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ORIGINAL ARTICLE09-06-2024
Effect of Brazilian green propolis in chronic ulcer treatment: a randomized clinical trial
Revista Brasileira de Enfermagem. 2024;77(4):e20230418
Abstract
ORIGINAL ARTICLEEffect of Brazilian green propolis in chronic ulcer treatment: a randomized clinical trial
Revista Brasileira de Enfermagem. 2024;77(4):e20230418
DOI 10.1590/0034-7167-2023-0418
Views0See moreABSTRACT
Objective:
to assess the effectiveness of 5% Brazilian green propolis (ointment) in individuals with chronic ulcers.
Methods:
a randomized clinical trial, developed with 40 patients randomized equally to control group (treated with essential fatty acid) and experimental group (treated with 5% green propolis) for 30 days. The outcomes of interest were sociodemographic, clinical and laboratory characteristics, lesion characteristics, such as type of tissue in the bed, presence of exudate, edge characteristics, microbial content and pain.
Results:
regarding sociodemographic, clinical and laboratory characteristics, the two groups did not show statistically significant differences. After assessment in 30 days, an effect was observed for both treated groups, but for the experimental group, greater effectiveness in terms of the type of tissue in the bed, type of exudate, edge characteristics, microbial content and pain.
Conclusion:
propolis-based ointment showed a healing effect, presenting itself as a potential tool in healing chronic ulcers.
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ORIGINAL ARTICLE09-06-2024
Construction and validation of an instrument for event-related sterility of processed healthcare products
Revista Brasileira de Enfermagem. 2024;77(4):e20240021
Abstract
ORIGINAL ARTICLEConstruction and validation of an instrument for event-related sterility of processed healthcare products
Revista Brasileira de Enfermagem. 2024;77(4):e20240021
DOI 10.1590/0034-7167-2024-0021
Views0See moreABSTRACT
Objective:
To construct and validate an instrument to assess events related to maintaining the sterility of processed healthcare products.
Methods:
This methodological study developed the instrument through analysis by a panel of experts, focusing on the integrity of commonly used packaging: spunbond-meltblown-spunbond and medical-grade paper. The instrument was analyzed using the Content Validity Index and Content Validity Ratio (≥ 0.80) and modified Kappa (≥ 0.74). The instrument underwent pre-testing.
Results:
Six experienced professionals participated in the expert panel. After two rounds, the final version of the instrument contained five dimensions. In the pre-test, 30 nursing professionals participated, of whom 86.67% considered the instrument good, and 90% found it understandable.
Conclusion:
The construction and validation followed literature recommendations. The instrument is available, aiding in the safe use of processed healthcare products.
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ORIGINAL ARTICLE09-06-2024
Reflective practice of nurse residents in the teaching-learning process in teaching hospitals
Revista Brasileira de Enfermagem. 2024;77(4):e20230540
Abstract
ORIGINAL ARTICLEReflective practice of nurse residents in the teaching-learning process in teaching hospitals
Revista Brasileira de Enfermagem. 2024;77(4):e20230540
DOI 10.1590/0034-7167-2023-0540
Views0See moreABSTRACT
Objective:
To analyze reflective practice in the teaching-learning process of nurses in residency programs in teaching hospitals in Minas Gerais, Brazil.
Methods:
Case study, based on the reflective practice framework, conducted in two teaching hospitals. Observation and interviews were conducted with first and second-year residents, and five participants were included for in-depth analysis, with their data subjected to frequency distribution analysis and Critical Discourse Analysis.
Results:
In 519 observed activities, elements of reflection were identified in 22.2%, especially active listening and expression of doubts. Discourses indicated practice as the best moment for teaching-learning due to its potential to generate reflections. Learning by doing and case discussion were considered potential strategies for reflective learning.
Conclusion:
Know-in-action reflection was evidenced as the predominant formative aspect for residents, with few opportunities for reflection on reflection-in-action.
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REVIEW09-06-2024
Parents’ or legal guardians’ beliefs and attitudes about childhood vaccination: a scoping review
Revista Brasileira de Enfermagem. 2024;77(4):e20240126
Abstract
REVIEWParents’ or legal guardians’ beliefs and attitudes about childhood vaccination: a scoping review
Revista Brasileira de Enfermagem. 2024;77(4):e20240126
DOI 10.1590/0034-7167-2024-0126
Views0See moreABSTRACT
Objective:
to map scientific evidence about perceptions, beliefs, knowledge and attitudes of parents or legal guardians of children under 5 years of age regarding routine childhood vaccination.
Methods:
a scoping review, conducted in accordance with the JBI framework. The searches were carried out in the PubMed/MEDLINE, Web of Science, Scopus and LILACS databases. A total of 5,535 studies were returned and 77 were selected, which met the inclusion criteria.
Results:
perceptions related to interaction with healthcare professionals and services, with family organization and structure, with social interaction and public policies, cultural, religious and personal beliefs, knowledge about vaccination schedule, vaccination and immunization process and sources of information are the main factors mapped and which can positively or negatively influence parents’ or legal guardians’ attitudes towards vaccinating children.
Conclusions:
the findings allow us to identify factors related to parents’ perception and beliefs about childhood vaccination.
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ORIGINAL ARTICLE09-06-2024
Middle-Range theory of the nursing diagnosis of sedentary lifestyle in young adults
Revista Brasileira de Enfermagem. 2024;77(4):e20230516
Abstract
ORIGINAL ARTICLEMiddle-Range theory of the nursing diagnosis of sedentary lifestyle in young adults
Revista Brasileira de Enfermagem. 2024;77(4):e20230516
DOI 10.1590/0034-7167-2023-0516
Views1See moreABSTRACT
Objective:
To construct a middle-range theory for the nursing diagnosis of Sedentary Lifestyle in young adults.
Methods:
A methodological study for the validation of a nursing diagnosis based on a Middle-Range Theory, carried out in six stages: definition of the approach; definition of theoretical-conceptual models; definition of main concepts; development of a pictorial scheme; construction of propositions; establishment of causal relationships and evidence for practice. The theory construction was operationalized through an integrative review and supported by Roy’s adaptation model.
Results:
Three essential attributes were identified; 10 antecedents; 7 clinical consequences; a pictogram, 9 propositions, and 11 causal relationships and evidence for practice.
Conclusion:
The middle-range theory for the nursing diagnosis of Sedentary Lifestyle in young adults was constructed, expanding the understanding of this phenomenon, to be applied in clinical practice by nurses.
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ORIGINAL ARTICLE09-06-2024
Factors associated with burnout in military police officers in a city in Paraná
Revista Brasileira de Enfermagem. 2024;77(4):e20230510
Abstract
ORIGINAL ARTICLEFactors associated with burnout in military police officers in a city in Paraná
Revista Brasileira de Enfermagem. 2024;77(4):e20230510
DOI 10.1590/0034-7167-2023-0510
Views0See moreABSTRACT
Objective:
to analyze the association between burnout and sociodemographic, work factors, lifestyle habits and health conditions of military police officers in a municipality in the state of Paraná, Brazil.
Method:
cross-sectional research with 131 military police officers. Data were analyzed using the Statistical Package for the Social Sciences software and the R program. Chi-square, Fisher’s exact and Poisson Generalized Linear Model tests were used.
Results:
most participants (65.6%) had a high level of burnout. In relation to protective factors, those who carried out leisure activities had a 33.6% chance of not developing burnout. Conjugality was also a protective factor. Not practicing physical activity and leisure activities are factors that can contribute to the occurrence of burnout.
Conclusions:
important factors and high rates of burnout were observed in the police officers investigated. It is necessary to implement public health policies to reduce burnout with attention focused on this professional category.
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ORIGINAL ARTICLE09-06-2024
Adherence to sepsis protocol in a high-risk maternity reference center
Revista Brasileira de Enfermagem. 2024;77(4):e20230453
Abstract
ORIGINAL ARTICLEAdherence to sepsis protocol in a high-risk maternity reference center
Revista Brasileira de Enfermagem. 2024;77(4):e20230453
DOI 10.1590/0034-7167-2023-0453
Views0See moreABSTRACT
Objective:
To describe the adherence to the sepsis protocol by obstetric nurses in the obstetric triage of a high-risk maternity reference center.
Methods:
This was a quantitative, documental, and retrospective study involving 105 pregnant women treated in obstetric triage under sepsis criteria. Data were collected through electronic medical records using structured forms and were organized into tables employing descriptive statistics. This research adhered to ethical principles concerning human studies.
Results:
Of the checklists for initiating the SEPSIS protocol by obstetric nurses, 105 were identified. Regarding the protocol steps performed, lactate was collected in 97.1% of cases and blood cultures in 98.1%, antibiotic therapy was administered in 94.3%, and hydration was carried out in 51.4% of the cases.
Conclusion:
The initiation of the sepsis protocol for all women meeting the criteria was confirmed. However, the steps were not fully implemented as recommended by the institutional protocol, and the recommended broad-spectrum antibiotic was not administered.
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ORIGINAL ARTICLE09-06-2024
Physical and psychological changes of the COVID-19 infodemic by the older adult population
Revista Brasileira de Enfermagem. 2024;77(4):e20230339
Abstract
ORIGINAL ARTICLEPhysical and psychological changes of the COVID-19 infodemic by the older adult population
Revista Brasileira de Enfermagem. 2024;77(4):e20230339
DOI 10.1590/0034-7167-2023-0339
Views0See moreABSTRACT
Objective:
to analyze the physical and psychological changes of the COVID-19 infodemic for the older adult population of Rio de Janeiro.
Method:
a cross-sectional, web-based survey to find out about access to news and information about COVID-19 among older adult in Rio de Janeiro, between July and December 2020. Univariate analysis and bivariate analysis were carried out using non-parametric statistical methods.
Results:
390 older adults took part, predominantly female (75.1%), aged between 66 and 75 (35.4%), married (51.0%), white (60.3%), owning their own home (81.8%), located in urban areas (91%), with complete or incomplete primary education (31.8%) and retired or pensioners (79.2%). Younger people were significantly affected both physically and psychologically by social networks when compared to television (<0.001).
Conclusion:
Physical and psychological changes from exposure to information about COVID-19 have affected the lives of the older adult, having an impact on this population.
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ORIGINAL ARTICLE05-18-2020
Militancy of nurses in the institutionality field: printed media versions
Revista Brasileira de Enfermagem. 2020;73(4):e20180835
Abstract
ORIGINAL ARTICLEMilitancy of nurses in the institutionality field: printed media versions
Revista Brasileira de Enfermagem. 2020;73(4):e20180835
DOI 10.1590/0034-7167-2018-0835
Views0See moreABSTRACT
Objectives:
to analyze nurses’ professional militancy in the institutionality field, presented by the printed media from Bahia State in the 1970s and 1980s.
Methods:
a historical and qualitative research under Social History’s perspective, whose data source was the newspaper A Tarde. The temporal cut-off encompasses milestones such as professional body restructuring and creation.
Results:
the Associação Brasileira de Enfermagem democratization movement was reported in a superficial way, highlighting the struggle for power spaces. With respect to Conselhos Federal e Regional de Enfermagem daBahia, the newspaper notified creation and function of bodies, however, there was no visibility to the newspaper’s performance. Concerning the union, there was political fragility of nurses against the creation and union participation in the fight for labor rights.
Final Considerations:
organization of political action occurred from isolated groups mobilization of professionals who were already traveling in political spaces, not the large mass of professionals.
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ORIGINAL ARTICLE06-08-2020
Family experience living with advanced neoplasm: a glance at the rural population
Revista Brasileira de Enfermagem. 2020;73(4):e20180895
Abstract
ORIGINAL ARTICLEFamily experience living with advanced neoplasm: a glance at the rural population
Revista Brasileira de Enfermagem. 2020;73(4):e20180895
DOI 10.1590/0034-7167-2018-0895
Views1See moreABSTRACT
Objectives:
to understand the experience of rural families living with advanced cancer, from Family Management Style Framework’s perspective.
Methods:
a qualitative research conducted in seven cities of the northern of state of Rio Grande do Sul in homes of 11 families (27 people). Data collection took place in 2014, using the genogram and narrative interview. Analysis followed Family Management Style Framework’s theoretical model.
Results:
the results were organized into three categories based on conceptual components of the referred model: no more normal life: situation definition; attempt to reconcile care and work: management behavior; imminence of the finitude of life: perception of consequences.
Final Considerations:
living in rural context gives families specific ways of dealing with advanced cancer. Understanding the movements undertaken by rural families throughout the experience can guide nursing professionals in planning interventions collaborating with this population’s health.
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ORIGINAL ARTICLE06-01-2020
Construction and validation of an educational technology for mother-child bond in the neonatal intensive care unit
Revista Brasileira de Enfermagem. 2020;73(4):e20190083
Abstract
ORIGINAL ARTICLEConstruction and validation of an educational technology for mother-child bond in the neonatal intensive care unit
Revista Brasileira de Enfermagem. 2020;73(4):e20190083
DOI 10.1590/0034-7167-2019-0083
Views0See moreABSTRACT
Objectives:
to describe the process of construction and validation of an educational booklet to promote bonding between mothers and newborns in a Neonatal Intensive Care Unit.
Methods:
methodological study developed through data collection in the literature and with the target audience; construction of the booklet; qualification of the material through validation by judges (health and communication experts/designer) and assessment by the target audience (mothers of at-risk newborns). Data were analyzed descriptively.
Results:
booklet content was validated, obtaining an overall Content Validity Index of 0.92. Appearance was rated “Superior” with 80% percentage. Mothers performed an assessment with 100% agreement between the items.
Conclusions:
the booklet was validated in all domains assessed and can be used by mothers with children hospitalized in the Neonatal Unit.
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ORIGINAL ARTICLE06-08-2020
Risk factors for site complications of intravenous therapy in children and adolescents with cancer
Revista Brasileira de Enfermagem. 2020;73(4):e20190471
Abstract
ORIGINAL ARTICLERisk factors for site complications of intravenous therapy in children and adolescents with cancer
Revista Brasileira de Enfermagem. 2020;73(4):e20190471
DOI 10.1590/0034-7167-2019-0471
Views0See moreABSTRACT
Objectives:
to analyze predictive factors for the incidence of complications related to peripheral venous catheters in children and adolescents with cancer.
Methods:
a longitudinal follow-up study, conducted at a pediatric oncology clinic unit of a hospital in Bahia, with 333 peripheral venous catheters inserted in 77 children and 26 adolescents. Data collection took place between April 2015 and December 2016 through direct observation of peripheral intravenous catheter insertion, medical record data collection and daily observation of the puncture site.
Results:
the incidence of complications was 18.6%. The modeling of the variables confirmed that the risk factors for complications in children/adolescents with cancer were: prolonged peripheral intravenous therapy (p=0.002), history of complications (p=0.000), non-irritating/vesicant medications (p=0.003) and vesicant solutions (p=0.000).
Conclusions:
the goal has been achieved. Results can contribute to the theoretical, practical and social context.
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ORIGINAL ARTICLE07-06-2020
Nurses’ work process in an emergency hospital service
Revista Brasileira de Enfermagem. 2020;73(5):e20180923
Abstract
ORIGINAL ARTICLENurses’ work process in an emergency hospital service
Revista Brasileira de Enfermagem. 2020;73(5):e20180923
DOI 10.1590/0034-7167-2018-0923
Views1See moreABSTRACT
Objectives:
to analyze the nurses’ work process in an Emergency Hospital Service.
Methods:
a qualitative, exploratory and descriptive research conducted with 17 nurses from the emergency service of a high complexity hospital in southern Brazil. Data were collected through interviews, focus group and document analysis. Data analysis followed the thematic content analysis framework.
Results:
four categories emerged: Work environment characteristics; Assistance dimension; Management dimension; Care management.
Final Considerations:
the nurses’ work process in Emergency Hospital Service is characterized by the peculiarities of the setting, with centrality in care and care management aiming at quality care and safety to patients.
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REVIEW07-06-2020
Effectiveness of the automated drug dispensing system: systematic review and meta-analysis
Revista Brasileira de Enfermagem. 2020;73(5):e20180942
Abstract
REVIEWEffectiveness of the automated drug dispensing system: systematic review and meta-analysis
Revista Brasileira de Enfermagem. 2020;73(5):e20180942
DOI 10.1590/0034-7167-2018-0942
Views0See moreABSTRACT
Objectives:
to compare the effectiveness of the decentralized automated drug dispensing system with pockets.
Methods:
an effectiveness study based on a systematic review guided by the question: for patients admitted to hospital units, is the use of automated drug dispensing effective for reducing medication errors when compared to manual unit dose dispensing? The evidence was evaluated by the Grading of Recommendations Assessment, Development and Evaluation and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses instrument, used in the report.
Results:
the sample was composed of 15 studies and none of them directly compared both technologies; however, the meta-analysis showed that there is no difference in effectiveness between them [OR 1.03 95%CI (0,12 – 8,99)].
Conclusions:
the conclusion is that the recommendation in favor of the automated dispensing system is weak.
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ORIGINAL ARTICLE07-06-2020
Educational actions: an action research with Family Health Strategy professionals and users
Revista Brasileira de Enfermagem. 2020;73(5):e20180969
Abstract
ORIGINAL ARTICLEEducational actions: an action research with Family Health Strategy professionals and users
Revista Brasileira de Enfermagem. 2020;73(5):e20180969
DOI 10.1590/0034-7167-2018-0969
Views0See moreABSTRACT
Objectives:
to identify the factors that influence educational actions, and building with professionals and users proposed educational strategies that encourage popular participation.
Methods:
an action research, in which individual interviews, participant observation and Focus Group were conducted. Sixteen professionals and ten users from 2 Family Health Strategy from Rio Branco, Acre, Brazil participated. The results were organized by using the Thematic Analysis technique.
Results:
the thematic units emerged: Health education as a strategy that encourages changes in the lives of Family Health Strategyusers; Critical reflection on diagnosis of the causes that interfere in educational actions in the Family Health Strategy and proposition of new strategies; Potentialities that encourage the development of educational practices at Family Heath Units; Proposals for improving educational practices focused on soft health education technology in the dialogue dimension.
Conclusions:
the analysis showed a lack of community ties and traditional educational strategies. In the action phase, the actors agreed to participatory changes.
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ORIGINAL ARTICLE07-01-2020
The systems and signs of political militants in/of Brazilian nursing
Revista Brasileira de Enfermagem. 2020;73(5):e20180971
Abstract
ORIGINAL ARTICLEThe systems and signs of political militants in/of Brazilian nursing
Revista Brasileira de Enfermagem. 2020;73(5):e20180971
DOI 10.1590/0034-7167-2018-0971
Views0See moreABSTRACT
Objectives:
to analyze the systems and signs in the constitution of militant nurses.
Methods:
a historical and qualitative research based on oral history carried out with 11 nurses who had been working in the professional field since 1980. Data collected from semi-structured interviews were organized into NVivo software 10, being analyzed through dialectical hermeneutics.
Results:
systems and signs are systems that allow us to use senses, symbols or meaning to objectify and subjectivate the subject. The revealed senses were categorized and divided into improper, religious, heroic, communist, and socially involved.
Conclusions:
militancy signs are convergent with what is put in national and international literature. The difference found was in the heroic sense and implicated with the social. Militant is almost never associated with positive aspects. An individual who builds himself as a political being empowers himself as a social being, making knowledge of power, generating a break in traditional models.
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09-16-2019
Nursing practices centered on individuals with tuberculosis: an interface with democracy
Revista Brasileira de Enfermagem. 2019;72(5):1219-1225
Abstract
Nursing practices centered on individuals with tuberculosis: an interface with democracy
Revista Brasileira de Enfermagem. 2019;72(5):1219-1225
DOI 10.1590/0034-7167-2017-0380
Views0See moreABSTRACT
Objective:
To analyze whether user-centered nursing practices in TB DOT are being carried out and are contributing to democracy.
Method:
A cross-sectional, exploratory, descriptive study with 123 nurses in three capital cities with high incidence of TB (Manaus-AM, João Pessoa-PB, Porto Alegre-RS) in Brazil. Data were collected from January to June 2014. Descriptive and multiple correspondence analyzes were used.
Results:
It was identified that the most user-centered care actions had scores below 50%, considered unfavorable to the exercise of democracy. In the analysis of the general user-centered practice score per municipality, Manaus and João Pessoa presented unfavorable results, and the municipality of Porto Alegre was partially favorable.
Conclusion:
The three municipalities need to advance in the implementation of user-centered practices in DOT, because their health system still has difficulties and challenges to overcome.
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ORIGINAL ARTICLE08-10-2020
Palliative care consultation team: symptom relief in first 48 hours of hospitalization
Revista Brasileira de Enfermagem. 2020;73(6):e20190391
Abstract
ORIGINAL ARTICLEPalliative care consultation team: symptom relief in first 48 hours of hospitalization
Revista Brasileira de Enfermagem. 2020;73(6):e20190391
DOI 10.1590/0034-7167-2019-0391
Views0See moreABSTRACT
Objective:
To compare the relief of symptoms provided by palliative care consultation team (PCCT) compared to the traditional care team (TC), in patients with advanced cancer in the first 48 hours of hospitalization.
Method:
Allocated to PCCT Group and TC Group, this study assessed 290 patients according to the Edmonton Symptom Assessment System (ESAS) within the first 48 hours of hospitalization. The main outcome was a minimum 2-point reduction in symptom intensity.
Results:
At 48 hours, the PCCT Group had a 2-point reduction in the mean differences (p <0.001) in pain, nausea, dyspnea, and depression; and TC Group, on nausea and sleep impairment (p <0.001). Multiple Logistic Regression found for the PCCT Group a greater chance of pain relief (OR 2.34; CI 1.01-5.43; p = 0.049).
Conclusion:
There was superiority of the PCCT Group for pain relief, dyspnea and depression. There is a need for more studies that broaden the understanding of team modalities.
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ORIGINAL ARTICLE10-21-2019
Work overload and risk behaviors in motorcyclists
Revista Brasileira de Enfermagem. 2019;72(6):1479-1484
Abstract
ORIGINAL ARTICLEWork overload and risk behaviors in motorcyclists
Revista Brasileira de Enfermagem. 2019;72(6):1479-1484
DOI 10.1590/0034-7167-2018-0279
Views0See moreABSTRACT
Objective:
to analyze the association between work overload and risk behaviors adopted by motorcyclists.
Method:
a cross-sectional study of injured motorcycle drivers hospitalized at the Hospital da Restauração Governador Paulo Guerra in the city of Recife, PE, from May to September 2016. A questionnaire was applied containing sociodemographic variables related to work overload and risk behaviors adoption. Odds Ratio (OR) and 95% Confidence Interval were used to analyze the association between the variables.
Results:
there was a predominance of males (97.6%), mean age 31.44 years (SD = 9.50). There was an association of sleep/fatigue at the accident time with difficulties carrying out work tasks (OR = 3.7), feeling tired during work (OR = 4.6) and feeling under pressure to carry out work tasks (OR = 3.5).
Conclusion:
work overload was associated with risk behaviors adoption. It is believed that this fact can have an impact on the occurrence and severity of accidents.
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ORIGINAL ARTICLE02-05-2021
Homeless people: health aspects and experiences with health services
Revista Brasileira de Enfermagem. 2021;74(1):e20190200
Abstract
ORIGINAL ARTICLEHomeless people: health aspects and experiences with health services
Revista Brasileira de Enfermagem. 2021;74(1):e20190200
DOI 10.1590/0034-7167-2019-0200
Views0See moreABSTRACT
Objectives:
to analyze the understanding of homeless people living in a city in the countryside of São Paulo about what health is and about their experiences in health services.
Methods:
a qualitative exploratory study developed through interviews with homeless people and a field diary. The data were organized by themes and the findings were compared to a collective health framework.
Results:
the explored themes were: “Being healthy for the homeless population”, “The search for health services” and “Being a user of health services from the perspective of homeless people”. We present the interviewees’ understanding of health and their experiences in healthcare services. Along this path, we outline aspects that show the network’s weaknesses, permeated by prejudices and discrimination.
Final Considerations:
this population has conceptions about health and needs that need to be singularly taken into consideration to facilitate access and care.
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ORIGINAL ARTICLE02-17-2020
Professional who attended childbirth and breastfeeding in the first hour of life
Revista Brasileira de Enfermagem. 2020;73(2):e20180448
Abstract
ORIGINAL ARTICLEProfessional who attended childbirth and breastfeeding in the first hour of life
Revista Brasileira de Enfermagem. 2020;73(2):e20180448
DOI 10.1590/0034-7167-2018-0448
Views0See moreABSTRACT
Objectives:
To investigate the association between the professionals who attended vaginal delivery and breastfeeding in the first hour of life.
Methods:
This is a cross-sectional study with data from the Nascer no Brasil (Born in Brazil) survey, conducted in the 2011-2012 period. Data from 8,466 puerperae were analyzed using a logistic regression model with a hierarchical approach.
Results:
The proportion of mothers who breastfed at birth was higher in deliveries attended by nurses (70%). A nurse-assisted delivery was 64% more likely to breastfeed in the first hour of life. Other factors associated with the outcome: residing in the North; age less than 35 years; multiparity; prenatal guidance on breastfeeding in the first hour of life; birth at Baby-Friendly Hospital; companion at birth; and female newborn.
Conclusions:
Obstetrician nurse/nurse-assisted delivery was a significant independent factor associated with breastfeeding in the first hour of life, suggesting the importance of strengthening the role of the obstetrician nurse.
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ORIGINAL ARTICLE02-17-2020
Predictive model of hospitalization for children and adolescents with chronic disease
Revista Brasileira de Enfermagem. 2020;73(2):e20180467
Abstract
ORIGINAL ARTICLEPredictive model of hospitalization for children and adolescents with chronic disease
Revista Brasileira de Enfermagem. 2020;73(2):e20180467
DOI 10.1590/0034-7167-2018-0467
Views0See moreABSTRACT
Objectives:
Describe a predictive model of hospitalization frequency for children and adolescents with chronic disease.
Methods:
A decision tree-based model was built using a database of 141 children and adolescents with chronic disease admitted to a federal public hospital; 18 variables were included and the frequency of hospitalization was defined as the outcome.
Results:
The decision tree obtained in this study could properly classify 80.85% of the participants. Model reading provided an understanding that situations of greater vulnerability such as unemployment, low income, and limited or lack of family involvement in care were predictors of a higher frequency of hospitalization.
Conclusions:
The model suggests that nursing professionals should adopt prevention actions for modifiable factors and authorities should make investments in health promotion for non-modifiable factors. It also enhances the debate about differentiated care to these patients.
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ORIGINAL ARTICLE12-04-2020
Effectiveness of therapeutic groups in psychosocial care: analysis in the light of yalom’s therapeutic factors
Revista Brasileira de Enfermagem. 2020;73:e20200410
Abstract
ORIGINAL ARTICLEEffectiveness of therapeutic groups in psychosocial care: analysis in the light of yalom’s therapeutic factors
Revista Brasileira de Enfermagem. 2020;73:e20200410
DOI 10.1590/0034-7167-2020-0410
Views0See moreABSTRACT
Objective:
to describe professionals’ perceptions about the therapeutic effectiveness of group care.
Method:
a descriptive, exploratory, qualitative research of the type of intervention carried out with 30 professionals from Psychosocial Care Centers for Alcohol and Drugs in a municipality in center-westerns Brazil, from March to April 2019. Self-applicable instruments and round circles were used. The emerging data were submitted to content analysis.
Results:
professionals perceive the benefits of group practices and relate them to some therapeutic factors in the group. It is evident the little formal and systematized knowledge about the group process elements.
Final Considerations:
the therapeutic effectiveness of group processes is compromised due to absence of systematic records that allow to perceive the therapeutic progress of users, even though professionals perceive the emergence of therapeutic factors of the groups in the context of psychosocial care.
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REVIEW03-30-2020
Care of the self in the daily living of nurses: an integrative review
Revista Brasileira de Enfermagem. 2020;73(2):e20180668
Abstract
REVIEWCare of the self in the daily living of nurses: an integrative review
Revista Brasileira de Enfermagem. 2020;73(2):e20180668
DOI 10.1590/0034-7167-2018-0668
Views0See moreABSTRACT
Objectives:
to identify if nurses care for themselves and describe such practices.
Methods:
this is an integrative review of the literature published between 2006 and 2018 and indexed in the Literatura Latino-Americana e do Caribe em Ciências da Saúde, Medical Literature Analysis and Retrieval System Online and Web of Science databases.
Results:
the sample totaled 20 articles, grouped by content similarity in the thematic categories “limits and possibilities for the care of the self”, “knowledge about practices on the care of the self” and “implications of care of the self in professional practice”.
Final considerations:
the knowledge about techniques on caring for the self allows nurses to develop themselves personally and professionally. We suggest to managers and administrators a redirection of the nursing practice that contemplates the strengthening of the nurse as the manager of care and leader of the team, as well as the inclusion of the concept of care of the self in the curricula of undergraduate and graduate nursing courses.
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