;75(1):e20210051

    DOI 10.1590/0034-7167-2021-0051

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    ABSTRACT

    Objectives:

    to construct and validate a classification of nipple and areola complex lesions resulting from breastfeeding, according to content and appearance.

    Methods:

    this is a methodological study, developed in four stages: operational definition, instrument construction, content and appearance validation. The Delphi technique and a Likert-type scale were used to validate content and appearance, through the participation of ten and sixteen judges, respectively. For analysis, Content Validity Index and Kappa Coefficient were applied.

    Results:

    Content Validity Index obtained an overall value of 0.93 and, for appearance, 0.94. Kappa values ranged between 0.46 and 1. The high rates of agreement among judges demonstrated the quality of the proposed content validity.

    Conclusions:

    the Nipple and Areola Complex Lesions Classification Instrument developed obtained acceptable values of its indexes, proving to be valid in terms of content and appearance.

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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.
    Construction and validation of an instrument for classifying nipple and areola complex lesions resulting from breastfeeding
  • EXPERIENCE REPORT10-24-2022

    Public policy for social inclusion in higher education and extension practices with ethnic groups

    Revista Brasileira de Enfermagem. 2022;75:e20210970

    Abstract

    EXPERIENCE REPORT

    Public policy for social inclusion in higher education and extension practices with ethnic groups

    Revista Brasileira de Enfermagem. 2022;75:e20210970

    DOI 10.1590/0034-7167-2021-0970

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    ABSTRACT

    Objectives:

    to report the experience on the operationalization of a university extension project with and for training affirmative action students.

    Methods:

    an experience report with a descriptive approach on the operationalization of a university extension project for training affirmative action students, between 2020 and 2021, based on blended-learning and Activity Theory.

    Results:

    we carried out 103 activities, including actions for product development, media maintenance and targeted study of themes. They involved 13 students from two institutions, two leaders from ethnic groups and eight instructors.

    Final Considerations:

    collaborative relationships provided the exchange of knowledge about public health policies, educational technologies and social media, reducing deficits in the use of technological resources and application in health education. The activities promoted students’ leading role coming from affirmative action, in a representative way, from their experiences and needs, being potential for equitable training.

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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.
    Public policy for social inclusion in higher education and extension practices with ethnic groups
  • ORIGINAL ARTICLE07-23-2021

    The role of grandparents of children with cancer in the hospital

    Revista Brasileira de Enfermagem. 2021;74(5):e20201143

    Abstract

    ORIGINAL ARTICLE

    The role of grandparents of children with cancer in the hospital

    Revista Brasileira de Enfermagem. 2021;74(5):e20201143

    DOI 10.1590/0034-7167-2020-1143

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    ABSTRACT

    Objective:

    To understand the role of grandparents of hospitalized children with cancer.

    Methods:

    In a qualitative study, we interviewed eleven grandparents of children with cancer hospitalized at a referral center for pediatric oncology in São Paulo. The data were analyzed using the Hybrid Framework of Thematic Analysis.

    Results:

    Six themes were found to describe the role of grandparents in this context: Being the family’s support, Sharing love to my child and my grandchild, Being there for my child and my grandchild, Offering spiritual support to my child and my grandchild, Making an effort to be able to manage my own feelings and Balancing the demands of hospitalization with available resources.

    Final considerations:

    The findings show the significance of the grandparents’ role in this experience and emphasize the value of being considered, by health professionals, as part of the family and 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 ARTICLE06-14-2021

    Management of severe preeclampsia in the puerperium: development and scenario validation for clinical simulation

    Revista Brasileira de Enfermagem. 2021;74(6):e20200445

    Abstract

    ORIGINAL ARTICLE

    Management of severe preeclampsia in the puerperium: development and scenario validation for clinical simulation

    Revista Brasileira de Enfermagem. 2021;74(6):e20200445

    DOI 10.1590/0034-7167-2020-0445

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    ABSTRACT

    Objective:

    to develop and validate a scenario for clinical simulation in nursing education on the management of severe preeclampsia in the puerperium.

    Method:

    methodological study in five stages (overview, scenario, scenario design progression, debriefing and assessment), developed from March to December 2019, involving 10 volunteers (one professor, five actors and four judges). Data were analyzed using descriptive statistics and Content Validation Index.

    Results:

    the scenario was built from the definition of learning objectives that meet the needs of nursing education. From the completion of a Likert scale, by the judges in on-site validation, a Content Validity Index of 1.0 was reached, which indicates 100% agreement in the assessed items.

    Conclusion:

    the scenario was validated. It is expected that teaching by simulation will be expanded and that new studies of scenario validation will contribute to the preparation of future nurses, based on the most recent scientific evidence.

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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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