Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE06-17-2020

    Implementation of improvement cycle in health records of mobile emergency prehospital care

    Revista Brasileira de Enfermagem. 2020;73(4):e20190049

    Abstract

    ORIGINAL ARTICLE

    Implementation of improvement cycle in health records of mobile emergency prehospital care

    Revista Brasileira de Enfermagem. 2020;73(4):e20190049

    DOI 10.1590/0034-7167-2019-0049

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    ABSTRACT

    Objective:

    to evaluate the effect of the implementation of a quality improvement cycle in the completion of occurrence forms of a Mobile Emergency Service.

    Methods:

    this is a time series, quantitative, quasi-experimental study without control group, with three quality assessments in which was used an improvement cycle for adequacy of health records in Mobile Emergency Service Patos.

    Results:

    in 100% of the seven criteria, there was improvement between evaluations. Noncompliance with criteria reduced from 95 cases in the first evaluation to eight cases in the third evaluation.

    Conclusions:

    the representation of joint results between the three evaluations highlighted progressive improvement in the compliance with each criterion.

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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.
    Implementation of improvement cycle in health records of mobile emergency prehospital care
  • ORIGINAL ARTICLE09-21-2020

    Stigma perceived by overweight women

    Revista Brasileira de Enfermagem. 2020;73:e20190321

    Abstract

    ORIGINAL ARTICLE

    Stigma perceived by overweight women

    Revista Brasileira de Enfermagem. 2020;73:e20190321

    DOI 10.1590/0034-7167-2019-0321

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    ABSTRACT

    Objective:

    to understand the experience of discrimination perceived by overweight women.

    Methods:

    a qualitative research conducted at an outpatient clinic in Salvador, Bahia, where eleven women were interviewed. The interviews were transcribed and submitted to thematic content analysis.

    Results:

    the analysis of the statements expressed three categories: Suffering discrimination in different social contexts: denounced disrespect, hostility, veiled and/or explicit exclusion, prejudice, injustice and insults lived in public transport, at work, in the family environment, in social events and commercial establishments; Experiencing negative feelings about discrimination: revealed inferiority, sadness, shame, fear, anger, frustration, low esteem and discouragement faced by women; Reacting to discrimination: expressed isolation of marital intimacy and social encounters, removal from work, concealment of body and feelings and even illness of women.

    Final considerations:

    the discrimination experienced in various settings has caused suffering, embarrassment, negative feelings, shame, isolation and loss in women’s lives.

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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 ARTICLE09-19-2022

    The experience of trans or transvestite women in accessing public health services

    Revista Brasileira de Enfermagem. 2022;75:e20210713

    Abstract

    ORIGINAL ARTICLE

    The experience of trans or transvestite women in accessing public health services

    Revista Brasileira de Enfermagem. 2022;75:e20210713

    DOI 10.1590/0034-7167-2021-0713

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    ABSTRACT

    Objective:

    to understand the meanings of being a trans or transvestite woman in the care provided by Unified Health System health professionals.

    Methods:

    qualitative research, guided by Heidegger’s phenomenology, with 10 trans or transvestitewomen residing and using the Unified Health System in a municipality in Minas Gerais. Fieldwork was carried out by interviews.

    Results:

    trans or transvestitewomen reproduce the social patterns constructed and accepted by the female, with the search for hormonization being common, and, when it is difficult to obtain a prescription, they resort to self-medication. Social name use and acceptance by health professionals promote recognition. Trans or transvestitewomen experience prejudice on a daily basis, not only by professionals, but also because of the assumption of diagnoses by other users.

    Final considerations:

    transphobia promotes withdrawal from health services, due to fear, shame, knowledge about professionals’ unpreparedness, triggering illness, social exclusion and violence.

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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 ARTICLE06-10-2022

    Effects of the economic recession on suicide mortality in Brazil: interrupted time series analysis

    Revista Brasileira de Enfermagem. 2022;75:e20210778

    Abstract

    ORIGINAL ARTICLE

    Effects of the economic recession on suicide mortality in Brazil: interrupted time series analysis

    Revista Brasileira de Enfermagem. 2022;75:e20210778

    DOI 10.1590/0034-7167-2021-0778

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    ABSTRACT

    Objectives:

    to analyze trends in suicide rates in Brazil in the period before and after the start of the economic recession.

    Methods:

    interrupted time series research using national suicide data recorded in the period between 2012 and 2017 with socioeconomic subgroups analyses. Quasi-Poisson regression model was employed to analyze trends in seasonally adjusted data.

    Results:

    there was an abrupt increase in the risk of suicide after economic recession in the population with less education (12.5%; RR = 1.125; 95%CI: 1.027; 1.232) and in the South Region (17.7%; 1.044; 1.328). After an abrupt reduction, there was a progressive increase in risk for the black and brown population and for those with higher education. In most other population strata, there was a progressive increase in the risk of suicide.

    Conclusions:

    the Brazilian economic recession caused different effects on suicide rates, considering social strata, which requires health strategies and policies that are sensitive to the most vulnerable populations.

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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.
    Effects of the economic recession on suicide mortality in Brazil: interrupted time series analysis
  • REVIEW05-21-2021

    Evaluation strategies in active learning in higher education in health: integrative review

    Revista Brasileira de Enfermagem. 2021;74(2):e20201055

    Abstract

    REVIEW

    Evaluation strategies in active learning in higher education in health: integrative review

    Revista Brasileira de Enfermagem. 2021;74(2):e20201055

    DOI 10.1590/0034-7167-2020-1055

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    ABSTRACT

    Objectives:

    to analyze scientific evidence on evaluation strategies for active learning methods in health undergraduate programs.

    Methods:

    integrative literature review in the Medical Literature Analysis and Retrieval System Online, Latin American and Caribbean Literature in Health Sciences, Nursing Database, Scopus, Web of Science and Education Resources Information Center databases.

    Results:

    different evaluation strategies are used: Presentation of seminars, Self-evaluation, Evaluation of student performance in Tutotest-Lite tutoring, Peer Evaluation, Active Learning and Critical Thinking Self-evaluation Scale, Objective and Structured Clinical Exam, Portfolio, Progressive Disclosure Questions, Modified Dissertation Questions, Progression Test, Dissertation Test, Objective Test, Immediate Learning Checks, Clinical Case Resolution and Cumulative Test.

    Final Considerations:

    evaluation strategies in active learning are used in combination, aiming at the affective, cognitive and psychomotor development of the student. However, studies with greater power of scientific evidence would be needed.

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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 strategies in active learning in higher education in health: integrative review
  • ORIGINAL ARTICLE12-05-2019

    Participation in university activities for the elderly: Motivations of Brazilian and Spanish Seniors

    Revista Brasileira de Enfermagem. 2019;72:104-110

    Abstract

    ORIGINAL ARTICLE

    Participation in university activities for the elderly: Motivations of Brazilian and Spanish Seniors

    Revista Brasileira de Enfermagem. 2019;72:104-110

    DOI 10.1590/0034-7167-2018-0181

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    ABSTRACT

    Objective:

    To understand the reasons that lead Brazilian and Spanish seniors to enroll in a university for the elderly.

    Method:

    A qualitative study that used Symbolic Interactionism as a theoretical reference and the Grounded Theory as a methodological reference. We interviewed 44 seniors enrolled in universities for the elderly from two countries (Brazil and Spain) between October 2014 and May 2016.

    Results:

    The motivations were related to the necessity of occupying the free time, even for improving health; to the opportunity of access to university learning bypassing formal education criteria; to the expansion of social relations, sought through the creation of new friendships, the desire to know other people’s life experiences, and the exchange of knowledge.

    Final considerations:

    Older people have sought in universities for the elderly a pleasurable way of learning and occupying the free time.

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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 ARTICLE08-10-2020

    Knowledge, applicability and importance attributed by nursing undergraduates to communicative strategies

    Revista Brasileira de Enfermagem. 2020;73(6):e20190411

    Abstract

    ORIGINAL ARTICLE

    Knowledge, applicability and importance attributed by nursing undergraduates to communicative strategies

    Revista Brasileira de Enfermagem. 2020;73(6):e20190411

    DOI 10.1590/0034-7167-2019-0411

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    ABSTRACT

    Objectives:

    To evaluate the knowledge, applicability and importance that nursing students attribute to therapeutic communicative strategies.

    Methods:

    This is a quantitative study (survey) with nursing undergraduates from a public institution. The online questionnaire by the SurveyMonkey tool, comprising the informed consent form and six questions, had its relevance, clarity and operability assessed by experts.

    Results:

    Of the 104 graduates, 50 participated in the study; the most well-known and applied strategy was Therapeutic Communication, followed by Ask-Tell-Ask, NURSE and Tell Me More; the least were PACIENTE and SPIKES. Most use the strategies they know best; all were considered important by at least 82% of the students.

    Conclusions:

    The partial knowledge and application of these strategies by the students contributes to reflect on the complexity of their teaching-learning process.

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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 ARTICLE05-28-2021

    The work of a Brazilian nursing team of collective health in the special indigenous health district

    Revista Brasileira de Enfermagem. 2021;74(2):e20200116

    Abstract

    ORIGINAL ARTICLE

    The work of a Brazilian nursing team of collective health in the special indigenous health district

    Revista Brasileira de Enfermagem. 2021;74(2):e20200116

    DOI 10.1590/0034-7167-2020-0116

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    ABSTRACT

    Objective:

    To identify the potential and the limits of the actions of the nursing team in the Primary Health Care for the Health of the Indigenous.

    Methods:

    This is a quantitative study guided by the Theory of Practical Intervention of Nursing and Collective Health. 230 nursing professionals participated, responding to an instrument about the frequency of the actions carried out in assistance, management, teaching, and research.

    Results:

    168 nursing technicians and 62 nurses participated. As strengths, 80% participated in the assistance most of the time. Stand out: 90.3% and 71% of nurses carried out nursing consultations and house visits, respectively. As a limitation, the involvement in education and research is small. Only 2% of the interviewees carried out scientific researches, reflecting the need to broaden and qualify care and improve the use of traditional practices, overcoming the biomedical model.

    Final considerations:

    Nursing assistance is essential in the modification and monitoring of the epidemiological profile of indigenous populations, and its results allow for the planning of quality actions.

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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 work of a Brazilian nursing team of collective health in the special indigenous health district

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