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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
Views0See moreABSTRACT
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.
- 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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REVIEW10-09-2023
Effects on communication due to face mask use: an integrative review
- Jonathan Grassi ,
- Isabel Barreto de Oliveira ,
- Laura Franco Chiriboga ,
- Andréa Alves Maia ,
- Margareth Attianezi , [ … ],
- Aline Neves Pessoa Almeida
Abstract
REVIEWEffects on communication due to face mask use: an integrative review
Revista Brasileira de Enfermagem. 2023;76(4):e20220674
DOI 10.1590/0034-7167-2022-0674
- Jonathan Grassi ,
- Isabel Barreto de Oliveira ,
- Laura Franco Chiriboga ,
- Andréa Alves Maia ,
- Margareth Attianezi ,
- Aline Neves Pessoa Almeida
Views0See moreABSTRACT
Objectives:
to integrate evidence from studies on auditory perceptual and speech production effects in communication situations with face mask use.
Methods:
an integrative literature review, in MEDLINE, Cochrane Library and Embase databases. The guiding question was: what effects on communication (perceptual-auditory and speech production) occur with face mask use?
Results:
searches in electronic databases resulted in 1,478 studies and filtering resulted in 29 final studies.
Conclusions:
mask use has effects on communication, both in perception and speech production, factors that are also related to quality of life, stress and socio-emotional factors. These data can impact on indicators and alerts in favor of adopting strategies to manage mask use, involving speech production and perception when wearing a mask in health services.
- Jonathan Grassi
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ORIGINAL ARTICLE10-09-2023
Expansion of Psychosocial Care Centers and their relationship with health and human rights
- Antonio José Correa de Pauli ,
- Caíque Rossi Baldassarini ,
- Janaína Cristina Pasquini de Almeida ,
- Jaqueline Lemos de Oliveira ,
- Regina Célia Fiorati , [ … ],
- Jacqueline de Souza
Abstract
ORIGINAL ARTICLEExpansion of Psychosocial Care Centers and their relationship with health and human rights
Revista Brasileira de Enfermagem. 2023;76(4):e20220662
DOI 10.1590/0034-7167-2022-0662
- Antonio José Correa de Pauli ,
- Caíque Rossi Baldassarini ,
- Janaína Cristina Pasquini de Almeida ,
- Jaqueline Lemos de Oliveira ,
- Regina Célia Fiorati ,
- Carla Aparecida Arena Ventura ,
- Jacqueline de Souza
Views0See moreABSTRACT
Objective:
To analyze the factors associated with the expansion of the number of Brazilian Psychosocial Care Centers (CAPS) considering aspects related to the general health scenario and the institutionalization of human rights.
Methods:
An analytical document-based study, developed between February 2020 and May 2022, whose secondary data on the 27 Brazilian capitals were collected on platforms in the public domain, based on the time series from 2015 to 2020. Indicators were listed based on health system infrastructure and quality of life. For data analysis, descriptive statistics, Pearson’s correlation test and Student’s t test were used.
Results:
The capitals that expanded the number of CAPS in the analyzed period were the ones that presented the greatest political-legal framework for the protection of human rights.
Conclusion:
The results suggest that the greater the commitment of governments in favor of human rights, the greater the investment for CAPS expansion.
- Antonio José Correa de Pauli
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ORIGINAL ARTICLE10-09-2023
Prevalence of non-communicable chronic diseases: arterial hypertension, diabetes mellitus, and associated risk factors in long-lived elderly people
- Andreia Matos da Silva ,
- Ariane Silva do Carmo ,
- Vicente Paulo Alves ,
- Luiz Sérgio Fernandes de Carvalho
Abstract
ORIGINAL ARTICLEPrevalence of non-communicable chronic diseases: arterial hypertension, diabetes mellitus, and associated risk factors in long-lived elderly people
Revista Brasileira de Enfermagem. 2023;76(4):e20220592
DOI 10.1590/0034-7167-2022-0592
- Andreia Matos da Silva ,
- Ariane Silva do Carmo ,
- Vicente Paulo Alves ,
- Luiz Sérgio Fernandes de Carvalho
Views0See moreABSTRACT
Objective:
To identify the prevalence of non-communicable chronic diseases: arterial hypertension, diabetes mellitus, and associated risk factors in long-lived elderly people from three Brazilian regions.
Methods:
This is a multicenter, cross-sectional, and comparative study conducted with elderly people aged 80 years or older.
Results:
Higher prevalence of arterial hypertension were observed among those who use polypharmacy (75.7%), among elderly people aged between 80 and 84 years (33.9%), as well as in elderly people who are overweight (78.2%). The prevalence of diabetes was 24% (RP: 0.76; 95% CI: 0.59-0.98) lower among women compared to men and 2.15 times higher among those who use five or more medications (RP: 2.15; 95% CI: 1.63-2.85).
Conclusions:
In our sample, polypharmacy, body weight, and gender determine the prevalence of non-communicable chronic diseases: arterial hypertension and diabetes mellitus in long-lived elderly people.
- Andreia Matos da Silva
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10-09-2023
Autocompaixão entre estudantes de enfermagem de uma Universidade Estadual da Indonésia durante a pandemia de COVID-19
Revista Brasileira de Enfermagem. 2023;76(4):e20220585
Abstract
Autocompaixão entre estudantes de enfermagem de uma Universidade Estadual da Indonésia durante a pandemia de COVID-19
Revista Brasileira de Enfermagem. 2023;76(4):e20220585
DOI 10.1590/0034-7167-2022-0585
Views0See moreRESUMEN
Objetivo:
Determinar el nivel de autocompasión e investigar las relaciones entre las variables sociodemográficas y la autocompasión entre estudiantes de pregrado de enfermería en una universidad estatal de Indonesia durante la pandemia de COVID-19
Métodos:
Este estudio utilizó un diseño transversal. Las muestras se seleccionaron mediante una técnica de muestreo aleatorio estratificado proporcional (n=260). Los datos se recopilaron utilizando una versión indonesia de la Escala de Autocompasión, que consta de 6 subescalas: bondad propia, autocrítica, humanidad común, aislamiento, atención plena y sobre identificación. Los datos se analizaron mediante análisis univariado y bivariado.
Resultados:
El 60% de los estudiantes tenían autocompasión moderada. Los estudiantes puntuaron más alto en amabilidad consigo mismos (3,93±1,02) y sobre identificación (3,58±0,94), lo que indica que a menudo intentaban amarse a sí mismos cuando sentían dolor emocional y a menudo se dejaban llevar cuando sucedió algo perturbador. Posteriormente, se encontró una correlación significativa entre la edad y la autocompasión (p<0,05).
Conclusión:
La autocompasión entre los estudiantes de enfermería debe mejorarse por medio de intervenciones como la alfabetización de la compasión, el entrenamiento en atención plena y las técnicas experienciales basadas en la compasión.
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ORIGINAL ARTICLE10-09-2023
Self-compassion among Undergraduate Nursing Students at a State University in Indonesia during the COVID-19 Pandemic
Revista Brasileira de Enfermagem. 2023;76(4):e20220585
Abstract
ORIGINAL ARTICLESelf-compassion among Undergraduate Nursing Students at a State University in Indonesia during the COVID-19 Pandemic
Revista Brasileira de Enfermagem. 2023;76(4):e20220585
DOI 10.1590/0034-7167-2022-0585
Views0See moreABSTRACT
Objective:
To determine the level of self-compassion and investigate the relationships between sociodemographic variables and self-compassion among undergraduate nursing students at a state university in Indonesia during the COVID-19 Pandemic.
Methods:
This study used a cross-sectional design. Samples were selected using a proportionate stratified random sampling technique (n=260). Data were collected using an Indonesian version of the Self-compassion Scale, which consists of 6 subscales: self-kindness, self-judgment, common humanity, isolation, mindfulness, and overidentification. Data were analyzed using univariate and bivariate analysis.
Results:
60% of students had moderate self-compassion. Students scored the highest in self-kindness (3,93±1,02) and over-identification (3,58±0,94), indicating that they often tried to love themselves when they felt emotional pain and often get carried away when something upsetting happened. Subsequently, a significant correlation was found between age and self-compassion (p<0.05).
Conclusion:
Self-compassion among nursing students should be improved through interventions such as compassion literacy, mindfulness training, and compassion-based experiential techniques.
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10-09-2023
Um estudo qualitativo das razões para baixa notificação de incidentes de segurança do paciente entre enfermeiros indonésios
Revista Brasileira de Enfermagem. 2023;76(4):e20220583
Abstract
Um estudo qualitativo das razões para baixa notificação de incidentes de segurança do paciente entre enfermeiros indonésios
Revista Brasileira de Enfermagem. 2023;76(4):e20220583
DOI 10.1590/0034-7167-2022-0583
Views0See moreRESUMEN
Objetivos:
investigar las razones de la baja notificación de incidentes de seguridad del paciente entre las enfermeras de Indonesia.
Métodos:
este estudio de caso cualitativo se llevó a cabo entre 15 enfermeras clínicas seleccionadas intencionalmente de un hospital público en Lampung, Indonesia. Se utilizó un guión de entrevista para la recolección de datos a través de entrevistas presenciales en profundidad en julio de 2022. Se utilizó el enfoque temático para el análisis de datos.
Resultados:
en este estudio surgieron siete temas: (1) Comprender la notificación de incidentes; (2) La cultura; (3) Consecuencias de la notificación; (4) Socialización y capacitación; (5) Instalaciones; (6) Comentarios; y (7) Recompensas y Castigos.
Consideraciones Finales:
estos hallazgos deben ser considerados desafíos para el comité de seguridad del paciente y la gerencia del hospital para aumentar la notificación de incidentes de seguridad del paciente, especialmente entre las enfermeras del hospital.
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ORIGINAL ARTICLE10-09-2023
A qualitative study of the reasons for low patient safety incident reporting among Indonesian nurses
Revista Brasileira de Enfermagem. 2023;76(4):e20220583
Abstract
ORIGINAL ARTICLEA qualitative study of the reasons for low patient safety incident reporting among Indonesian nurses
Revista Brasileira de Enfermagem. 2023;76(4):e20220583
DOI 10.1590/0034-7167-2022-0583
Views0See moreABSTRACT
Objectives:
to investigate the reasons for low patient safety incident reporting among Indonesian nurses.
Methods:
this qualitative case study was conducted among 15 clinical nurses selected purposively from a public hospital in Lampung, Indonesia. Interview guidelines were used for data collection through face-to-face in-depth interviews in July 2022. The thematic approach was used to analyze the data.
Results:
in this present study, seven themes emerged (1) Understanding incident reporting; (2) The culture; (3) Consequences of reporting; (4) Socialization and training; (5) Facilities; (6) Feedback; and (7) Rewards and punishments.
Final Considerations:
these findings should be considered challenges for the patient safety committee and hospital management to increase patient safety incident reporting, particularly among nurses in the hospital.
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ORIGINAL ARTICLE10-09-2023
Compliance with central venous catheter infection prevention practices after intervention with simulation
- Thayane Gusmão Pires de Oliveira ,
- Juliana de Oliveira Marcatto ,
- Allana dos Reis Corrêa ,
- Luciano Marques dos Santos ,
- Patrícia Kuerten Rocha , [ … ],
- Bruna Figueiredo Manzo
Abstract
ORIGINAL ARTICLECompliance with central venous catheter infection prevention practices after intervention with simulation
Revista Brasileira de Enfermagem. 2023;76(4):e20220574
DOI 10.1590/0034-7167-2022-0574
- Thayane Gusmão Pires de Oliveira ,
- Juliana de Oliveira Marcatto ,
- Allana dos Reis Corrêa ,
- Luciano Marques dos Santos ,
- Patrícia Kuerten Rocha ,
- Delma Aurélia da Silva Simão ,
- Bruna Figueiredo Manzo
Views0See moreABSTRACT
Objectives:
to assess the effect of an educational intervention based on clinical simulation on nursing professionals’ compliance with practices to prevent peripherally inserted central venous catheter-associated primary bloodstream infections in a Neonatal Intensive Care Unit.
Methods:
a quasi-experimental study, with preand post-intervention assessment with a single group. The population consisted of 41 nursing professionals, with 31 observations being made before and after the intervention. Analyzes were performed using descriptive statistics and the McNemar non-parametric test. A significance level of 5% was adopted.
Results:
after the intervention, there was an increase in compliance with prevention practices of surgical antisepsis and professional hand hygiene, skin antisepsis with chlorhexidine, waiting for the time of the effect of alcoholic chlorhexidine and compliance with the sterile technique.
Conclusions:
the educational intervention showed an effect on increasing compliance with catheter-associated infection prevention practices.
- Thayane Gusmão Pires de Oliveira
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06-01-2015
Perceptions of adolescent students about drugs
Revista Brasileira de Enfermagem. 2015;68(3):517-523
Abstract
Perceptions of adolescent students about drugs
Revista Brasileira de Enfermagem. 2015;68(3):517-523
DOI 10.1590/0034-7167.2015680320i
Views0See moreABSTRACT
Objective:
To analyze the perceptions of adolescent public school students about drugs.
Method:
Qualitative approach of focus groups with 16 adolescent students. The data collected were analyzed by means of content analysis, leading to the following categories: meaning of drugs; living with drug use; opinions, beliefs and attitudes toward drug use; and preventing drug abuse in adolescence.
Results:
The adolescent students know about some drugs, and associate their use with delinquent and criminal behavior. The students identifi ed factors that lead to drug abuse, such as easy access, use by family and friends, idleness, dropping out of school and the characteristic vulnerability of adolescence.
Conclusion:
the results point to the need for educational activities in the context of where the adolescents live, including school, community and family environments, to support and to minimize their vulnerability.
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06-01-2015
Cognitive stimulation for older people with Alzheimer’s disease performed by the caregiver
Revista Brasileira de Enfermagem. 2015;68(3):510-516
Abstract
Cognitive stimulation for older people with Alzheimer’s disease performed by the caregiver
Revista Brasileira de Enfermagem. 2015;68(3):510-516
DOI 10.1590/0034-7167.2015680319i
Views0See moreABSTRACT
Objective:
to learn the infl uence of cognitive therapy at home, conducted by the caregivers of older people with Alzheimer’s Disease.
Method:
a case study was developed with fi ve older people with Alzheimer’s Disease and their caregivers. The stages of research development were: orientation with the caregivers; selection of older people and caregivers; approach of the study subjects at home; weekly meetings and reapplication of tests to follow up the cognitive function of the participants.
Results:
in three months it was possible to identify improved cognition, verifi ed by the result of the Mini-Mental State Examination (MMSE). The scores of the other tests (KATZ, LAWTON, CLOCK TEST and VFT) remained the same.
Conclusion:
this strategy can be considered a light technology of nursing care for older people with dementia. When providing this care with the support of a nurse, caregivers re feel less anxious and understand the disease better.
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06-01-2015
Anxiety and spirituality in university students: a cross-sectional study
Revista Brasileira de Enfermagem. 2015;68(3):504-509
Abstract
Anxiety and spirituality in university students: a cross-sectional study
Revista Brasileira de Enfermagem. 2015;68(3):504-509
DOI 10.1590/0034-7167.2015680318i
Views0See moreABSTRACT
Objective:
to study anxiety and spirituality and the relationship between them in university students.
Method:
the State-Trait-Anxiety Inventory (STAI) and Pinto and Pais-Ribeiro Spirituality Scales were used for data collection.
Results:
six hundred and sixty-nine students participated in the study, of whom 91.5% had moderate and high levels of trait anxiety and 92.9% of state anxiety; 93.8% had high spirituality scores. The multiple linear regression test showed a signifi cant relationship between anxiety and the presence of physical discomfort, unusual body movements, and the need for treatment. Furthermore, higher levels of anxiety were associated with the female gender, the lack of leisure activities, and low levels of optimism in the spirituality scale.
Conclusion:
it is important to develop strategies for coping with anxiety, which in turn can be oriented toward protective factors such as spirituality.
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06-01-2015
Nursing guidance on bed baths to reduce anxiety
Revista Brasileira de Enfermagem. 2015;68(3):497-503
Abstract
Nursing guidance on bed baths to reduce anxiety
Revista Brasileira de Enfermagem. 2015;68(3):497-503
DOI 10.1590/0034-7167.2015680317i
Views0See moreABSTRACT
Objective:
to evaluate the effectiveness of a nursing guidance protocol to reduce the anxiety of patients with acute coronary syndrome undergoing bed bath, and the correlation of vital signs with state-anxiety.
Method:
randomized clinical trial study. The sample consisted of 120 patients. The intervention group received a nursing guidance protocol about bed bath and the control group received the unit’s routine information. The STAI-State scale was used to assess anxiety, and data were collected at three times: immediately after informing the patients about the bed bath; immediately after interventions; and immediately after the bath.
Results:
the intervention group presented signifi cantly lower state-anxiety compared to the control group (p<0.001) after the intervention.
Conclusion:
the nursing orientation was effective to reduce anxiety in patients with acute coronary syndrome undergoing bed bath.
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06-01-2015
Body language in health care: a contribution to nursing communication
Revista Brasileira de Enfermagem. 2015;68(3):490-496
Abstract
Body language in health care: a contribution to nursing communication
Revista Brasileira de Enfermagem. 2015;68(3):490-496
DOI 10.1590/0034-7167.2015680316i
Views0See moreABSTRACT
Objective:
to classify body language used in nursing care, and propose “Body language in nursing care” as an analytical category for nursing communication.
Method:
quantitative research with the systematic observation of 21:43 care situations, with 21 members representing the nursing teams of two hospitals. Empirical categories: sound, facial, eye and body expressions.
Results:
sound expressions emphasized laughter. Facial expressions communicated satisfaction and happiness. Eye contact with members stood out in visual expressions. The most frequent body expressions were head movements and indistinct touches.
Conclusion:
nursing care team members use body language to establish rapport with patients, clarify their needs and plan care. The study classifi ed body language characteristics of humanized care, which involves, in addition to technical, non-technical issues arising from nursing communication.
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06-01-2015
Health promotion in supplementary health care: outsourcing, microregulation and implications for care
Revista Brasileira de Enfermagem. 2015;68(3):482-489
Abstract
Health promotion in supplementary health care: outsourcing, microregulation and implications for care
Revista Brasileira de Enfermagem. 2015;68(3):482-489
DOI 10.1590/0034-7167.2015680315i
Views0See moreABSTRACT
Objective:
to analyze health promotion programs in the supplementary health care.
Methods:
This was a multiple case study with a qualitative approach whose data were obtained from interviews with coordinators of providers contracted by the corporations of health insurance plans in Belo Horizonte, Minas Gerais. The data were submitted to Critical Discourse Analysis.
Results:
Home care has been described as the main action in the fi eld of health promotion transferred to the providers, followed by management of patients and cases, and the health education.groups. The existence of health promotion principles is questionable in all programs. Outsourcing is marked by a process with a division between cost and care management. Implications of this process occur within admission and interventions on the needs of the benefi ciaries.
Conclusions:
Statements revealed rationalization of cost, restructuring of work, and reproduction of the dominant logic of capital accumulation by the health insurance companies.
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06-01-2015
Drug addicts treatment motivations: perception of family members
Revista Brasileira de Enfermagem. 2015;68(3):474-481
Abstract
Drug addicts treatment motivations: perception of family members
Revista Brasileira de Enfermagem. 2015;68(3):474-481
DOI 10.1590/0034-7167.2015680314i
Views1See moreABSTRACT
Objective:
to identify the reasons and motivations why family members search treatment for the drug addicted.
Method:
descriptive qualitative research, developed in 2012 and 2013, in a Drug Addicts Rehabilitation Unit of Parana State, Brazil. A total of 19 semi-structured interviews were conducted with the drug addicts’ family members in treatment. The results were analyzed based on the Transtheoretical Model of Behavior Change and organized in thematic categories according with qualitative data analysis.
Results:
the search for treatment for drug addicts occurred: in the pre-contemplation stage infl uenced by external factors; in the contemplation stage both for ambivalence and behavioral changes needs; in the action stage by awareness of drug addiction and also professional help needs; and in the maintenance stage because of the non-conservation of behavioral changes.
Conclusion:
an evaluation of motivational stages in the beginning of treatment is required for expansion of success possibilities in the rehabilitation process.
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06-01-2015
Gateway to the diagnosis of tuberculosis among elders in Brazilian municipalities
Revista Brasileira de Enfermagem. 2015;68(3):467-473
Abstract
Gateway to the diagnosis of tuberculosis among elders in Brazilian municipalities
Revista Brasileira de Enfermagem. 2015;68(3):467-473
DOI 10.1590/0034-7167.2015680313i
Views0See moreABSTRACT
Objective:
to analyze the factors associated with the gateway of the health systems of Brazilian municipalities for the diagnosis of tuberculosis in older people.
Method:
survey study type, with a sample of 91 elders, in a population with 706 cases of tuberculosis. Data were collected by means of an instrument based on the Primary Care Assessment Tool (PCAT) adapted for tuberculosis care, emphasizing the gateway variable. Variables were categorized and compared between primary health care (PHC) and specialized care (SC) services. Bivariate analysis and the Chi-square association test were used.
Results:
a statistically signifi cant association (p = 0.0001) was found between the fi rst health service sought and the unit that diagnosed tuberculosis, showing better performance of specialized care services in the diagnosis.
Conclusion:
it is necessary to improve primary health care services to tackle delayed diagnosis of tuberculosis in older people.
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