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ORIGINAL ARTICLE07-29-2024
Adaptation strategies for preparing for childbirth in the context of the pandemic: Roy’s Theory
- Letícia Pickler
, - Margarete Maria de Lima ,
- Ariane Thaise Frello Roque ,
- Laís Antunes Wilhelm ,
- Felice Curcio , [ … ],
- Isadora Ferrante Boscoli de Oliveira Alves
Abstract
ORIGINAL ARTICLEAdaptation strategies for preparing for childbirth in the context of the pandemic: Roy’s Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230159
DOI 10.1590/0034-7167-2023-0159
- Letícia Pickler ,
- Margarete Maria de Lima ,
- Ariane Thaise Frello Roque ,
- Laís Antunes Wilhelm ,
- Felice Curcio ,
- Dionara Guarda ,
- Roberta Costa ,
- Isadora Ferrante Boscoli de Oliveira Alves
Views0See moreABSTRACT
Objectives:
to understand the process of adapting to childbirth during the COVID-19 pandemic from the perspective of a group of pregnant women.
Methods:
a qualitative, descriptive-exploratory study was conducted with 23 women. Data were collected between October and December 2021 through documentation and semi-structured interviews, which were analyzed using Minayo’s methodology and Roy’s Adaptation Model.
Results:
various types of stimuli – focal, contextual, and residual – were identified as influencing childbirth preparation. The online group was essential for facilitating pregnant women’s adaptation, offering significant support and generating positive feedback for childbirth preparation.
Final Considerations:
the importance of pregnant women’s groups as a strategy for improving adaptation to childbirth was identified, underscoring the effectiveness of this support among professionals and participants, as well as among pregnant women. This support network strengthened preparation for childbirth during a challenging period like the pandemic.
- Letícia Pickler
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ORIGINAL ARTICLE07-29-2024
Profile of patients in private home care who developed ventilator-associated pneumonia
- Fabiana Schimidt Cezar ,
- Fabiana Camolesi Jacober ,
- Heloísa Amaral Gaspar Gonçalves ,
- Katia Vanessa Cantarini ,
- Claudio Flauzino de Oliveira
Abstract
ORIGINAL ARTICLEProfile of patients in private home care who developed ventilator-associated pneumonia
Revista Brasileira de Enfermagem. 2024;77(3):e20230146
DOI 10.1590/0034-7167-2023-0146
- Fabiana Schimidt Cezar ,
- Fabiana Camolesi Jacober ,
- Heloísa Amaral Gaspar Gonçalves ,
- Katia Vanessa Cantarini ,
- Claudio Flauzino de Oliveira
Views0ABSTRACT
Objectives:
to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data.
Methods:
this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded.
Results:
the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death.
Conclusions:
patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.
Keywords:ArtificialHealth Systems AgenciesHome Care ServicesIntensive Care UnitsPneumoniaRespirationVentilator-AssociatedSee more
- Fabiana Schimidt Cezar
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ORIGINAL ARTICLE07-29-2024
Impact of educational intervention on understanding health recommendations after liver transplantation
Revista Brasileira de Enfermagem. 2024;77(3):e20230132
Abstract
ORIGINAL ARTICLEImpact of educational intervention on understanding health recommendations after liver transplantation
Revista Brasileira de Enfermagem. 2024;77(3):e20230132
DOI 10.1590/0034-7167-2023-0132
Views0See moreABSTRACT
Objectives:
to evaluate the impact of educational intervention on understanding health recommendations after liver transplantation.
Methods:
randomized and prospective clinical trial, with 68 liver transplant recipients in two institutions. The level of understanding was assessed using a statement agreement scale and the understanding score was classified. Chi-square test was used to compare groups.
Results:
the level of understanding was reasonable in 77.9% of patients, 73.5% in the Control Group and 82.3% in the Intervention Group (p=0.399). For topics covered after educational action, there were more than 80% correct answers regarding nutrition, frequent hydration, usage and function of immunosuppressants. However, there were less than 10% correct answers regarding hand hygiene, contact with animals and crowds of people. The use of the patient’s audio, visual and tactile resources led to improved understanding of skin care (p=0.014).
Conclusions:
the level of understanding acquired regarding health recommendations was only reasonable.
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ORIGINAL ARTICLE07-29-2024
Trends in cesarean section rates in Brazil by Robson classification group, 2014-2020
- Virginia Barbosa Pereira ,
- Síntia Nascimento dos Reis ,
- Fernanda Gontijo Araújo ,
- Torcata Amorim ,
- Eunice Francisca Martins , [ … ],
- Mariana Santos Felisbino-Mendes
Abstract
ORIGINAL ARTICLETrends in cesarean section rates in Brazil by Robson classification group, 2014-2020
Revista Brasileira de Enfermagem. 2024;77(3):e20230099
DOI 10.1590/0034-7167-2023-0099
- Virginia Barbosa Pereira ,
- Síntia Nascimento dos Reis ,
- Fernanda Gontijo Araújo ,
- Torcata Amorim ,
- Eunice Francisca Martins ,
- Mariana Santos Felisbino-Mendes
Views0ABSTRACT
Objectives:
to evaluate the trends in cesarean sections from 2014 to 2020 across both public and private sectors, utilizing the Robson Classification.
Methods:
this time series study analyzed the proportion of women who underwent cesarean sections between 2014 and 2020, considering both the Robson classification and the type of healthcare service. Trend analysis was conducted using the Prais-Winsten regression.
Results:
higher proportions of cesarean sections were observed in all Robson groups within the private sector compared to the public sector. This was despite a decreasing trend in the private sector and an increasing trend in the public sector. Notably, elevated proportions of cesarean sections were recorded in groups that are typically favorable to normal childbirth (Robson 1, 4, and 5).
Conclusions:
although there was a decreasing trend in cesarean sections within the private sector, an increasing trend was observed in the public sector. Additionally, there was a high proportion of cesarean sections among women with conditions favorable to normal childbirth. It is crucial to continuously monitor these indicators to evaluate and implement interventions aimed at reducing unnecessary cesarean sections.
Keywords:Cesarean SectionMaternal Health ServicesNursingObstetricReproductive HealthTime Serie StudiesSee more
- Virginia Barbosa Pereira
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ORIGINAL ARTICLE07-29-2024
Healthcare judicialization: an analysis of indicators and official data on medications
- Nádia Bernardinis ,
- Vanessa Terezinha Gubert ,
- Cristiane Munaretto Ferreira ,
- Jorge Otávio Maia Barreto
Abstract
ORIGINAL ARTICLEHealthcare judicialization: an analysis of indicators and official data on medications
Revista Brasileira de Enfermagem. 2024;77(3):e20220413
DOI 10.1590/0034-7167-2022-0413
- Nádia Bernardinis ,
- Vanessa Terezinha Gubert ,
- Cristiane Munaretto Ferreira ,
- Jorge Otávio Maia Barreto
Views0ABSTRACT
Objectives:
to analyze judicial demands for medications in Campo Grande, Brazil, between July 2018 and June 2020.
Methods:
the four dimensions of the Manual of Indicators for Evaluation and Monitoring of Judicial Demands for Medications were examined.
Results:
676 judicial processes were identified, corresponding to 1006 requests for 284 different medications. In 92.74% of the processes, access to medications was granted, with 88.80% granted on an urgent basis. The median time between the decision and delivery of the medication was 146 days. The average monthly cost of acquiring medications was R$ 2,183.68 Brazilian reais. Among the identified medications, 90.22% had at least one therapeutic alternative available in the public healthcare system.
Conclusions:
characterizing and analyzing judicial demands related to medications can support discussions on updating medication lists and clinical protocols, organizing healthcare services, allocating resources, and implementing actions to reduce judicialization.
Keywords:Health CareHealth LitigationHealth Services AccessibilityPharmaceutical ServicesProcess AssessmentRight to HealthSee more - Nádia Bernardinis
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ORIGINAL ARTICLE07-19-2024
Nursing students’ perception: Escape Room use in teaching leadership skills
- Chennyfer Dobbins Abi Rached ,
- Emili Amani Alves da Cruz ,
- Maria Helena Cardoso da Mota ,
- Caroline da Silva Fonseca Paulo ,
- Giovanna Micucci Pires Amaral , [ … ],
- Daniela Lika Nakajima
Abstract
ORIGINAL ARTICLENursing students’ perception: Escape Room use in teaching leadership skills
Revista Brasileira de Enfermagem. 2024;77(2):e20230414
DOI 10.1590/0034-7167-2023-0414
- Chennyfer Dobbins Abi Rached ,
- Emili Amani Alves da Cruz ,
- Maria Helena Cardoso da Mota ,
- Caroline da Silva Fonseca Paulo ,
- Giovanna Micucci Pires Amaral ,
- Daniela Lika Nakajima
Views0See moreABSTRACT
Objectives:
to understand nursing students’ perception regarding Escape Room use to develop leadership skills.
Methods:
a qualitative exploratory-descriptive study, with 97 nursing students. Escape Room game sessions were held, totaling ten. Subsequently, a debriefing and analysis was carried out using the Discourse of the Collective Subject method, through the focus group technique. Ethical procedures were respected.
Results:
students’ perceptions about using this methodology to develop leadership skills were positive and significant. The effectiveness of the game in teaching and developing these skills in nursing practice stands out.
Final Considerations:
the game was an effective active methodology in approaching the proposed content, promoting satisfaction and easy assimilation.
- Chennyfer Dobbins Abi Rached
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ORIGINAL ARTICLE07-19-2024
Validation of an instrument for patient classification to support obstetric nursing care
Revista Brasileira de Enfermagem. 2024;77(2):e20230401
Abstract
ORIGINAL ARTICLEValidation of an instrument for patient classification to support obstetric nursing care
Revista Brasileira de Enfermagem. 2024;77(2):e20230401
DOI 10.1590/0034-7167-2023-0401
Views0ABSTRACT
Objectives:
to develop and validate an instrument for the classification of pregnant and postpartum women according to the demand for nursing care.
Methods:
a methodological study conducted in three stages: 1) construction of the instrument based on literature review; 2) content validation using the Delphi technique with 12 experts; and 3) Evaluation of the convergent construct validity through the correlation between the scores of the constructed instrument and the Fugulin instrument.
Results:
an instrument with ten indicators of specific care for pregnant and postpartum women was developed. A content validity index higher than 0.9 was obtained, requiring only one round of the Delphi technique. The Spearman coefficient was 0.64 between the instruments, indicating a strong correlation.
Conclusions:
the classification instrument specifically constructed for pregnant and postpartum women showed evidence of content validity and convergent construct validity with a widely used instrument in the national territory.
Keywords:Hospital AdministrationNursing AssessmentObstetric NursingPersonnel ManagementValidation StudySee more -
ORIGINAL ARTICLE07-19-2024
The use of spirituality/religiosity by oncology nurse residents in nursing care
- Ana Paula Kelly de Almeida Tomaz ,
- Rômulo Frutuoso Antunes ,
- Rachel Verdan Dib ,
- Raquel de Souza Ramos ,
- Flaviana Pereira Bastos Nascimento , [ … ],
- Regina Célia Gollner Zeitoune
Abstract
ORIGINAL ARTICLEThe use of spirituality/religiosity by oncology nurse residents in nursing care
Revista Brasileira de Enfermagem. 2024;77(2):e20230383
DOI 10.1590/0034-7167-2023-0383
- Ana Paula Kelly de Almeida Tomaz ,
- Rômulo Frutuoso Antunes ,
- Rachel Verdan Dib ,
- Raquel de Souza Ramos ,
- Flaviana Pereira Bastos Nascimento ,
- Sérgio Abreu de Jesus ,
- Kayo Henrique Jardel Feitosa Sousa ,
- Regina Célia Gollner Zeitoune
Views0See moreABSTRACT
Objectives:
to analyze the use of spirituality/religiosity by oncology nurse residents in caring for patients with cancer.
Methods:
a census, descriptive, sectional study, with 46 nurse residents from three public hospitals in Rio de Janeiro. Data collection took place between August 2020 and January 2021, using a sociodemographic questionnaire, including a question about the use of spirituality/ religiosity to deal with work situations. Descriptive analysis was carried out using SPSS software version 22.0.
Results:
participants stated that they use religiosity/spirituality in work situations related to patients or themselves. In relation to patients, death was the most mentioned situation among professionals, and for themselves, everyday situations and emotional vulnerability were the most mentioned.
Final Considerations:
spirituality and religiosity are dimensions that guide oncology nurse residents’ attitudes.
- Ana Paula Kelly de Almeida Tomaz
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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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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
Views0ABSTRACT
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.
Keywords:Cardiopulmonary ResuscitationInstructional Film and VideoOut-of-Hospital Cardiac ArrestPublic Health NursingValidity StudySee more
- 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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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 ARTICLE12-08-2023
Sociodemographic factors associated with suicidal behavior at a federal public university in the Western Brazilian Amazon
- Maria Aline do Nascimento Oliveira ,
- Evandro Piccinelli da Silva ,
- Aristeia Nunes Sampaio ,
- Isabela Saura Sartoreto Mallagoli ,
- Dulce Aparecida Barbosa , [ … ],
- Angélica Gonçalves Silva Belasco
Abstract
ORIGINAL ARTICLESociodemographic factors associated with suicidal behavior at a federal public university in the Western Brazilian Amazon
Revista Brasileira de Enfermagem. 2023;76:e20230102
DOI 10.1590/0034-7167-2023-0102
- Maria Aline do Nascimento Oliveira ,
- Evandro Piccinelli da Silva ,
- Aristeia Nunes Sampaio ,
- Isabela Saura Sartoreto Mallagoli ,
- Dulce Aparecida Barbosa ,
- Thiago da Silva Domingos ,
- Angélica Gonçalves Silva Belasco
Views0See moreABSTRACT
Objective:
to determine risk factors for suicidal behavior among students and employees of a federal public university in the Brazilian Western Amazon.
Methods:
an analytical cross-sectional study of survey and association between variables with a sample of 475 participants. Statistical analyzes were performed using the Mann-Whitney test, Pearson’s chi-square test, likelihood ratio test or Fisher’s exact test and a logistic regression model. A significance level of 5% was used (p-value< 0.05).
Results:
a higher proportion of suicidal behavior was found in younger participants, females, who had no religion or had one, but were non-practicing, who did not have children and/or had a monthly family income of less than two minimum wages. Lower proportions of suicidal behavior were identified in heterosexuals and/or married or in a stable relationship.
Conclusion:
the study suggests a relationship between sociodemographic factors and suicidal behavior in the studied academic community.
- Maria Aline do Nascimento Oliveira
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ORIGINAL ARTICLE12-08-2023
Social support networks and life cycle stage of Venezuelan immigrant families
- Marcela Possato Correa da Rosa ,
- Gisele Cristina Manfrini ,
- Janaína Medeiros de Souza ,
- Ana Cristina Oliveira da Silva Hoffmann ,
- Rosane Goncalves Nitschke , [ … ],
- Jaime Alonso Caravaca-Morera
Abstract
ORIGINAL ARTICLESocial support networks and life cycle stage of Venezuelan immigrant families
Revista Brasileira de Enfermagem. 2023;76:e20220790
DOI 10.1590/0034-7167-2022-0790
- Marcela Possato Correa da Rosa ,
- Gisele Cristina Manfrini ,
- Janaína Medeiros de Souza ,
- Ana Cristina Oliveira da Silva Hoffmann ,
- Rosane Goncalves Nitschke ,
- Ivonete Teresinha Schülter Buss Heidemann ,
- Jaime Alonso Caravaca-Morera
Views0ABSTRACT
Objective:
To understand the structures of social networks of interiorized Venezuelan immigrant families and the life cycle stage they are in.
Methods:
Qualitative multiple-case study with families from the Interiorization Program residing in the Greater Florianópolis, Brazil. Screening occurred through social networks and key informants. For data collection, the photovoice technique and semi-structured interviews were used, categorized with the help of the Atlas.ti software. Genograms and ecomaps were elaborated.
Results:
Of the 4 families interviewed, totaling 7 members with young children, the nuclear family was identified as the main informal support network. Formal networks included schools, churches, and civil society.
Conclusion:
Families rely heavily on their nuclear structure for support, with formal institutions acting as secondary resources. The predominant life cycle stage is focused on families with young children. More efforts are needed to strengthen formal support networks.
Keywords:Family NursingForced DisplacementLife Cycle StagesSocial Determinants of HealthSocial Network AnalysisSee more
- Marcela Possato Correa da Rosa
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ORIGINAL ARTICLE12-08-2023
Polypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
- Carine Teles Sangaleti ,
- Maicon Henrique Lentsck ,
- Dannyele Cristina da Silva ,
- Andrielli Machado ,
- Maria Regiane Trincaus , [ … ],
- Fernanda Marciano Consolim Colombo
Abstract
ORIGINAL ARTICLEPolypharmacy, potentially inappropriate medications and associated factors among older adults with hypertension in primary care
Revista Brasileira de Enfermagem. 2023;76:e20220785
DOI 10.1590/0034-7167-2022-0785
- Carine Teles Sangaleti ,
- Maicon Henrique Lentsck ,
- Dannyele Cristina da Silva ,
- Andrielli Machado ,
- Maria Regiane Trincaus ,
- Maria Cristina Umpierrez Vieira ,
- Bruno Bordin Pelazza ,
- Fernanda Marciano Consolim Colombo
Views0See moreABSTRACT
Objective:
to identify the prevalence and associations of polypharmacy and potentially inappropriate medication use among older adults with hypertension treated in primary care.
Methods:
a cross-sectional study carried out with older adults with hypertension treated at a Family Health Strategy unit. Data collection included analysis of medical records, interviews and multidimensional assessment of older adults. Socio-demographic information and clinical variables were collected. Statistical analysis was performed by multiple logistic regression.
Results:
polypharmacy prevalence was 38.09%, and potentially inappropriate medication (PIM), 28.57%. There was a significant association between polypharmacy and PIM use, altered sleep and ethnicity. PIM use was associated with polypharmacy, worse family functioning, and absence of a caregiver. Cognitive decline reduces the prevalence of these medications.
Conclusions:
polypharmacy and PIM use among older adults with hypertension represent a problem in this population, especially among the most vulnerable.
- Carine Teles Sangaleti
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ORIGINAL ARTICLE12-08-2023
Care for older adults with disabilities in Long Term Care Facility
- Isadora Queiroz Correa Garchet Furtado ,
- Isabela Silva Cancio Velloso ,
- Carolina Salles Galdino ,
- Alexandre de Pádua Carrieri
Abstract
ORIGINAL ARTICLECare for older adults with disabilities in Long Term Care Facility
Revista Brasileira de Enfermagem. 2023;76:e20220767
DOI 10.1590/0034-7167-2022-0767
- Isadora Queiroz Correa Garchet Furtado ,
- Isabela Silva Cancio Velloso ,
- Carolina Salles Galdino ,
- Alexandre de Pádua Carrieri
Views0See moreABSTRACT
Objective:
to analyze the constitution of care offered to older adults with disabilities, from Long Term Care Facility professionals’ perspective.
Methods:
this is a discourse analysis based on the post-structuralist framework. Participants in this study are professionals involved in the care for older adults, totaling 14 respondents, 13 women and one man.
Results:
from professionals’ perspective, there is a fine line between caring for older adults with disabilities and maintaining their autonomy. Care in which autonomy is restricted predisposes older adults to a process of dependency.
Final considerations:
caring for older adults with disabilities constitutes the challenge between caring and maintaining independence. Thus, older adult-centered care should be taken as a premise so that their individualities are respected.
- Isadora Queiroz Correa Garchet Furtado
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ORIGINAL ARTICLE12-08-2023
Fear of COVID-19 when experiencing pregnancy or childbirth in the pandemic: what are the associated factors?
- Ana Júlia de Paula ,
- Paulo César Condeles ,
- Jéssica Aparecida da Silva ,
- Luciano Marques dos Santos ,
- Luciana Mara Monti Fonseca , [ … ],
- Monika Wernet
Abstract
ORIGINAL ARTICLEFear of COVID-19 when experiencing pregnancy or childbirth in the pandemic: what are the associated factors?
Revista Brasileira de Enfermagem. 2023;76:e20220755
DOI 10.1590/0034-7167-2022-0755
- Ana Júlia de Paula ,
- Paulo César Condeles ,
- Jéssica Aparecida da Silva ,
- Luciano Marques dos Santos ,
- Luciana Mara Monti Fonseca ,
- Mariana Torreglosa Ruiz ,
- Monika Wernet
Views0See moreABSTRACT
Objective:
to identify factors associated with fear of COVID-19 among women who experienced pregnancy or childbirth during the pandemic.
Methods:
a cross-sectional study, nested within a prospective cohort, using an online survey, from August 2021 to February 2022, based on descriptive data analysis.
Results:
of the 431 participants, 52.8% were postpartum women and 20.1% were pregnant women. With regard to fear of COVID-19, a mean score of 20.46 was obtained (moderate fear). The highest fear scores were present in women whose newborns were admitted to hospital in neonatal critical units (p=0.032), and the lowest among those covered by supplementary health (insurance) (p=0.016).
Conclusion:
among pregnant and postpartum women, high fear of COVID-19 translated into the possibility of having newborns admitted to hospital in a critical unit. The importance of supporting actions to support pregnant/postpartum women’s mental health in relation to COVID-19 or other threats that may influence the neonatal outcome stands out.
- Ana Júlia de Paula
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A relação entre o nível de conhecimento e o comportamento de prevenção do corrimento vaginal para estudantes de enfermagem
- Antonia Diti Juniar ,
- Arusta Yohana Simamora ,
- Corry Natasya Parniaty Manalu ,
- Joice Cathryne ,
- Mega Tri Anggraini Setia Ningsih
Abstract
A relação entre o nível de conhecimento e o comportamento de prevenção do corrimento vaginal para estudantes de enfermagem
Revista Brasileira de Enfermagem. 2023;76:e20220602
DOI 10.1590/0034-7167-2022-0602
- Antonia Diti Juniar ,
- Arusta Yohana Simamora ,
- Corry Natasya Parniaty Manalu ,
- Joice Cathryne ,
- Mega Tri Anggraini Setia Ningsih
Views0See moreRESUMEN
Objetivo:
la salud reproductiva de las adolescentes es muy importante. Determinar la relación entre el nivel de conocimientos y la conducta de prevención del flujo vaginal en estudiantes de enfermería.
Métodos:
estudio cuantitativo, transversal, con 155 estudiantes de primer año de una facultad privada de enfermería. Los datos se recopilaron de febrero a marzo de 2022 a través de un cuestionario electrónico.
Resultados:
los participantes con buen nivel de conocimientos correspondieron al 98,1% y los que practican buenas conductas para prevenir el flujo vaginal, el 92,3%.
Conclusión:
un buen conocimiento produce conductas de prevención adecuadas. El resultado de este estudio puede contribuir con reflexiones y referencias para un estudio más profundo de los factores que influyen en el nivel de conocimiento y comportamiento sobre la enfermedad de los genitales y los peligros del flujo vaginal patológico.
- Antonia Diti Juniar
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ORIGINAL ARTICLE12-08-2023
The relationship between level of knowledge and vaginal discharge prevention behavior for nursing student
- Antonia Diti Juniar ,
- Arusta Yohana Simamora ,
- Corry Natasya Parniaty Manalu ,
- Joice Cathryne ,
- Mega Tri Anggraini Setia Ningsih
Abstract
ORIGINAL ARTICLEThe relationship between level of knowledge and vaginal discharge prevention behavior for nursing student
Revista Brasileira de Enfermagem. 2023;76:e20220602
DOI 10.1590/0034-7167-2022-0602
- Antonia Diti Juniar ,
- Arusta Yohana Simamora ,
- Corry Natasya Parniaty Manalu ,
- Joice Cathryne ,
- Mega Tri Anggraini Setia Ningsih
Views0See moreABSTRACT
Objective:
Reproductive health in adolescent girls is very important. To determine the relationship between the level of knowledge and the behavior of preventing vaginal discharge among nursing students.
Methods:
a quantitative, cross-sectional study, with 155 first-year female students at a private faculty of nursing. Data were collected from February to March 2022, using an electronic questionnaire.
Results:
98.1% of participants have a good level of knowledge and 92.3% of participants practice good vaginal discharge prevention behavior.
Conclusion:
good knowledge produces appropriate prevention behavior. The result of this study can be used as a contribution of thoughts and references as a more in-depth study of the factors that influence the level of knowledge and behavior about the disease of the genitalia and the dangers of pathological vaginal discharge.
- Antonia Diti Juniar
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Nursing experiences in specialized services in child and adolescent mental health: a systematic review of qualitative studies
- Priscilla de Oliveira Luz ,
- Adriana Almeida de Souza ,
- Gabriella de Andrade Boska ,
- Marilia Mastrocolla de Almeida Cardoso ,
- Bruna de Paula Candido , [ … ],
- Márcia Aparecida Ferreira de Oliveira
Abstract
Nursing experiences in specialized services in child and adolescent mental health: a systematic review of qualitative studies
Revista Brasileira de Enfermagem. 2023;76:e20220550
DOI 10.1590/0034-7167-2022-0550
- Priscilla de Oliveira Luz ,
- Adriana Almeida de Souza ,
- Gabriella de Andrade Boska ,
- Marilia Mastrocolla de Almeida Cardoso ,
- Bruna de Paula Candido ,
- Márcia Aparecida Ferreira de Oliveira
Views0See moreABSTRACT
Objective:
to synthesize evidence from qualitative studies on nursing experiences regarding child and adolescent mental health care in specialized services.
Method:
a systematic review with meta-synthesis of qualitative studies according to JBI guidelines. CINAHL, EMBASE, MEDLINE, LILACS, PSYCinfo, Scopus and Web of Science databases were used. The findings were classified according to the level of reliability and credibility and categorized by similarity between contents.
Results:
229 articles were identified, and five were included in the final sample and organized into the categories: Emotional impact; and Understanding nursing role. The level of evidence found was moderate.
Final considerations:
nursing experiences are permeated by emotional exhaustion, feelings of frustration and difficulty in understanding their professional role. The need for training spaces that qualify this care is highlighted.
- Priscilla de Oliveira Luz
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