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06-14-2024
Duração e qualidade do sono da equipe de enfermagem brasileira que trabalha em turnos
- Rosângela Marion da Silva
, - Regina Célia Gollner Zeitoune ,
- Flávia Camef Dorneles Lenz ,
- Carolina Renz Pretto ,
- Katerine Moraes dos Santos , [ … ],
- Alexa Pupiara Flores Coelho Centenaro
Abstract
Duração e qualidade do sono da equipe de enfermagem brasileira que trabalha em turnos
Revista Brasileira de Enfermagem. 2024;77(2):e20230167
DOI 10.1590/0034-7167-2023-0167
- Rosângela Marion da Silva ,
- Regina Célia Gollner Zeitoune ,
- Flávia Camef Dorneles Lenz ,
- Carolina Renz Pretto ,
- Katerine Moraes dos Santos ,
- Tânia Solange Bosi de Souza Magnago ,
- Alexa Pupiara Flores Coelho Centenaro
Views0See moreRESUMEN
Objetivo:
analizar la duración y calidad del sueño en profesionales de enfermería que trabajan por turnos.
Método:
investigación analítica, transversal, realizada entre septiembre de 2017 y abril de 2018, en un hospital público del sur de Brasil, con el equipo de enfermería. Se utilizó el cuestionario sociolaboral y de síntomas de salud, la Escala de Somnolencia de Epworth y el Índice de Calidad del Sueño de Pittsburgh. Los datos se presentan como estadística descriptiva e inferencial, análisis bivariado y regresión logística binaria.
Resultados:
participaron 308 profesionales de enfermería, con predominio de sueño prolongado, ausencia de somnolencia y mala calidad del sueño. La duración corta del sueño (<6 h) se asoció con turnos de día y mala calidad del sueño. La calidad del sueño se asoció con la presencia de somnolencia diurna excesiva y con el trabajo diurno.
Conclusión:
los turnos de trabajo, el insomnio y la cefalea fueron los principales factores relacionados con la falta de sueño de los profesionales de enfermería. Los resultados pueden justificar el desarrollo de investigaciones de intervención para la salud de los trabajadores.
- Rosângela Marion da Silva
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ORIGINAL ARTICLE06-14-2024
Sleep duration and quality of Brazilian nursing staff who work in shifts
- Rosângela Marion da Silva ,
- Regina Célia Gollner Zeitoune ,
- Flávia Camef Dorneles Lenz ,
- Carolina Renz Pretto ,
- Katerine Moraes dos Santos , [ … ],
- Alexa Pupiara Flores Coelho Centenaro
Abstract
ORIGINAL ARTICLESleep duration and quality of Brazilian nursing staff who work in shifts
Revista Brasileira de Enfermagem. 2024;77(2):e20230167
DOI 10.1590/0034-7167-2023-0167
- Rosângela Marion da Silva ,
- Regina Célia Gollner Zeitoune ,
- Flávia Camef Dorneles Lenz ,
- Carolina Renz Pretto ,
- Katerine Moraes dos Santos ,
- Tânia Solange Bosi de Souza Magnago ,
- Alexa Pupiara Flores Coelho Centenaro
Views0See moreABSTRACT
Objective:
to analyze sleep duration and sleep quality in nursing professionals who work in shifts.
Method:
this is a cross-sectional, analytical research, carried out between September 2017 and April 2018, at a public hospital in southern Brazil, with the nursing team. A socio-occupational and health symptoms questionnaire, the Epworth Sleepiness Scale, and the Pittsburgh Sleep Quality Index were used. Data are presented as descriptive and inferential statistics, bivariate analysis, and binary logistic regression.
Results:
participants were 308 nursing professionals with a predominance of long-term sleep, absence of drowsiness, and poor sleep quality. Short-term sleep (<6h) was associated with day shift and poor sleep quality. Sleep quality was associated with presence excessive daytime sleepiness and work day shift.
Conclusion:
work shift, insomnia and headache were the main factors related short-term sleep for nursing professionals. The results may justify the development of intervention research for workers’ health.
- Rosângela Marion da Silva
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ORIGINAL ARTICLE06-14-2024
Translation and Cross-Cultural Adaptation of the LYMPH-ICF Instrument for Lymphedema into Portuguese/Brazil
- Ana Paula Oliveira Santos ,
- Samantha Karlla Lopes de Almeida Rizzi ,
- Gil Facina ,
- Afonso Celso Pinto Nazário ,
- Simone Elias
Abstract
ORIGINAL ARTICLETranslation and Cross-Cultural Adaptation of the LYMPH-ICF Instrument for Lymphedema into Portuguese/Brazil
Revista Brasileira de Enfermagem. 2024;77(2):e20230137
DOI 10.1590/0034-7167-2023-0137
- Ana Paula Oliveira Santos ,
- Samantha Karlla Lopes de Almeida Rizzi ,
- Gil Facina ,
- Afonso Celso Pinto Nazário ,
- Simone Elias
Views0See moreABSTRACT
Objective:
The aim of this study is to cross-culturally adapt the Lymphoedema Functioning, Disability and Health Questionnaire Lymphoedema (LYMPH-ICF) instrument into Brazilian Portuguese and conduct a pilot application (n = 10), without psychometric pretensions.
Method:
Methodological research was conducted, following the steps of translation, synthesis, back-translation, and evaluation by the expert committee. Two translators, two back-translators, and twelve professionals participated in the expert committee. A pretest was carried out with 10 patients with secondary lymphedema due to breast cancer. The degree of agreement was determined by the content validity coefficient.
Results:
It was necessary to modify 8 out of the 29 questions comprising the questionnaire, which exhibited idiomatic disagreement. However, despite these changes, there were no indications of impairments, as content reliability was achieved through a validity coefficient of 0.90.
Final Considerations:
The instrument was successfully translated and cross-culturally adapted for Brazil with a high level of agreement.
- Ana Paula Oliveira Santos
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ORIGINAL ARTICLE05-27-2024
Fall Tailoring Interventions for Patient Safety Brazil Program: an evaluability study in a teaching hospital
Revista Brasileira de Enfermagem. 2024;77(2):e20230348
Abstract
ORIGINAL ARTICLEFall Tailoring Interventions for Patient Safety Brazil Program: an evaluability study in a teaching hospital
Revista Brasileira de Enfermagem. 2024;77(2):e20230348
DOI 10.1590/0034-7167-2023-0348
Views0See moreABSTRACT
Objectives:
to present the theoretical model, logic model, and the analysis and judgment matrix of the Fall TIPS Brazil Program.
Methods:
a qualitative, participatory research approach, in the form of an evaluability study, encompassing the phases (1) problem analysis; (2) program design, development, and adaptation to the Brazilian context; (3) program dissemination. Data were collected through document analysis and workshops.
Results:
through document analysis, workshops with stakeholders from the participating institution, and validation with key informants, it was possible to identify the program’s objectives, expected outcomes, and the target audience. This allowed the construction of theoretical and logic models and, through evaluative questions, the identification of indicators for the evaluation of the Fall TIPS Brazil Program.
Final Considerations:
this study has provided insights into the Fall TIPS program, the topic of hospital fall prevention, and the proposed models and indicators can be employed in the implementation and future evaluative processes of the program.
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ORIGINAL ARTICLE05-27-2024
Nursing care protocol for critical users with tracheostomy under mechanical ventilation
- Fernando Conceição de Lima ,
- Wagner Felipe dos Santos Neves ,
- André Lucas de Lima Dias ,
- Clarissa Porfírio Mendes ,
- Alzinei Simor , [ … ],
- Mary Elizabeth de Santana
Abstract
ORIGINAL ARTICLENursing care protocol for critical users with tracheostomy under mechanical ventilation
Revista Brasileira de Enfermagem. 2024;77(2):e20230337
DOI 10.1590/0034-7167-2023-0337
- Fernando Conceição de Lima ,
- Wagner Felipe dos Santos Neves ,
- André Lucas de Lima Dias ,
- Clarissa Porfírio Mendes ,
- Alzinei Simor ,
- Ingrid Magali de Souza Pimentel ,
- Helena Megumi Sonobe ,
- Mary Elizabeth de Santana
Views0See moreABSTRACT
Objectives:
to develop and assess a nursing care protocol for critically ill users with tracheostomy under mechanical ventilation.
Methods:
a methodological study, developed through two phases, guided by the 5W2H management tool: I) target audience characterization and II) technology development.
Results:
thirty-four nursing professionals participated in this study, who presented educational demands in relation to care for critical users with tracheostomy, with an emphasis on standardizing care through a protocol and carrying out continuing education.
Final Considerations:
the creation and validity of new technologies aimed at this purpose enhanced the participation of nursing professionals and their empowerment in the health institution’s microsectoral actions and in macrosectoral actions, highlighting the need for public policies that guarantee the conduct of a line of care for users with tracheostomy.
- Fernando Conceição de Lima
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ORIGINAL ARTICLE05-27-2024
Assessment of educational technology in lactation physiology by health students
- Daiani Oliveira Cherubim ,
- Polyana de Lima Ribeiro ,
- Tassiane Ferreira Langendorf ,
- Cristiane Cardoso de Paula ,
- Stela Maris de Mello Padoin
Abstract
ORIGINAL ARTICLEAssessment of educational technology in lactation physiology by health students
Revista Brasileira de Enfermagem. 2024;77(2):e20230252
DOI 10.1590/0034-7167-2023-0252
- Daiani Oliveira Cherubim ,
- Polyana de Lima Ribeiro ,
- Tassiane Ferreira Langendorf ,
- Cristiane Cardoso de Paula ,
- Stela Maris de Mello Padoin
Views0See moreABSTRACT
Objectives:
to assess the suitability, facilitators, and barriers of using a video clip for teaching lactation physiology to health students.
Methods:
a cross-sectional study was conducted with online data collection at a higher education institution, using the Assistive Technology Assessment Instrument and open-ended questions. The sample consisted of 88 students.
Results:
the video clip was deemed suitable in all attributes. Facilitators identified included attractiveness, musicality, and ease of access. Barriers noted were the music’s speed and the necessity for prior knowledge. The video clip achieved adequate scores for interactivity (1.71), purpose (1.77), relevance (1.64), and clarity (1.77). The overall average of the attributes was 1.72.
Conclusions:
the video clip can serve as an effective learning strategy to enhance hybrid education, potentially contributing to the promotion and support of breastfeeding. However, some barriers underscore the importance of prior knowledge for a complete understanding of the content.
- Daiani Oliveira Cherubim
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ORIGINAL ARTICLE05-27-2024
Technology for nursing care in a Maternal Intensive Care Unit: a methodological study
- Fabíola Nunes de Sá ,
- Jéssica Lourenço Carneiro ,
- Linicarla Fabiole de Souza Gomes ,
- Joselany Afio Caetano ,
- Ana Karina Bezerra Pinheiro , [ … ],
- Ana Kelve de Castro Damasceno
Abstract
ORIGINAL ARTICLETechnology for nursing care in a Maternal Intensive Care Unit: a methodological study
Revista Brasileira de Enfermagem. 2024;77(2):e20230202
DOI 10.1590/0034-7167-2023-0202
- Fabíola Nunes de Sá ,
- Jéssica Lourenço Carneiro ,
- Linicarla Fabiole de Souza Gomes ,
- Joselany Afio Caetano ,
- Ana Karina Bezerra Pinheiro ,
- Ana Kelve de Castro Damasceno
Views0See moreABSTRACT
Objectives:
to develop and validate a nursing care plan in a Maternal Intensive Care Unit.
Methods:
a methodological study, developed in stages: integrative review; Nursing History construction; care plan restructuring; appearance and content validity by judges.
Results:
the history was organized into sections: Identification; Basic Human Needs; Physical Examination; and Assessment of Basic Human Needs. A care plan was restructured with 34 diagnoses, organized according to basic human needs. A satisfactory level of appearance validity of the history and care plan was obtained (Concordance Index varying between 86.3 and 100 for both instruments), and content validity with average indexes of 90.8 and 92.8, respectively. Thirty-four diagnoses, their interventions and nursing actions were consolidated.
Conclusions:
the instruments were considered relevant and pertinent in terms of appearance and content, and their use in the institution under study as well as in other similar services may be recommended.
- Fabíola Nunes de Sá
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05-13-2024
Metodologia qualitativa: considerações e singularidades sobre a implementação de intervenções centradas na pessoa
Revista Brasileira de Enfermagem. 2024;77(3):e770301
Abstract
Metodologia qualitativa: considerações e singularidades sobre a implementação de intervenções centradas na pessoa
Revista Brasileira de Enfermagem. 2024;77(3):e770301
DOI 10.1590/0034-7167.2024770301pt
Views0A investigação qualitativa em saúde permite a compreensão aprofundada de como a pessoa experiencia as diferentes transições de saúde, a relação com os profissionais de saúde e a passagem pelos diferentes ambientes de prática clínica. Concomitantemente, tem o potencial de suportar a tomada de decisão clínica dos profissionais e de empoderar o cidadão na sua […]See more
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ORIGINAL ARTICLE10-09-2023
Intestinal parasitic infections: telephone health literacy with men in areas of poverty in the syndemic
- Julio Cesar Pegado Bordignon ,
- Antonia de Castro Ribeiro ,
- Érica Tex Paulino ,
- Maria de Fatima Leal Alencar ,
- Marcio Neves Boia , [ … ],
- Antonio Henrique Almeida de Moraes Neto
Abstract
ORIGINAL ARTICLEIntestinal parasitic infections: telephone health literacy with men in areas of poverty in the syndemic
Revista Brasileira de Enfermagem. 2023;76(4):e20220300
DOI 10.1590/0034-7167-2022-0300
- Julio Cesar Pegado Bordignon ,
- Antonia de Castro Ribeiro ,
- Érica Tex Paulino ,
- Maria de Fatima Leal Alencar ,
- Marcio Neves Boia ,
- Antonio Henrique Almeida de Moraes Neto
Views0See moreABSTRACT
Objectives:
to assess Popular Health Education practices on intestinal parasites, carried out by telephone contact with men living in urban communities in Rio de Janeiro, Brazil, during the COVID-19 syndemic.
Method:
a quasi-experimental, quantitative and descriptive study, carried out with men aged 20 to 59 years. Pre-test was applied, and participants were divided into two groups: control and experimental. Popular Education in Health practices were carried out with an experimental group, and post-test was applied for both.
Results:
health education practices were significant in the experimental group, with a reduction in incorrect answers. There was an increase in incorrect answers in the control group’s post-test.
Conclusions:
the Brazilian National Policy for Popular Education in Health contributed to qualify men’s health literacy on intestinal parasites. Practice by telephone contact proved to be a powerful strategy for nursing and public policies to access this group and promote health in Primary Health Care.
- Julio Cesar Pegado Bordignon
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10-09-2023
Content validation of an instrument for medical record audits
Revista Brasileira de Enfermagem. 2023;76(4):e20220109
Abstract
Content validation of an instrument for medical record audits
Revista Brasileira de Enfermagem. 2023;76(4):e20220109
DOI 10.1590/0034-7167-2022-0109
Views0See moreABSTRACT
Objective:
To build and validate the content of an instrument to conduct medical record audits; to conduct a pre-test.
Methods:
Methodological study conducted from May/2020 to May/2021 in three stages: 1) development of the instrument by bibliographic survey and benchmarking; 2) content validation using the Delphi technique; 3) application of the instrument and descriptive analysis in a sample of 200 medical records.
Results:
An instrument was constructed with 11 domains containing sub-items that characterize the quality of care. Two stages of the Delphi technique were necessary to reach a content validity index higher than 0.90. For each domain, a graduated scale with a numerical value from 1 to 4 points was attributed, reflecting the quality of its completion. The average time of application was 35 minutes per record.
Conclusions:
The tool proved to be viable to support clinical audits to identify the level of excellence and reveal opportunities for improvement in care processes.
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ORIGINAL ARTICLE10-09-2023
Factors associated with older adults’ knowledge, attitude and practice on skin cancer prevention
- Antonia Imaculada Santos Serafim ,
- Samia Jardelle Costa de Freitas Maniva ,
- Regina Kelly Guimarães Gomes Campos ,
- Paulo Goberlânio de Barros Silva ,
- Patrícia Neyva da Costa Pinheiro , [ … ],
- Aline de Oliveira de Freitas
Abstract
ORIGINAL ARTICLEFactors associated with older adults’ knowledge, attitude and practice on skin cancer prevention
Revista Brasileira de Enfermagem. 2023;76(3):e20220606
DOI 10.1590/0034-7167-2022-0606
- Antonia Imaculada Santos Serafim ,
- Samia Jardelle Costa de Freitas Maniva ,
- Regina Kelly Guimarães Gomes Campos ,
- Paulo Goberlânio de Barros Silva ,
- Patrícia Neyva da Costa Pinheiro ,
- Consuelo Helena Aires de Freitas Lopes ,
- Huana Carolina Cândido Morais ,
- Aline de Oliveira de Freitas
Views0See moreABSTRACT
Objectives:
to identify factors associated with older adults’ knowledge, attitude and practice regarding skin cancer prevention.
Methods:
this is a cross-sectional study, carried out with 120 older adults from a Basic Health Unit in Quixadá, Ceará, from September to November 2018.
Results:
individuals aged 60 to 69 years and working were statistically associated with adequate knowledge (p=0.038). Having light skin, eyes and hair was associated with adequate attitude (p=0.030). Having skin problems, such as bleeding wounds, was associated with adequate practice (p=0.016). With regard to inappropriate behavior for skin cancer prevention, there was a statistically significant association between working or having worked under direct exposure to the sun, inadequate knowledge (p=0.036), inadequate attitude (p=0.010) and having incomplete primary education and inadequate practice (p<0.001).
Conclusions:
sociodemographic and clinical factors influence older adults’ knowledge, attitude and practice regarding skin cancer prevention.
- Antonia Imaculada Santos Serafim
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ORIGINAL ARTICLE10-09-2023
Epidemiology of monkeypox notifications in the state of Minas Gerais, Brazil
- Paula Luciana Gonçalves Pereira ,
- Edmundo Rinolino Magalhães Flores ,
- Thales Philipe Rodrigues da Silva ,
- Ana Paula Vieira Faria ,
- Elice Eliane Nobre Ribeiro , [ … ],
- Fernanda Penido Matozinhos
Abstract
ORIGINAL ARTICLEEpidemiology of monkeypox notifications in the state of Minas Gerais, Brazil
Revista Brasileira de Enfermagem. 2023;76(3):e20220598
DOI 10.1590/0034-7167-2022-0598
- Paula Luciana Gonçalves Pereira ,
- Edmundo Rinolino Magalhães Flores ,
- Thales Philipe Rodrigues da Silva ,
- Ana Paula Vieira Faria ,
- Elice Eliane Nobre Ribeiro ,
- Ana Paula Sayuri Sato ,
- Larissa Pereira Gomes ,
- Fernanda Penido Matozinhos
Views0See moreABSTRACT
Objectives:
to describe the epidemiological profile of suspected, confirmed, and probable cases of monkeypox in the state of Minas Gerais, Brazil.
Methods:
a descriptive, retrospective study of reported suspected, confirmed, and probable cases of monkeypox infection in the state of Minas Gerais, Brazil. The study period was from the first notification, on June 11, to September 7, 2022.
Results:
a total of 759 suspected, confirmed, and probable cases of monkeypox infection were reported, with 35.44% suspected, 53.75% confirmed, and 10.81% probable cases, respectively. As for the coexisting diseases within confirmed cases, 38.79% were related to people living with human immunodeficiency virus, and 13.74% had some active sexually transmitted infection. Regarding the evolution of confirmed cases, 47.43% were cured.
Conclusions:
the results contribute to greater knowledge and control of the infection by allowing better disease management and care offered in health services.
- Paula Luciana Gonçalves Pereira
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ORIGINAL ARTICLE10-09-2023
Elaboration of an educational video for cardiopulmonary resuscitation with chest compressions in adults
- Rafael de Lima Carmo ,
- Evandro Luiz Panho ,
- Christian Antônio Zago de Quadros ,
- João Vitor Antunes Lins dos Santos ,
- Érica de Brito Pitilin , [ … ],
- Vander Monteiro da Conceição
Abstract
ORIGINAL ARTICLEElaboration of an educational video for cardiopulmonary resuscitation with chest compressions in adults
Revista Brasileira de Enfermagem. 2023;76(3):e20220367
DOI 10.1590/0034-7167-2022-0367
- Rafael de Lima Carmo ,
- Evandro Luiz Panho ,
- Christian Antônio Zago de Quadros ,
- João Vitor Antunes Lins dos Santos ,
- Érica de Brito Pitilin ,
- Jeferson Santos Araújo ,
- Rosana Aparecida Spadoti Dantas ,
- Vander Monteiro da Conceição
Views0See moreABSTRACT
Objectives:
to develop and analyze the face and content validity of a storyboard for constructing an educational video for training laypersons in cardiopulmonary resuscitation with only chest compressions in adults.
Methods:
a methodological study of storyboard elaboration and validity for producing an educational health video. The storyboard was submitted to analysis of 20 judges to assess its adequacy with the proposed objective. To assess the agreement between judges, the Content Validity Index was calculated. After validating the storyboard, video production took place.
Results:
the Content Validity Index met expectations. Its mean in each group was ≥ 0.90 (lay judges = 0.97; expert judges = 0.90; all judges = 0.94).
Conclusions:
the video produced is composed of scientific information, professional expertise and laypersons’ perceptions, making it important evidence for health education.
- Rafael de Lima Carmo
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ORIGINAL ARTICLE10-09-2023
Palliative care in nursing training: higher education course coordinators’ perception
- Rafaella Guilherme Gonçalves ,
- Luciane Paula Batista Araújo de Oliveira ,
- Carlos Jordão de Assis Silva ,
- Tatiana Maria Nóbrega Elias ,
- Isadora Lorenna Alves Nogueira , [ … ],
- Rejane Maria Paiva de Menezes
Abstract
ORIGINAL ARTICLEPalliative care in nursing training: higher education course coordinators’ perception
Revista Brasileira de Enfermagem. 2023;76(3):e20220222
DOI 10.1590/0034-7167-2022-0222
- Rafaella Guilherme Gonçalves ,
- Luciane Paula Batista Araújo de Oliveira ,
- Carlos Jordão de Assis Silva ,
- Tatiana Maria Nóbrega Elias ,
- Isadora Lorenna Alves Nogueira ,
- Rejane Maria Paiva de Menezes
Views0See moreABSTRACT
Objectives:
to analyze undergraduate nursing course coordinators’ perception about nursing training in palliative care.
Methods:
a descriptive study, with a qualitative approach and thematic content analysis, carried out with coordinators of nursing courses in Higher Education Institutions in Rio Grande do Norte.
Results:
three thematic categories emerged: Nursing training in palliative care; Potentialities for teaching palliative care; and Challenges of teaching in palliative care. The coordinators described as potentialities: transversality, theoretical and practical approach, optional subject, university extensions, interdisciplinarity and transdisciplinary approach, and as challenges: biomedical model in health education and insufficient professor training.
Final Considerations:
palliative care teaching in the researched institutions in the nursing education process is approached in an incipient and fragmented way, and almost always without having a specific curricular component on the subject, being present as one of its contents.
- Rafaella Guilherme Gonçalves
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ORIGINAL ARTICLE10-06-2023
Ethical problems in nursing teleconsultations for people living with HIV during the Covid-19 pandemic
- Ianka Cristina Celuppi ,
- Betina Hörner Schlindwein Meirelles ,
- Mariana Mendes ,
- Dulcinéia Ghizoni Schneider ,
- Denise Elvira Pires de Pires
Abstract
ORIGINAL ARTICLEEthical problems in nursing teleconsultations for people living with HIV during the Covid-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20220754
DOI 10.1590/0034-7167-2022-0754
- Ianka Cristina Celuppi ,
- Betina Hörner Schlindwein Meirelles ,
- Mariana Mendes ,
- Dulcinéia Ghizoni Schneider ,
- Denise Elvira Pires de Pires
Views0See moreABSTRACT
Objectives:
to understand the ethical problems experienced by primary health care nurses in using nursing teleconsultations for people living with the human immunodeficiency virus during the coronavirus pandemic.
Methods:
qualitative research, anchored in Constructivist Grounded Theory. Data was collected between July and September 2020, with 17 participants.
Results:
the first category highlights the ethical problems in conducting teleconsultations, managing high demand, communication barriers, and risks related to data security. The second emphasizes the potential of teleconsultations in communication and access, by generating changes in the work process and the use of protocols to guide clinical practice.
Conclusions:
nurses’ work in digital mode requires professional qualification, with a view to stimulating reflection on teleconsultation practice, ethical-moral deliberation and combating stigma, and also adopting data security-centered conduct.
- Ianka Cristina Celuppi
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10-06-2023
Ethical dilemmas and illicit acts in nursing: reflections on the legal (dis)order
- Alex Coelho da Silva Duarte ,
- Sandra Conceição Ribeiro Chicharo ,
- Thiago Augusto Soares Monteiro da Silva ,
- Alexandre Barbosa de Oliveira
Abstract
Ethical dilemmas and illicit acts in nursing: reflections on the legal (dis)order
Revista Brasileira de Enfermagem. 2023;76:e20220558
DOI 10.1590/0034-7167-2022-0558
- Alex Coelho da Silva Duarte ,
- Sandra Conceição Ribeiro Chicharo ,
- Thiago Augusto Soares Monteiro da Silva ,
- Alexandre Barbosa de Oliveira
Views0See moreABSTRACT
Objectives:
to reflect on aspects of the legal system that involve situations of ethical dilemmas and illegal acts applied in legal proceedings related to nursing professionals.
Methods:
theoretical-reflective essay anchored in conceptions issued by a Brazilian nursing class body, based on technical opinions, in articulation with examples extracted from judges of the Superior Court of Justice.
Results:
the legal sources demonstrated the need to support nursing practices through a due and clear understanding of the notions addressed. Indeed, ethical dilemmas linked to professional practice usually refer to the psychological impact of having to act differently from what feels morally, ethically, or professionally appropriate.
Final Considerations:
the reflection was guided by conceptual and legal issues involving nursing practice, pointing to the need to monitor the effects of legal disorder caused by current legislation, which may have implications for the legal security of professionals.
- Alex Coelho da Silva Duarte
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ORIGINAL ARTICLE08-30-2024
Patient safety culture in times of the COVID-19 pandemic: a cross-sectional study in a hospital
- Amanda Lobato Lopes ,
- Rosana Aparecida Pereira ,
- Laura Martins Valdevite Pereira ,
- Felippe Micheli Costa de Castilho ,
- Fernanda Raphael Escobar Gimenes
Abstract
ORIGINAL ARTICLEPatient safety culture in times of the COVID-19 pandemic: a cross-sectional study in a hospital
Revista Brasileira de Enfermagem. 2024;77:e20230187
DOI 10.1590/0034-7167-2023-0187
- Amanda Lobato Lopes ,
- Rosana Aparecida Pereira ,
- Laura Martins Valdevite Pereira ,
- Felippe Micheli Costa de Castilho ,
- Fernanda Raphael Escobar Gimenes
Views0See moreABSTRACT
Objectives:
to assess patient safety culture during the COVID-19 pandemic and identify the dimensions that need to be improved in hospital settings and which sector, open or closed, direct or indirect care, exhibits a higher level of safety culture.
Methods:
a descriptive and cross-sectional study. The validated version for Brazil of the Hospital Survey on Patient Safety Culture instrument was applied to assess patient safety culture. Those dimensions with 75% positive responses were considered strengthened.
Results:
all dimensions presented results lower than 75% of positive responses. Closed sectors showed a stronger safety culture compared to open ones. Indirect care sectors had a low general perception of patient safety when compared to direct care sectors.
Conclusions:
with the pandemic, points of weakness became even more evident, requiring attention and incisive interventions from the institution’s leaders.
- Amanda Lobato Lopes
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ORIGINAL ARTICLE08-30-2024
Meanings attributed to changes experienced by individuals after COVID-19 hospitalization
- Camila Harmuch ,
- Jéssica dos Santos Pini ,
- Paula Antunes Bezerra Nacamura ,
- Anny Caroline Ribeiro Devechi ,
- Vinícius Brito de Souza , [ … ],
- Marcelle Paiano
Abstract
ORIGINAL ARTICLEMeanings attributed to changes experienced by individuals after COVID-19 hospitalization
Revista Brasileira de Enfermagem. 2024;77:e20230122
DOI 10.1590/0034-7167-2023-0122
- Camila Harmuch ,
- Jéssica dos Santos Pini ,
- Paula Antunes Bezerra Nacamura ,
- Anny Caroline Ribeiro Devechi ,
- Vinícius Brito de Souza ,
- Juliana Graciela Vestena Zillmer ,
- Maria Aparecida Salci ,
- Marcelle Paiano
Views0See moreABSTRACT
Objectives:
to understand the meanings attributed to the experiences of individuals after hospitalization for COVID-19.
Methods:
qualitative study, with a theoretical framework based on Symbolic Interactionism and a methodological approach grounded in Grounded Theory. Nineteen participants who had moderate and severe forms of COVID-19 after hospitalization were interviewed. Data collection took place between April and November 2021 through online interviews, and the data were analyzed using initial and focused coding in the MAXQDA software.
Results:
the data illustrate new meanings attributed to different aspects of life after hospitalization, including relationships with others, the environment, physical and mental health, finances, identity, and interactions with a new social reality.
Conclusions:
the meanings are intrinsically linked to the value of interpersonal relationships, the perception of their impact, and the consequences after hospitalization. This allows professionals to understand the importance of this information to improve care and prepare for future epidemics.
- Camila Harmuch
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ORIGINAL ARTICLE08-26-2024
Leadership styles and personal values of professors at a school of nursing
- Chennyfer Dobbins Abi Rached ,
- Bianca Batista de Siqueira ,
- Bruna Franco Massa ,
- Caroline da Silva Fonseca Paulo ,
- Sofia de Souza Cruz
Abstract
ORIGINAL ARTICLELeadership styles and personal values of professors at a school of nursing
Revista Brasileira de Enfermagem. 2024;77(5):e20230333
DOI 10.1590/0034-7167-2023-0333
- Chennyfer Dobbins Abi Rached ,
- Bianca Batista de Siqueira ,
- Bruna Franco Massa ,
- Caroline da Silva Fonseca Paulo ,
- Sofia de Souza Cruz
Views0See moreABSTRACT
Objectives:
to identify professors’ leadership styles and personal values.
Methods:
a quantitative, descriptive-exploratory study. Population was made up of professors in doctoral category 1 at a public university in the state of São Paulo. Data collection took place from June to August 2021. Sociodemographic characterization was extracted, and the Leadership Team Values Assessment was applied. Data were analyzed using measures of central tendency.
Results:
population included 13 professors. The level that represents authentic leadership was the most prevalent. The commitment, positive attitude and trust values stood out. The level portrayed by visionary leadership was the least identified.
Conclusions:
professors’ personal values provide a theoretical basis for guiding and analyzing professors’ leadership styles. Leadership in the educational context must be recognized and studied to promote a more comprehensive and effective approach to developing and improving educational leaders.
- Chennyfer Dobbins Abi Rached
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ORIGINAL ARTICLE08-26-2024
Influence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
- Natasha Dejigov Monteiro da Silva ,
- Ana Catharina Herbst ,
- Milena Raquel André ,
- Lilia de Souza Nogueira
Abstract
ORIGINAL ARTICLEInfluence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
Revista Brasileira de Enfermagem. 2024;77(5):e20230293
DOI 10.1590/0034-7167-2023-0293
- Natasha Dejigov Monteiro da Silva ,
- Ana Catharina Herbst ,
- Milena Raquel André ,
- Lilia de Souza Nogueira
Views0See moreABSTRACT
Objectives:
to investigate the influence of the leukoreduction moment (preor post-storage) of blood components on the clinical outcomes of patients transfused in the emergency department.
Methods:
retrospective cohort study of patients aged 18 years or older who received preor post-storage leukoreduced red blood cell or platelet concentrate in the emergency department and remained in the institution for more than 24 hours. A generalized mixed-effects model was applied in the analyses.
Results:
in a sample of 373 patients (63.27% male, mean age 54.83) and 643 transfusions (69.98% red blood cell), it was identified that the leukoreduction moment influenced the length of hospital stay (p<0.009), but was not dependent on the transfused blood component (p=0.124). The leukoreduction moment had no effect (p>0.050) on transfusion reactions, healthcare-associated infections, or mortality.
Conclusions:
patients who received pre-storage leukoreduced blood components in the emergency department had a shorter length of hospital stay.
- Natasha Dejigov Monteiro da Silva
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ORIGINAL ARTICLE08-26-2024
Factors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units
- Milena Ricioli Ribeiro ,
- Marcela de Andrade Pereira Silva ,
- Leticia Furlan de Lima Prates ,
- Rosana Rosseto de Oliveira ,
- Maria Dalva de Barros Carvalho , [ … ],
- Sandra Marisa Pelloso
Abstract
ORIGINAL ARTICLEFactors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(5):e20230172
DOI 10.1590/0034-7167-2023-0172
- Milena Ricioli Ribeiro ,
- Marcela de Andrade Pereira Silva ,
- Leticia Furlan de Lima Prates ,
- Rosana Rosseto de Oliveira ,
- Maria Dalva de Barros Carvalho ,
- Sandra Marisa Pelloso
Views0See moreABSTRACT
Objectives:
to evaluate the factors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units in Brazil.
Methods:
this ecological study was conducted using secondary data from Brazilian pregnant women with COVID-19 hospitalized in Intensive Care Units between March 2020 and March 2022. Univariate analysis and logistic regression were employed.
Results:
out of 3,547 pregnant women with COVID-19 hospitalized in Intensive Care Units, 811 died (22.8%). It was found that lack of COVID-19 vaccination (OR: 2.73; 95% CI: 1.83; 4.04), dyspnea (OR: 1.73; 95% CI: 1.17; 2.56), obesity (OR: 1.51; 95% CI: 1.05; 2.17), chronic cardiovascular disease (OR: 1.65; 95% CI: 1.14; 2.38), and non-white race/color (OR: 1.29; 95% CI: 1.00; 1.66) were independently and significantly associated with death.
Conclusions:
it is concluded that vaccination status, presence of comorbidities, and clinical and ethnic-racial characteristics are associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units in Brazil.
- Milena Ricioli Ribeiro
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08-26-2024
Habilitação, uso de capacete e gravidade dos acidentes de trânsito envolvendo motociclistas
Revista Brasileira de Enfermagem. 2024;77(5):e20230153
Abstract
Habilitação, uso de capacete e gravidade dos acidentes de trânsito envolvendo motociclistas
Revista Brasileira de Enfermagem. 2024;77(5):e20230153
DOI 10.1590/0034-7167-2023-0153
Views0See moreRESUMEN
Objetivos:
describir los accidentes de tránsito con los motociclistas y evaluar la asociación entre el permiso para conducir motocicletas y el uso del casco con la gravedad de los accidentes.
Métodos:
estudio transversal, realizado a los pacientes hospitalizados en el sector de Traumatología y Ortopedia de un hospital público de referencia de la región Nordeste de Brasil.
Resultados:
participaron 170 pacientes; la mayoría de ellos del sexo masculino (95,9%), de edad entre 18 y 67 años. Los encuestados eran negros o pardos (52,3%), tenían estudios primarios (58,9%), ingresos mensuales inferiores a dos salarios mínimos (56,5%). Se encontró una asociación entre tener el permiso de conducir y llevar casco. Entre los que sufrieron accidentes moderados, esta asociación fue OR=5,66(1,85-17,23), y entre los que sufrieron accidentes graves fue OR=13,57(2,82-65,14).
Conclusiones:
las personas con permiso para conducir motocicletas que utilizaron casco como equipo de protección sufrieron lesiones menos graves en los accidentes.
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ORIGINAL ARTICLE08-26-2024
Driver’s license, head protection devices and severity of motorcyclists’ injuries in traffic accidents
Revista Brasileira de Enfermagem. 2024;77(5):e20230153
Abstract
ORIGINAL ARTICLEDriver’s license, head protection devices and severity of motorcyclists’ injuries in traffic accidents
Revista Brasileira de Enfermagem. 2024;77(5):e20230153
DOI 10.1590/0034-7167-2023-0153
Views0See moreABSTRACT
Objectives:
to describe traffic accidents involving motorcyclists and analyze the association between possession of a motorcycle driver’s license and use of helmets according to the severity of injuries.
Methods:
a cross-sectional study was conducted among all patients hospitalized in the traumatology and orthopedics sector of a public reference hospital in northeastern Brazil.
Results:
170 patients were surveyed, the majority were male (95.9%). Their ages ranged from 18 to 67 years. Most were black or brown (52.3%), had completed elementary school (58.9%) and had monthly income smaller than two minimum wages (56.5%). An association was found between being licensed to drive a motorcycle and wearing a helmet. Among those who suffered moderate injuries, this association was OR=5.66(1.85-17.23) and among those who suffered severe injuries it was OR=13.57(2.82-65.14).
Conclusions:
people who were licensed to drive motorcycles used a helmet as protective equipment more often and, in accidents, suffered fewer injuries.
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EDITORIAL08-19-2024
Sexual abuse, abortion and public health in Brazil: when moral judgment accentuates inequities
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Abstract
EDITORIALSexual abuse, abortion and public health in Brazil: when moral judgment accentuates inequities
Revista Brasileira de Enfermagem. 2024;77:e77suppl0401
DOI 10.1590/0034-7167.202477suppl0401
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Views0Here is an academic-political editorial that aims to call on the scientific field to reflect on the dangers of decisions regarding the right to abortion under moral rules, since there is no evidence that such a perspective translates into practices of care, protection of childhood and gender equity – elements that are so urgent and […]See more - Ricardo de Mattos Russo Rafael
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