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ORIGINAL ARTICLE07-29-2024
Primary Health Care in transitional care of people with stroke
- Adriana Bitencourt Magagnin
, - Kenia Lara da Silva ,
- Giane Zupellari dos Santos Melo ,
- Ivonete Teresinha Schulter Buss Heidemann
Abstract
ORIGINAL ARTICLEPrimary Health Care in transitional care of people with stroke
Revista Brasileira de Enfermagem. 2024;77(3):e20230468
DOI 10.1590/0034-7167-2024-0468
- Adriana Bitencourt Magagnin ,
- Kenia Lara da Silva ,
- Giane Zupellari dos Santos Melo ,
- Ivonete Teresinha Schulter Buss Heidemann
Views0ABSTRACT
Objectives:
to understand the role of Primary Health Care teams in caring for people with stroke after hospital discharge.
Methods:
single case study, with integrated units of analysis, with a qualitative approach. Data triangulation occurred through interviews with professionals and family caregivers involved in transition of care, in addition to direct observations in rounds and document analysis. For the analyses, the analytical strategies of theoretical propositions and construction of explanations were used, with the help of ATLAS.ti®.
Results:
the importance of counter-referral, the role of community health workers and the multidisciplinary team, health promotion, secondary prevention, home visits as a visceral attribute and nurses as care managers are evident.
Final Considerations:
the high demand on teams and the Social Determinants of Health interfere with adequate continuity of care. Transitional care programs that enable continuity of care are recommended.
Keywords:Comprehensive Health CareContinuity of Patient CarePrimary Health CareStrokeTransitional CareSee more
- Adriana Bitencourt Magagnin
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ORIGINAL ARTICLE07-29-2024
Completeness of variables in Hospital-Based Cancer Registries for prostatic malignant neoplasm
- Wesley Rocha Grippa ,
- Raphael Manhães Pessanha ,
- Larissa Soares Dell’Antonio ,
- Cristiano Soares da Silva Dell’Antonio ,
- Luciane Bresciani Salaroli , [ … ],
- Luís Carlos Lopes-Júnior
Abstract
ORIGINAL ARTICLECompleteness of variables in Hospital-Based Cancer Registries for prostatic malignant neoplasm
Revista Brasileira de Enfermagem. 2024;77(3):e20230467
DOI 10.1590/0034-7167-2023-0467
- Wesley Rocha Grippa ,
- Raphael Manhães Pessanha ,
- Larissa Soares Dell’Antonio ,
- Cristiano Soares da Silva Dell’Antonio ,
- Luciane Bresciani Salaroli ,
- Luís Carlos Lopes-Júnior
Views0See moreABSTRACT
Objectives:
to analyze the completeness of variables from Hospital-Based Cancer Registries of cases of prostate neoplasm in the Oncology Care Network of a Brazilian state between 2000 and 2020.
Methods:
an ecological time series study, based on secondary data on prostate cancer Hospital-Based Cancer Registries prostate. Data incompleteness was classified as excellent (<5%), good (between 5%-10%), fair (10%-20%), poor (20%-50%) and very poor (>50%), according to the percentage of lack of information.
Results:
there were 13,519 cases of prostate cancer in the Hospital-Based Cancer Registries analyzed. The variables “family history of cancer” (p<0.001), “alcoholism” (p<0.001), “smoking” (p<0.001), “TNM staging” (p<0.001) had a decreasing trend, while “clinical start of treatment” (p<0.001), “origin” (p=0.008) and “occupation” (p<0.001) indicated an increasing trend.
Conclusions:
most Hospital-Based Cancer Registries variables showed excellent completeness, but important variables had high percentages of incompleteness, such as TNM and clinical staging, in addition to alcoholism and smoking.
- Wesley Rocha Grippa
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ORIGINAL ARTICLE07-29-2024
Disrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory
- Ryanne Carolynne Marques Gomes Mendes ,
- Gabrielle Pessôa da Silva ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Cleide Maria Pontes ,
- Lívia Maia Pascoal , [ … ],
- Francisca Márcia Pereira Linhares
Abstract
ORIGINAL ARTICLEDisrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230464
DOI 10.1590/0034-7167-2023-0464
- Ryanne Carolynne Marques Gomes Mendes ,
- Gabrielle Pessôa da Silva ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Cleide Maria Pontes ,
- Lívia Maia Pascoal ,
- Ana Luisa Brandão de Carvalho Lira ,
- Marcos Venícios de Oliveira Lopes ,
- Suzana de Oliveira Mangueira ,
- Francisca Márcia Pereira Linhares
Views0See moreABSTRACT
Objectives:
to develop and evaluate a Middle-Range Theory for the nursing diagnosis “Disrupted Mother-Fetus Dyad Risk” in high-risk pregnancies.
Methods:
this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem’s General Nursing Model was used as the theoretical-conceptual foundation. Evaluation was conducted using the Delphi method with seven judges, and consensus was achieved when the Content Validity Index of the evaluated items was ≥ 0.80.
Results:
the theory identified 20 elements of the nursing diagnosis “Disrupted Mother-Fetus Dyad Risk” (10 risk factors, 4 at-risk populations, and 6 associated conditions), 14 propositions, and 1 pictogram. After two rounds of evaluation, the theory was considered consistent, with consensus reached for all items, each achieving a Content Validity Index ≥ 0.80.
Conclusions:
the Middle-Range Theory included biopsychosocial factors explaining the nursing phenomenon “Disrupted Mother-Fetus Dyad Risk,” which aids in nurses’ diagnostic reasoning.
- Ryanne Carolynne Marques Gomes Mendes
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ORIGINAL ARTICLE07-29-2024
Mental health of parents of children and adolescents who require special health care
- Eliana Roldão dos Santos Nonose ,
- Rosane Meire Munhak da Silva ,
- Eliane Tatsch Neves ,
- Débora Falleiros de Mello ,
- Adriana Zilly , [ … ],
- Regina Aparecida Garcia de Lima
Abstract
ORIGINAL ARTICLEMental health of parents of children and adolescents who require special health care
Revista Brasileira de Enfermagem. 2024;77(3):e20230457
DOI 10.1590/0034-7167-2023-0457
- Eliana Roldão dos Santos Nonose ,
- Rosane Meire Munhak da Silva ,
- Eliane Tatsch Neves ,
- Débora Falleiros de Mello ,
- Adriana Zilly ,
- Aline Cristiane Cavicchioli Okido ,
- Regina Aparecida Garcia de Lima
Views0See moreABSTRACT
Objective:
To identify the manifestations presented by parents of children and adolescents who require special health attention that can impact their mental health.
Methods:
exploratory, qualitative research, based on the concept of vulnerability, with data collection carried out through interviews with 18 parents of children and adolescents with special health care needs, hospitalized in the pediatric ward of a hospital in Paraná, between May/2017 and May/ 2018. Data analyzed by inductive thematic analysis.
Results:
parents experienced situations of vulnerability when providing care at home, with repercussions on their mental health, expressed by manifestations of lack of protection, anxiety and depression.
Final considerations:
It is important that health professionals seek to expand actions to promote care and reduce situations that generate threats, insecurities, concerns and damage to the health of parents, which can impact and further weaken care for children and adolescents who need attention especially health.
- Eliana Roldão dos Santos Nonose
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REVIEW07-29-2024
Profile of scientific production on nursing technology construction, validity and application: a bibliometric study
- Fernando Conceição de Lima ,
- Taís dos Passos Sagica ,
- João Lucas Moraes Souza ,
- Marta Lenise do Prado ,
- Mary Elizabeth de Santana , [ … ],
- Rubenilson Caldas Valois
Abstract
REVIEWProfile of scientific production on nursing technology construction, validity and application: a bibliometric study
Revista Brasileira de Enfermagem. 2024;77(3):e20230452
DOI 10.1590/0034-7167-2023-0452
- Fernando Conceição de Lima ,
- Taís dos Passos Sagica ,
- João Lucas Moraes Souza ,
- Marta Lenise do Prado ,
- Mary Elizabeth de Santana ,
- Ivonete Vieira Pereira Peixoto ,
- Rubenilson Caldas Valois
Views0See moreABSTRACT
Objective:
to analyze the profile of scientific production on nursing technology construction, validity and application.
Methods:
this is a bibliometric study, carried out in six databases, based on the Methodi Ordinatio application, arranged in nine stages. To represent the findings, the VOSviewer® software was used.
Results:
346 studies were identified, obtained from BDENF, CINAHL, EMBASE, LILACS, PubMed/MEDLINE, Scopus and Web of Science. There was a predominance of the English language, and 20% of the authors hold more than 25% of studies. Only two journals account for 25% of studies in the period studied. Twenty-six studies were selected for the InOrdinatio classification. Nursing Process (23%) stood out among the studies. The most produced technology was software (27%), and 50% of works describe construction and validity.
Conclusions:
there is an emphasis on the creation of educational technologies, especially information technology. The data demonstrates opportunities for future research in the area.
- Fernando Conceição de Lima
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ORIGINAL ARTICLE07-29-2024
Evaluation of software technical quality for collecting data from patients under palliative care
- Jéssica de Fátima Gomes Pereira ,
- Letícia Pontes ,
- Mitzy Tannia Reichembach Danski ,
- Solena Ziemer Kusma Fidalski ,
- Juliana de Oliveira dos Santos , [ … ],
- Edmilson Bezerra Cruz Júnior
Abstract
ORIGINAL ARTICLEEvaluation of software technical quality for collecting data from patients under palliative care
Revista Brasileira de Enfermagem. 2024;77(3):e20230435
DOI 10.1590/0034-7167-2023-0435
- Jéssica de Fátima Gomes Pereira ,
- Letícia Pontes ,
- Mitzy Tannia Reichembach Danski ,
- Solena Ziemer Kusma Fidalski ,
- Juliana de Oliveira dos Santos ,
- Maria Gorete de Brito Cunha ,
- Mairla Cristina Silva Mota ,
- Edmilson Bezerra Cruz Júnior
Views0See moreABSTRACT
Objectives:
to evaluate software technical quality for collecting data from patients under palliative care.
Methods:
this is methodological technology evaluation research, according to the technical standard International Organization for Standardization/International Electrotechnical Commission 25040-2011, developed from August 2021 to August 2023. Eight nurses and eight information technology professionals participated as judges, who evaluated six quality characteristics and 23 subcharacteristics. Items that reached a percentage of agreement greater than 70% were considered suitable.
Results:
the characteristics evaluated by nurses/information technology professionals received the following percentages of agreement, respectively: functional suitability (94%-84%); reliability (100-70%); usability (89.9-66.8%); performance efficiency (95.8%-86.1%); compatibility (95.8-79.6%); and safety (96%-83.4%).
Conclusions:
the software was considered suitable in quality evaluation to offer support to nurses in collecting patient data under palliative care, with the potential to operationalize the first Nursing Process stage.
- Jéssica de Fátima Gomes Pereira
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ORIGINAL ARTICLE07-29-2024
Sexual counseling for people with acute coronary syndrome: educational video development
- Laura Rizardi dos Santos Andrade ,
- Lanay Dourado dos Anjos ,
- Ana Paula Freitas Aguiar ,
- Edvone Alves de Lima ,
- Erika de Sá Vieira Abuchaim , [ … ],
- Vinicius Batista Santos
Abstract
ORIGINAL ARTICLESexual counseling for people with acute coronary syndrome: educational video development
Revista Brasileira de Enfermagem. 2024;77(3):e20230416
DOI 10.1590/0034-7167-2023-0416
- Laura Rizardi dos Santos Andrade ,
- Lanay Dourado dos Anjos ,
- Ana Paula Freitas Aguiar ,
- Edvone Alves de Lima ,
- Erika de Sá Vieira Abuchaim ,
- Juliana de Lima Lopes ,
- Camila Tákao Lopes ,
- Vinicius Batista Santos
Views0See moreABSTRACT
Objective:
to assess validity evidence of an educational video on safe sexual activity after acute coronary syndrome.
Method:
study in three phases: video development; content validity analysis by 11 experts; and analysis of validity based on response processes by seven people with coronary disease. The content validity ratio (CVR) was calculated with critical values for the second phase of 0.63 and for the third of 1.0.
Results:
the video addressed the importance of resuming sexual activity and positions that consume less energy, clinical warning signs, the importance of adhering to treatment and a welcoming environment for sexual practice. A CVR above the critical value was obtained with a total of 4 minutes and 41 seconds.
Conclusion:
the educational video brings together adequate content validity evidence and can be used as a tool for patients after acute coronary syndrome.
- Laura Rizardi dos Santos Andrade
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REVIEW07-29-2024
Utilization of local pressure devices in pain management during injections: scoping review
- Jefferson Wildes da Silva Moura ,
- Aline de Souza Bitencourt ,
- Thiago Lopes Silva ,
- Andréia Cristina Feitosa do Carmo ,
- Luciano Marques dos Santos , [ … ],
- Patrícia Kuerten Rocha
Abstract
REVIEWUtilization of local pressure devices in pain management during injections: scoping review
Revista Brasileira de Enfermagem. 2024;77(3):e20230399
DOI 10.1590/0034-7167-2023-0399
- Jefferson Wildes da Silva Moura ,
- Aline de Souza Bitencourt ,
- Thiago Lopes Silva ,
- Andréia Cristina Feitosa do Carmo ,
- Luciano Marques dos Santos ,
- Patrícia Kuerten Rocha
Views0See moreABSTRACT
Objective:
to map scientific evidence regarding the use of local pressure devices in pain relief during injection procedures in patients.
Methods:
scoping review, following the recommendations of the JBI Manual for Evidence Synthesis and PRISMA-ScR, with searches conducted in the PubMed, EMBASE, CINAHL, LILACS, and PsycINFO databases, without temporal restrictions and with a cutoff date of March 2023.
Results:
a total of 1,514 studies were identified, with 20 articles included in the final sample. The ShotBlocker® device was utilized during subcutaneous and intramuscular injections in children and adults, proving beneficial in reducing pain, anxiety, and fear associated with the procedure.
Final considerations:
the ShotBlocker® is a low-cost, easy-to-use device that can enhance nursing clinical practice during painful procedures. However, studies involving the Brazilian Pikluc® device are scarce. Further research involving both local pressure devices is recommended.
- Jefferson Wildes da Silva Moura
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ORIGINAL ARTICLE11-10-2023
Prenatal assessment of high-risk pregnancies in primary and specialized outpatient care: a mixed study
- Fabiana Fontana Medeiros ,
- Izabel Dayana de Lemos Santos ,
- Juliana Vicente de Oliveira Franchi ,
- Sebastião Caldeira ,
- Rosângela Aparecida Pimenta Ferrari , [ … ],
- Alexandrina Aparecida Maciel Cardelli
Abstract
ORIGINAL ARTICLEPrenatal assessment of high-risk pregnancies in primary and specialized outpatient care: a mixed study
Revista Brasileira de Enfermagem. 2023;76(5):e20220420
DOI 10.1590/0034-7167-2022-0420
- Fabiana Fontana Medeiros ,
- Izabel Dayana de Lemos Santos ,
- Juliana Vicente de Oliveira Franchi ,
- Sebastião Caldeira ,
- Rosângela Aparecida Pimenta Ferrari ,
- Sandra Marisa Pelloso ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Alexandrina Aparecida Maciel Cardelli
Views0ABSTRACT
Objectives:
to assess high-risk prenatal care and identify strategies for improving care.
Methods:
a mixed study of a prospective cohort, with 319 mothers in a public maternity hospital, from October 2016 to August 2017, using a semi-structured instrument and interview. Analysis was performed using the chi-square test (p≤0.05). The qualitative approach was carried out through interviews with guiding questions to 13 managers, at their workplace, between January and March 2020, analyzed under social phenomenology.
Results:
higher rates of inadequacy were identified for all criteria. However, when care was shared, there was a higher rate for performing tests (p=0.023), consultations (p=0.002), risk stratification (p=0.013) and emergency information (≤0.000). Weaknesses in the record evidenced impairment in communication and continuity of care.
Final Considerations:
shared care is a strategy for improving care, however there is a need to strengthen effective referral and counter-referral to care continuity.
Keywords:Health Services AdministrationPregnancy, High-RiskPrenatal CarePrimary Health CareSecondary CareSee more
- Fabiana Fontana Medeiros
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ERRATUM11-10-2023
ERRATUM
Revista Brasileira de Enfermagem. 2023;76(4):e2023n4e03
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2023;76(4):e2023n4e03
DOI 10.1590/0034-7167.20237604e03
Views0In the article “Diabetic foot ulcer self-care assessment: a scoping review”, with DOI number: https://doi.org/10.1590/0034-7167-2022-0555, published in Revista Brasileira de Enfermagem, 2023;76(3): e20220555, in the title:Where it read:[…]See more -
ERRATUM10-30-2023
ERRATUM
Revista Brasileira de Enfermagem. 2023;76(3):e2023n3e01
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2023;76(3):e2023n3e01
DOI 10.1590/0034-7167.20237603e01
Views0In the article “Perceptions of adults with obesity about multiprofessional remote monitoring at the beginning of the COVID-19 pandemic”, with DOI number: , published in Revista Brasileira de Enfermagem, 2021;74(Suppl 1): e20200710, on page 8:Where it read:[…]See more -
A pós-pandemia de COVID-19: perspectivas da atuação profissional na enfermagem
Revista Brasileira de Enfermagem. 2023;76:e76Suppl101
Abstract
A pós-pandemia de COVID-19: perspectivas da atuação profissional na enfermagem
Revista Brasileira de Enfermagem. 2023;76:e76Suppl101
DOI 10.1590/0034-7167.202376Suppl101pt
Views0Durante a pandemia de COVID-19, os trabalhadores de enfermagem foram essenciais na prestação de cuidados à saúde, diante do elevado número de pessoas infectadas pelos vírus SARS-CoV-2 e adoecidos pela COVID-19 e pela Síndrome Respiratória Aguda Grave (SRAG). Neste contexto, os serviços de saúde ficaram sobrecarregados, e muitos de seus profissionais adoeceram e morreram.A enfermagem […]See more -
The post-COVID-19 pandemic: perspectives of professional practice in nursing
Revista Brasileira de Enfermagem. 2023;76:e76Suppl101
Abstract
The post-COVID-19 pandemic: perspectives of professional practice in nursing
Revista Brasileira de Enfermagem. 2023;76:e76Suppl101
DOI 10.1590/0034-7167.202376Suppl101
Views0During the COVID-19 pandemic, nursing workers were essential in providing health care, given the high number of people infected with SARS-CoV-2 viruses and sick with COVID-19 and Severe Acute Respiratory Syndrome (SARS). In this context, health services were overloaded, and many of their professionals fell ill and died.Nursing proved to be essential during the critical […]See more -
ORIGINAL ARTICLE10-09-2023
Transition of care in post-hospitalization patients due to covid-19 in a hospital in northeastern Brazil
- Marianny Nayara Paiva Dantas ,
- Evelyn Silva de Sousa ,
- Sarah Lyandra Furtado Faustino ,
- Isabelle Campos de Azevedo ,
- Viviane Euzébia Pereira Santos
Abstract
ORIGINAL ARTICLETransition of care in post-hospitalization patients due to covid-19 in a hospital in northeastern Brazil
Revista Brasileira de Enfermagem. 2023;76:e20230030
DOI 10.1590/0034-7167-2023-0030
- Marianny Nayara Paiva Dantas ,
- Evelyn Silva de Sousa ,
- Sarah Lyandra Furtado Faustino ,
- Isabelle Campos de Azevedo ,
- Viviane Euzébia Pereira Santos
Views0See moreABSTRACT
Objective:
To analyze the transition of care for post-hospitalization patients due to covid-19 in a hospital in northeastern Brazil.
Methods:
Quantitative, cross-sectional, descriptive, and analytical study carried out between 2020 and 2021. The sample had 78 patients. Data collection took place by telephone with the support of a sociodemographic questionnaire and the care transition assessment instrument (Care Transitions Measure).
Results:
The average length of stay was 24.04 days. The average score for care transition was 71.68 (±11.71). “Self-management training” and “Understanding of medications” had higher averages, 75.15 (±13.76) and 74.10 (±16.20).
Conclusions:
The average length of stay was 24.04 days. The average score for care transition was 71.68 (±11.71). “Self-management training” and “Understanding of medications” had higher averages, 75.15 (±13.76) and 74.10 (±16.20).
- Marianny Nayara Paiva Dantas
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Experiências de parto de mulheres durante a pandemia de COVID-19 na Indonésia
Revista Brasileira de Enfermagem. 2023;76:e20220640
Abstract
Experiências de parto de mulheres durante a pandemia de COVID-19 na Indonésia
Revista Brasileira de Enfermagem. 2023;76:e20220640
DOI 10.1590/0034-7167-2022-0640
Views0See moreRESUMEN
Objetivo:
Explorar en profundidad las experiencias de las mujeres que dieron a luz durante la pandemia de COVID-19 en Indonesia.
Métodos:
Investigación cualitativa con enfoque fenomenológico descriptivo. Un total de 16 participantes que no sufrieron de COVID-19 dieron a luz durante la pandemia de COVID-19 en el entorno comunitario.
Resultados:
Hay cinco temas: 1: Los sentimientos de ansiedad y miedo de dar a luz en los hospitales son experimentados por las mujeres que dan a luz durante la pandemia de COVID-19, 2. Detección de COVID y protocolos de salud aplicados en los hospitales durante la pandemia de COVID-19, 3. Se necesita el apoyo de esposos, familias y trabajadores de la salud cuando se da a luz durante la pandemia de COVID-19, 4. La falta de horarios de visitas familiares es un obstáculo durante el parto, particularmente durante la pandemia de COVID-19, y 5: Vínculo entre madre y bebé mientras están en el hospital.
Conclusión:
la atención de enfermería de maternidad óptima y el apoyo de los centros de salud y las políticas públicas ayudarán a las madres a dar a luz durante la pandemia de COVID-19 en Indonesia.
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ORIGINAL ARTICLE10-09-2023
Women’s Childbirth Experiences During COVID-19 Pandemic in Indonesia
Revista Brasileira de Enfermagem. 2023;76:e20220640
Abstract
ORIGINAL ARTICLEWomen’s Childbirth Experiences During COVID-19 Pandemic in Indonesia
Revista Brasileira de Enfermagem. 2023;76:e20220640
DOI 10.1590/0034-7167-2022-0640
Views0See moreABSTRACT
Objective:
Explore in depth the experiences of women giving birth during the COVID-19 pandemic in Indonesia.
Methods:
Qualitative research with a descriptive phenomenological. A total of 16 participants did not suffer from COVID-19 and gave birth during the COVID-19 pandemic in the community setting area.
Results:
There are five themes: 1: Feelings of anxiety and fear of giving birth in hospitals are experienced by women giving birth during the COVID-19 pandemic, 2. Screening for COVID and health protocols applied in hospitals during the COVID-19 pandemic, 3. Support from husbands, families, and health workers is needed when giving birth during the COVID-19 pandemic, 4. Lack of family visits hours is an obstacle during childbirth, particularly during the COVID-19 pandemic, and 5: Bonding attachment between mother and baby while at the hospital.
Conclusion:
Optimal maternity nursing care and supporting health facilities and public policies will help mothers give birth during the COVID-19 pandemic in Indonesia.
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The experience of grandmothers of children with cancer
Revista Brasileira de Enfermagem. 2016;69(3):559-565
Abstract
The experience of grandmothers of children with cancer
Revista Brasileira de Enfermagem. 2016;69(3):559-565
DOI 10.1590/0034-7167.2016690320i
Views0See moreABSTRACT
Objective:
to understand, from grandmothers’ perspectives, the experience of having a grandchild with cancer.
Method:
qualitative study, guided by philosophical hermeneutics. Eight grandmothers of children who had finished an oncology treatment participated in this study. Data were collected through interviews, which were recorded, transcribed, and analyzed according to the principles of hermeneutics.
Results:
the grandmothers underwent an experience of multiplied, silent, transformative, and permanent suffering. They believe it is their role to be present, but they recognize their adult children’s independence and self-determination. Grandmothers highlighted that their experience has been very little accessed and considered by health care professionals.
Conclusion:
we recommend including grandparents in the context of care and in additional research.
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Knowledge of healthcare professionals on the evaluation and treatment of neonatal pain
Revista Brasileira de Enfermagem. 2016;69(3):552-558
Abstract
Knowledge of healthcare professionals on the evaluation and treatment of neonatal pain
Revista Brasileira de Enfermagem. 2016;69(3):552-558
DOI 10.1590/0034-7167.2016690319i
Views0See moreABSTRACT
Objective:
to identify knowledge of healthcare professionals on the management, evaluation and treatment of pain in a neonatal unit in a municipality of Rio de Janeiro.
Method:
descriptive, exploratory study with quantitative analysis. Data were analyzed using the software R. Core Team
Results:
of the 96 healthcare professionals who participated in the study, 42 nursing aides/technicians responded, along with 22 nurses, 20 physicians and 2 physical therapists. The results showed that 40.5% of the nursing aides/technicians, 50% of the physicians and 50% of the physical therapists confirmed that they coordinate/perform/assist in the care of babies’ pain while performing procedures (lumbar puncture, chest tube insertion and central line). There was a significant difference of agreement in relation to the nursing aides/technicians and physicians. Most (69.8%) of the healthcare professionals knew of some non-pharmacological measure effective for relief of acute pain.
Conclusion:
there is a need for an educational intervention program, with participation of those involved, in the process to change professional practice.
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Moments for hand hygiene in Material and Sterilization Center
Revista Brasileira de Enfermagem. 2016;69(3):546-551
Abstract
Moments for hand hygiene in Material and Sterilization Center
Revista Brasileira de Enfermagem. 2016;69(3):546-551
DOI 10.1590/0034-7167.2016690318i
Views0See moreABSTRACT
Objective:
to characterize the moments when there is a need for hand hygiene (HH) by employees who work in Material and Sterilization Center (MSC).
Method:
we conducted a descriptive cross-sectional study in the MSC of a large hospital, from July to November 2012, in Goiânia, state of Goiás, Brazil. Data obtained through observation of workers, following a previously evaluated and tested checklist.
Results:
to the dirty area, standardized moments of HH were enough. In the clean area, “Extra moments with indication” for HH, resulting from the work process, such as: after disinfecting benches, after verification and inventory of consigned products, before assembling boxes/trays, before loading and unloading the autoclave, before handling and distributing health care products, among others, were necessary.
Conclusion:
the moments of HH in the dirty area coincide with indications of the clinical practice; and, in the clean area, characteristic moments of the work process were captured.
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The experience of family care in transitional support houses
Revista Brasileira de Enfermagem. 2016;69(3):538-545
Abstract
The experience of family care in transitional support houses
Revista Brasileira de Enfermagem. 2016;69(3):538-545
DOI 10.1590/0034-7167.2016690317i
Views0See moreABSTRACT
Objective:
to present the theoretical model that represents the experience of care in transitional homes of support to families of children in a period of post-transplantation of hematopoietic stem cells.
Method:
grounded theory, performed with 18 participants from three different samples. For analysis, we used the QSR Nvivo10 software.
Results:
we elaborated four categories: living in the transitional support home; experiencing care of children in post-transplantation of hematopoietic stem cells; taking care of the family caregiver; and returning to a new life at home, which interrelate according to the theoretical code of the interactive family.
Conclusion:
this research contributes to understanding the experience of care in transitional support homes of families with children in post-transplantation of hematopoietic stem cells and subsidizes nursing and health actions provided to this population; it also contributes to the development of a hospital discharge guidance and care directed to this clientele.
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Social representations of nurses on tuberculosis
Revista Brasileira de Enfermagem. 2016;69(3):532-537
Abstract
Social representations of nurses on tuberculosis
Revista Brasileira de Enfermagem. 2016;69(3):532-537
DOI 10.1590/0034-7167.2016690316i
Views0See moreABSTRACT
Objective:
to describe the social representation of nurses on tuberculosis and identify the implications on nursing care.
Method:
qualitative research with the participation of 52 nurses from 23 Basic Health Units of Belém, Pará. A semi-structured interview was conducted with subsequent analysis of the thematic content according to the Theory of Social Representations.
Results:
the social representations of tuberculosis were organized into two categories: infection, evidencing the clinical-epidemiological aspects of the disease, and stigma and prejudice, representing the social aspect. Care is affected by fear – a fact that explains the distance adopted by some nurses when handling ill people.
Conclusion:
the social representations of nurses on tuberculosis remain grounded in fear, leading professionals to keep a certain distance from patients and generating stigma and prejudice, which may affect adherence to treatment.
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Health care for children and adolescents with HIV: a comparison of services
Revista Brasileira de Enfermagem. 2016;69(3):522-531
Abstract
Health care for children and adolescents with HIV: a comparison of services
Revista Brasileira de Enfermagem. 2016;69(3):522-531
DOI 10.1590/0034-7167.2016690315i
Views0See moreABSTRACT
Objective:
compare the quality of different types of health care for children and adolescents with HIV, in the experience of family members and caregivers.
Method:
a cross-sectional study was conducted with 71 family members and caregivers, using the children’s version of the Primary Care Assessment Tool (PCATool-Brazil). The Mann-Whitney or Student’s t-test and Pearson’s chi-square or Fisher’s exact test were used for the analysis.
Results:
primary care services and, predominantly, specialized HIV services, were identified as the regular health care sources. There were no significant differences in quality, since their scores were close to the ideal level.
Conclusion:
the attributes of these services need to be improved, which would entail reformulating their structural and performance aspects. In addition, it is imperative to recognize primary health care as an integral place for promoting the health of children and adolescents with HIV.
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Nursing care in Specialized HIV/Aids Outpatient Services
Revista Brasileira de Enfermagem. 2016;69(3):515-521
Abstract
Nursing care in Specialized HIV/Aids Outpatient Services
Revista Brasileira de Enfermagem. 2016;69(3):515-521
DOI 10.1590/0034-7167.2016690314i
Views0See moreABSTRACT
Objective:
to analyze the discourses about the care provided by nurses operating in Specialized HIV/Aids Outpatient Services in four public institutions of the city of Fortaleza, Ceará, Brazil.
Method:
descriptive and exploratory study with a qualitative approach, which used as a method the discourse analysis.
Results:
when titling the “care as negative”, such title came from the analogy proposed by Freud (1912) with the photographic negative, represented by what that care can configure from the unconscious movement, since nurses did not perceive themselves in the care actions developed by supporting the work of other occupational categories, contributing to maintain the ideology of biomedicine.
Conclusion:
it is necessary to justify and theorize a nursing clinical practice from epistemological issues of the profession, in such a way that nurses can understand their relevance within the care provided.
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Notification of health problems among nursing workers in university hospitals
Revista Brasileira de Enfermagem. 2016;69(3):507-514
Abstract
Notification of health problems among nursing workers in university hospitals
Revista Brasileira de Enfermagem. 2016;69(3):507-514
DOI 10.1590/0034-7167.2016690313i
Views0See moreABSTRACT
Objective:
to identify the health problems of nursing workers and describe their consequences.
Method:
an epidemiological, descriptive study with a quantitative approach. The survey was conducted through the Health Monitoring System for Nursing Workers (SIMOSTE) in three university hospitals in São Paulo within a 12-month period.
Results:
a total of 970 records related to health problems were identified; most of these were related to sick leave, occupational accidents with leave, absences, and occupational accidents without leave, with a predominance of musculoskeletal and respiratory system diseases, infectious and parasitic diseases, and nervous system diseases, among others. A total of 4,161 days of work were lost because of the mentioned health problems.
Conclusion:
the results evidence the need to propose preventive strategies to mitigate and reduce health problems in nursing workers.
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