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ORIGINAL ARTICLE11-22-2024
Bedside rounds in the hospital environment from the perspective of multiprofessional health teams
- Tauana Wazir Mattar e Silva
, - Marília Alves ,
- Isabela Silva Câncio Velloso ,
- Carolina da Silva Caram ,
- Kateryna Metersky , [ … ],
- Rita de Cássia Oliveira
Abstract
ORIGINAL ARTICLEBedside rounds in the hospital environment from the perspective of multiprofessional health teams
Revista Brasileira de Enfermagem. 2024;77(5):e20230493
DOI 10.1590/0034-7167-2023-0493
- Tauana Wazir Mattar e Silva ,
- Marília Alves ,
- Isabela Silva Câncio Velloso ,
- Carolina da Silva Caram ,
- Kateryna Metersky ,
- Rita de Cássia Oliveira
Views0ABSTRACT
Objective:
To analyze the configuration of power relations among the multiprofessional team in the bedside round process in the hospital.
Methods:
Qualitative research with data analyzed through discourse analysis, based on Michel Foucault’s theoretical framework. From September to December 2022, we conducted interviews and field observations with the multiprofessional team at a hospital in Belo Horizonte, Minas Gerais, Brazil, as well as qualitative, semi-structured interviews with 37 professionals.
Results:
The participants pointed out that the experiences of the professionals involved in bedside rounds depend on how the physician conducts the process, and the physician-centered process makes it difficult for other professionals in the team to participate.
Final considerations:
The way hospitals organize bedside rounds does not promote knowledge articulation for their professionals. It hinders the circulation of power and harms interdisciplinary work in a process that maintains the physician as the main actor in clinical decisions.
Keywords:Health Knowledge, Attitudes, PracticeHospitalsInterprofessional RelationsPatient Care TeamProfessional PracticeSee more
- Tauana Wazir Mattar e Silva
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REVIEW11-22-2024
Transition to family parenting in the face of the first child: a scoping review
- Maria Isabel Ventura Araújo ,
- Alberto Carlos Marques Duarte ,
- Maria Henriqueta de Jesus Silva Figueiredo ,
- Carmen Maria da Silva Maciel Andrade
Abstract
REVIEWTransition to family parenting in the face of the first child: a scoping review
Revista Brasileira de Enfermagem. 2024;77(5):e20230487
DOI 10.1590/0034-7167-2023-0487
- Maria Isabel Ventura Araújo ,
- Alberto Carlos Marques Duarte ,
- Maria Henriqueta de Jesus Silva Figueiredo ,
- Carmen Maria da Silva Maciel Andrade
Views1See moreABSTRACT
Objectives:
to identify and summarize the elements that characterize the family transition process in relation to the first child.
Methods:
a scoping review was carried out based on JBI methodology, in six databases, following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews checklist.
Results:
ten articles were included with factors characterizing the transition, such as hindering/facilitating conditions that influence the process, important support structures in adaptation and strategies/responses used in the transition process.
Final Considerations:
elements characterizing the transition process in relation to the first child were identified. However, no theoretical explanation for this was identified. Further research should be carried out to obtain a deeper understanding of this process.
- Maria Isabel Ventura Araújo
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ORIGINAL ARTICLE11-22-2024
Prevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain
- Juan Ignacio Calcagno ,
- Sarah Iribarren ,
- Cristiane Flora Villarreal ,
- Patricia Santos de Oliveira ,
- Amado Nizarala de Ávila
Abstract
ORIGINAL ARTICLEPrevalence of prescription and effectiveness of analgesia for treating vaginal delivery pain
Revista Brasileira de Enfermagem. 2024;77(5):e20230327
DOI 10.1590/0034-7167-2023-0327
- Juan Ignacio Calcagno ,
- Sarah Iribarren ,
- Cristiane Flora Villarreal ,
- Patricia Santos de Oliveira ,
- Amado Nizarala de Ávila
Views0See moreABSTRACT
Objectives:
to assess pain management during labor.
Methods:
a cross-sectional study was carried out by reviewing medical records and conducting postpartum interviews. Prevalence and effectiveness of analgesia were assessed.
Results:
the prevalence of non-pharmacological analgesia was 61.86% of 215 women in labor in Obstetric Center and 82.51% of 62 in midwife-led unit. Prevalence of severe pain, on the Visual Analogue Scale, before and after non-pharmacological analgesia, was from 92.16% to 64.04% (p=0.00) in Obstetric Center and from 85.96% to 52.63% (p=0.01) in midwife-led unit. Prevalence of pharmacological analgesia in Obstetric Centers was 15.81%, with no variation in severe pain (p=0.57). Patients’ request for analgesia was associated with education (p=0.00) and pain intensity (p=0.02).
Conclusions:
non-pharmacological analgesia improved pain intensity. Prevalence of pharmacological analgesic prescription was lower than that identified in developed countries. Pain management needs to consider the preferences and needs of women in labor.
- Juan Ignacio Calcagno
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11-22-2024
Social Technology in the Prevention of Adolescent Violence: documentary production
- Daiane de Paulo Paltanin Silva ,
- Laura Christina Macedo ,
- Rafaela Gessner Lourenço ,
- Thammy Novakovski dos Santos
Abstract
Social Technology in the Prevention of Adolescent Violence: documentary production
Revista Brasileira de Enfermagem. 2024;77(5):e20230298
DOI 10.1590/0034-7167-2023-0298
- Daiane de Paulo Paltanin Silva ,
- Laura Christina Macedo ,
- Rafaela Gessner Lourenço ,
- Thammy Novakovski dos Santos
Views0See moreABSTRACT
Objective:
To report the development of a technological innovation in the form of a documentary, aimed at disseminating actions for preventing violence against adolescents within the context of Primary Health Care.
Methods:
The documentary was developed through action research and interventions with adolescents in the territory of a Health Unit, conducted between 2020 and 2022, using Social Technology as both an action strategy and a conceptual reference.
Results:
The Social Technology proposal, created through workshops and seminars, resulted in a documentary focusing on violence prevention, involving 48 adolescents. The documentary’s script, collectively developed, portrays a soccer match between teams symbolizing peace and violence, with peace ultimately prevailing. The documentary is six minutes long.
Final Considerations:
The documentary has proven to be an effective Social Technology tool among adolescents, as it fosters critical thinking, is accessible, has potential for digital dissemination, and appeals to the target audience.
- Daiane de Paulo Paltanin Silva
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ORIGINAL ARTICLE11-22-2024
Study for the validation of evaluation indicators of electronic health records in immunization: Delphi technique
Revista Brasileira de Enfermagem. 2024;77(5):e20230112
Abstract
ORIGINAL ARTICLEStudy for the validation of evaluation indicators of electronic health records in immunization: Delphi technique
Revista Brasileira de Enfermagem. 2024;77(5):e20230112
DOI 10.1590/0034-7167-2023-0112
Views0See moreABSTRACT
Objective:
To develop and validate indicators for the evaluation of computerized systems in vaccination rooms.
Methods:
Methodological study. From the construction of a logical model for managing information produced in computerized systems in vaccination rooms, an evaluation indicator matrix was developed, and its contents were validated by specialists using the Delphi method. The degree of relevance and clarity were judged, using the following parameters: agreement percentage ≥ 90%; content validity index > 0.78. Internal consistency was tested using Cronbach’s alpha coefficient of 0.93.
Results:
Of the 55 proposed indicators, 48 were validated and composed the final matrix, with 13 in the structure dimension, 29 in the process dimension, and six in the outcome dimension.
Conclusion:
The set of indicators shows validity and high reliability, and can be used to evaluate computerized systems in vaccination rooms throughout the country, as it adhered to the recommendations of the National Immunization Program.
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11-22-2024
Rondas a beira leito no ambiente hospitalar na perspectiva de equipes multiprofissionais de saúde
- Tauana Wazir Mattar e Silva ,
- Marília Alves ,
- Isabela Silva Câncio Velloso ,
- Carolina da Silva Caram ,
- Kateryna Metersky , [ … ],
- Rita de Cássia Oliveira
Abstract
Rondas a beira leito no ambiente hospitalar na perspectiva de equipes multiprofissionais de saúde
Revista Brasileira de Enfermagem. 2024;77(5):e20230493
DOI 10.1590/0034-7167-2023-0493
- Tauana Wazir Mattar e Silva ,
- Marília Alves ,
- Isabela Silva Câncio Velloso ,
- Carolina da Silva Caram ,
- Kateryna Metersky ,
- Rita de Cássia Oliveira
Views0See moreRESUMEN
Objetivo:
Analizar la configuración de las relaciones de poder entre el equipo multiprofesional en el proceso de rondas de cabecera en el hospital.
Método:
Investigación cualitativa con datos analizados a través del análisis del discurso, basado en el marco teórico de Michel Foucault. De septiembre a diciembre de 2022, realizamos entrevistas y observaciones de campo con el equipo multiprofesional de un hospital de Belo Horizonte, Minas Gerais, Brasil, así como entrevistas cualitativas semiestructuradas con 37 profesionales.
Resultados:
Los participantes señalaron que las experiencias de los profesionales involucrados en las rondas de cabecera dependen de cómo el médico conduce el proceso, y el proceso centrado en el médico dificulta la participación de otros profesionales del equipo.
Consideraciones finales:
La forma en que los hospitales organizan las rondas de cabecera no promueve la articulación del conocimiento de sus profesionales. Además, dificulta la circulación del poder y perjudica el trabajo interdisciplinario en un proceso que mantiene al médico como actor principal de las decisiones clínicas.
- Tauana Wazir Mattar e Silva
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ORIGINAL ARTICLE11-22-2024
Knowledge sharing: nurse managers’ practices
- Ana Lúcia Arcanjo Oliveira Cordeiro ,
- Rosana Maria de Oliveira Silva ,
- Josicélia Dumêt Fernandes ,
- Gilberto Tadeu Reis da Silva
Abstract
ORIGINAL ARTICLEKnowledge sharing: nurse managers’ practices
Revista Brasileira de Enfermagem. 2024;77(5):e20230287
DOI 10.1590/0034-7167-2023-0287
- Ana Lúcia Arcanjo Oliveira Cordeiro ,
- Rosana Maria de Oliveira Silva ,
- Josicélia Dumêt Fernandes ,
- Gilberto Tadeu Reis da Silva
Views0See moreABSTRACT
Objective:
To analyze how management practices for sharing knowledge are developed in public hospitals in the context of nursing.
Methods:
Qualitative research, carried out with 15 nurse managers from six public hospitals, from July to September 2022. Data were collected through semi-structured interviews and analyzed according to content analysis and in a model for sharing knowledge at work.
Results:
Knowledge sharing in nursing occurs through intraand extra-organizational training (training, courses and events), use of digital communication tools (media and social networks) and individual and collective contact between professionals during the service (experiences, exchange of experiences and assessment feedback).
Final considerations:
Sharing knowledge is relevant to nursing work. To improve it, it must be understood that effective sharing occurs from person to person, in their daily practices, and must be conducted as a strategically planned process by nurse managers.
- Ana Lúcia Arcanjo Oliveira Cordeiro
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ORIGINAL ARTICLE11-22-2024
Interpersonal violence in the state of Espírito Santo: analysis of mandatory notifications between 2011 and 2018
- Franciéle Marabotti Costa Leite ,
- Luíza Eduarda Portes Ribeiro ,
- Tiffani Matos Oliveira ,
- Evellym Souza Correa ,
- Márcia Regina de Oliveira Pedroso , [ … ],
- Dherik Fraga Santos
Abstract
ORIGINAL ARTICLEInterpersonal violence in the state of Espírito Santo: analysis of mandatory notifications between 2011 and 2018
Revista Brasileira de Enfermagem. 2024;77(5):e20230081
DOI 10.1590/0034-7167-2023-0081
- Franciéle Marabotti Costa Leite ,
- Luíza Eduarda Portes Ribeiro ,
- Tiffani Matos Oliveira ,
- Evellym Souza Correa ,
- Márcia Regina de Oliveira Pedroso ,
- Dherik Fraga Santos
Views0See moreABSTRACT
Objective:
To identify the frequency of notifications of interpersonal violence in Espírito Santo from 2011 to 2018, and the factors associated with this issue.
Methods:
This is a cross-sectional study in which all cases of interpersonal violence from the Information System for Notifiable Diseases in the state of Espírito Santo during the period from 2011 to 2018 were analyzed. Absolute and relative frequencies and 95% confidence intervals were calculated, as well as Poisson regression.
Results:
During the analyzed period, 27,277 cases were reported in Espírito Santo (P: 75%; 95% CI: 74.5-75.4), being more prevalent among females, children, and the elderly, individuals of black/mixed race, people without disabilities, and residents of urban areas. Regarding the perpetrator, there was a higher prevalence of individuals aged 25 years and older, males, with a current or former intimate partner relationship with the victim, and suspected alcohol use at the time of the aggression. In terms of the characteristics of the aggression, there was a higher prevalence of repeat violence, involving a single aggressor, and occurring in the residence.
Conclusions:
The notification of interpersonal violence in Espírito Santo showed a high prevalence and was associated with characteristics of the victim, aggressor, and event. This scenario reinforces the need for interventions such as professional qualification, expansion of intersectoral actions, and reformulation of public policies.
- Franciéle Marabotti Costa Leite
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ORIGINAL ARTICLE08-06-2021
Hope in a depression therapeutic group: a qualitative case study
Revista Brasileira de Enfermagem. 2021;74(4):e20201309
Abstract
ORIGINAL ARTICLEHope in a depression therapeutic group: a qualitative case study
Revista Brasileira de Enfermagem. 2021;74(4):e20201309
DOI 10.1590/0034-7167-2020-1309
Views1See moreABSTRACT
Objective:
to understand the perceptions of hope for people with depression in the context of a therapy group.
Methods:
using a qualitative case study approach, a semi-structured in-depth interview and a self-report questionnaire were conducted with seven women with depression integrated in a therapy group at a Portuguese day-care psychiatric unit. Data collection and analysis used triangulation of sources.
Results:
the participants evidenced hope founded on the positive experiences of the past with a strong affiliation component. Hope management is done fundamentally through the interpersonal relationships established between the members of the group, based on communicational patterns that are established on a regular basis, mediated by the group therapist.
Conclusion:
the therapy group functioned towards the reinforcement of hope in people who experience depression, and it works as a motivation to manage the implications of illness in the participants’ life and health project.
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REVIEW08-16-2021
Fatigue due to compassion in health professionals and coping strategies: a scoping review
- Vivian Jilou ,
- Joyce Mara Gabriel Duarte ,
- Rosa Helena Aparecida Gonçalves ,
- Edson Elias Vieira ,
- Ana Lúcia de Assis Simões
Abstract
REVIEWFatigue due to compassion in health professionals and coping strategies: a scoping review
Revista Brasileira de Enfermagem. 2021;74(5):e20190628
DOI 10.1590/0034-7167-2019-0628
- Vivian Jilou ,
- Joyce Mara Gabriel Duarte ,
- Rosa Helena Aparecida Gonçalves ,
- Edson Elias Vieira ,
- Ana Lúcia de Assis Simões
Views0See moreABSTRACT
Objectives:
to identify the current state of knowledge on compassion fatigue in the work context of healthcare professionals; and how coping strategies are established in this scenario.
Method:
a scoping review with search applied to the databases: MEDLINE, LILACS, CINAHL, Scopus. Temporal limit: 2009 to 2019. The data was analyzed and synthesized in narrative form
Results:
thirty articles were selected, synthesized into two categories: a) Health work and compassion fatigue: conceptual analysis, context, and manifestations; b) Coping strategies for compassion fatigue.
Conclusions:
this study presented: a descriptive and general panorama about compassion fatigue in healthcare professionals, identifying a greater consolidation of the concept between 2015 and 2018; and some coping strategies. The association between health and spirituality is highlighted as one of the strategies in this scenario, enabling new research to be conducted in view of the importance of the theme in life, health work.
- Vivian Jilou
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ORIGINAL ARTICLE07-23-2021
Disabilities in leprosy: construction and validation of instrument on knowledge and attitude of professionals
- Emanuelle Malzac Freire de Santana ,
- Karen Krystien Gonçalves de Brito ,
- Smalyanna Sgren da Costa Andrade ,
- Ester Missas Villaverde Antas ,
- Matheus de Medeiros Nóbrega , [ … ],
- Simone Helena dos Santos Oliveira
Abstract
ORIGINAL ARTICLEDisabilities in leprosy: construction and validation of instrument on knowledge and attitude of professionals
Revista Brasileira de Enfermagem. 2021;74(5):e20200862
DOI 10.1590/0034-7167-2020-0862
- Emanuelle Malzac Freire de Santana ,
- Karen Krystien Gonçalves de Brito ,
- Smalyanna Sgren da Costa Andrade ,
- Ester Missas Villaverde Antas ,
- Matheus de Medeiros Nóbrega ,
- Maria Júlia Guimarães Oliveira Soares ,
- Simone Helena dos Santos Oliveira
Views0See moreABSTRACT
Objective:
To develop and test the content validity of the “Knowledge and Attitudes on Assessing Degrees of Physical Disability in Leprosy” instrument.
Methods:
Methodological study carried out between January and May 2019 in three stages: item generation, analysis of aggregated redundancy to the composition, and content validation, using the Delphi technique.
Results:
In the first evaluation, a relevance of ≥ 0.80 stood out for all items, except for 2.8, which was excluded. To make the instrument clearer, the sequence was renumbered from one to 32; 2.6, 3.1, and 15 were reformulated, and the others underwent modifications, except for ten and 13. After the second evaluation, all items obtained Content Validity Index > 0.90 and Kappa = 1.00.
Conclusion:
The instrument has an excellent content validity; it is inferred that it is adequate to measure the knowledge and attitudes of professionals in the assessment of physical disabilities in leprosy.
- Emanuelle Malzac Freire de Santana
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ORIGINAL ARTICLE08-30-2021
Mental health in adolescence: Elaboration and validation of an educational technology for health promotion
- Sibele Pontes Rocha ,
- Quiteria Larissa Teodoro Farias ,
- Maristela Inês Osawa Vasconcelos ,
- Stella Maris Brum Lopes ,
- Igor Iuco Castro-Silva , [ … ],
- Iane Ximenes Teixeira
Abstract
ORIGINAL ARTICLEMental health in adolescence: Elaboration and validation of an educational technology for health promotion
Revista Brasileira de Enfermagem. 2021;74(5):e20201023
DOI 10.1590/0034-7167-2020-1023
- Sibele Pontes Rocha ,
- Quiteria Larissa Teodoro Farias ,
- Maristela Inês Osawa Vasconcelos ,
- Stella Maris Brum Lopes ,
- Igor Iuco Castro-Silva ,
- Karla Kristine Dames da Silva ,
- Iane Ximenes Teixeira
Views1See moreABSTRACT
Objective:
to build and validate the appearance of a digital educational technology to promote the mental health of school adolescents.
Methods:
methodological study, which included the elaboration and validation of the “Conect@dos com a S@ude” online course based on the Galvis-Panqueva methodological framework. The elaboration was based on a literature review and followed the Theory of Meaningful Learning. The validation was performed by a total of 21 adolescent students, using an instrument adapted for the study. A quantitative analysis was performed from the Content Validity Index and descriptive of the suggestions pointed out by the target audience.
Results:
the analysis of the Content Validity index ranged from 0.8 to 1 in all evaluated items. The adolescents presented some suggestions for improvement for the course, most of them were accepted.
Conclusion:
the course was validated by the target audience.
- Sibele Pontes Rocha
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ORIGINAL ARTICLE08-30-2021
Family functionality and burden of family caregivers of users with mental disorders
- Jaciquely José da Costa Andrade ,
- Andrea Cristina Oliveira Silva ,
- Iracema da Silva Frazão ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Thassia Thame de Moura Silva , [ … ],
- Ana Márcia Tenório Souza Cavalcanti
Abstract
ORIGINAL ARTICLEFamily functionality and burden of family caregivers of users with mental disorders
Revista Brasileira de Enfermagem. 2021;74(5):e20201061
DOI 10.1590/0034-7167-2020-1061
- Jaciquely José da Costa Andrade ,
- Andrea Cristina Oliveira Silva ,
- Iracema da Silva Frazão ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Thassia Thame de Moura Silva ,
- Ana Márcia Tenório Souza Cavalcanti
Views0See moreABSTRACT
Objective:
to verify the difference of mean or median in the scores of family functionality and burden of family caregivers of people with mental disorders.
Methods:
cross-sectional study carried out in a Psychosocial Care Center with 61 family caregivers. Instruments were used for sociodemographic characterization, care process, Family Apgar Index and Family Burden Interview Schedule. Mean/median difference tests were adopted.
Results:
women with mental disorders and the presence of children in the home decreased the median of the family Apgar score. Difficulty in the relationship between caregiver/user, nervousness/tension, physical aggression and agitation of patients increased the global average of subjective burden.
Conclusions:
nursing interventions to reduce burden and promote family functionality should prioritize caregivers of women with mental disorders, assist them in managing troublesome behaviors and raising awareness of family nucleus to co-responsibility for caring for sick people, especially in families with children who demand daily care.
- Jaciquely José da Costa Andrade
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ORIGINAL ARTICLE07-23-2021
The role of grandparents of children with cancer in the hospital
Revista Brasileira de Enfermagem. 2021;74(5):e20201143
Abstract
ORIGINAL ARTICLEThe role of grandparents of children with cancer in the hospital
Revista Brasileira de Enfermagem. 2021;74(5):e20201143
DOI 10.1590/0034-7167-2020-1143
Views0See moreABSTRACT
Objective:
To understand the role of grandparents of hospitalized children with cancer.
Methods:
In a qualitative study, we interviewed eleven grandparents of children with cancer hospitalized at a referral center for pediatric oncology in São Paulo. The data were analyzed using the Hybrid Framework of Thematic Analysis.
Results:
Six themes were found to describe the role of grandparents in this context: Being the family’s support, Sharing love to my child and my grandchild, Being there for my child and my grandchild, Offering spiritual support to my child and my grandchild, Making an effort to be able to manage my own feelings and Balancing the demands of hospitalization with available resources.
Final considerations:
The findings show the significance of the grandparents’ role in this experience and emphasize the value of being considered, by health professionals, as part of the family and care.
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ORIGINAL ARTICLE07-30-2021
Perspective of nursing students about active learning and insertion in the job market
Revista Brasileira de Enfermagem. 2021;74(6):e20190168
Abstract
ORIGINAL ARTICLEPerspective of nursing students about active learning and insertion in the job market
Revista Brasileira de Enfermagem. 2021;74(6):e20190168
DOI 10.1590/0034-7167-2019-0168
Views0See moreABSTRACT
Objective:
to understand the perception of alumni from a nursing course which uses active learning methods about their insertion in the job market.
Methods:
descriptive and exploratory study with a qualitative approach, carried out through 17 interviews with alumni from 2012 and 2014. The analysis took place using Dialectic Hermeneutics, as subsidized by the theoretical framework of the Theory of Complexity.
Results:
the statements of the alumni showed aspects related to safety to act in the job market, to stimulating proactivity and initiative for learning as proposed by the active method, to difficulties in teamwork, and to the lack of experience in certain specialized fields.
Final Considerations:
there are advances and challenges marked by contradictions in the way the alumni act and think as they enter the job market, which is an inherent condition to processes of change, from the perspective of complex thinking.
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ORIGINAL ARTICLE08-20-2021
Resilience of family caregivers of children and adolescents in treatment of neoplasms and associated factors
- Jaqueline Scalabrin da Silva ,
- Otavio Fereira Moraes ,
- Luiza Dressler Sabin ,
- Franciele Ormizinda Almeida ,
- Tânia Solange Bosi de Souza Magnago
Abstract
ORIGINAL ARTICLEResilience of family caregivers of children and adolescents in treatment of neoplasms and associated factors
Revista Brasileira de Enfermagem. 2021;74(6):e20190388
DOI 10.1590/0034-7167-2019-0388
- Jaqueline Scalabrin da Silva ,
- Otavio Fereira Moraes ,
- Luiza Dressler Sabin ,
- Franciele Ormizinda Almeida ,
- Tânia Solange Bosi de Souza Magnago
Views0See moreABSTRACT
Objectives:
analyze the level of resilience of family caregivers of children and adolescents hospitalized for cancer treatment and associated factors.
Methods:
cross-sectional study, carried out in 2018, with 62 family caregivers in a university hospital in the state of Rio Grande do Sul, Brazil. The instruments CDRisc-10-Br, SRQ20, PSS-14 and WHOQOL-Bref were used to measure resilience, minor psychological disorders, stress, and quality of life, respectively. Inferential statistics were used.
Results:
female caregivers, married, with one child and who practice some predominated religion. They were classified as having a moderate level of resilience (48.4%); with suspicion for minor psychological disorders (45%) and high level of stress (41%). In terms of quality of life, they were satisfied in the Physical, Psychological and Social Relations domains; and dissatisfied in the Environment domain.
Conclusions:
there were direct weak to moderate correlations between the level of resilience and quality of life and inversely with stress and minor psychological disorders.
- Jaqueline Scalabrin da Silva
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ORIGINAL ARTICLE09-30-2020
Caring for cancer patients facing death: nurse’s perception and experience
- Marina Macedo Funes ,
- Marcia Wanderley de Moraes ,
- Mariana Lucas da Rocha Cunha ,
- Fabiane de Amorim Almeida
Abstract
ORIGINAL ARTICLECaring for cancer patients facing death: nurse’s perception and experience
Revista Brasileira de Enfermagem. 2020;73:e20190686
DOI 10.1590/0034-7167-2019-0686
- Marina Macedo Funes ,
- Marcia Wanderley de Moraes ,
- Mariana Lucas da Rocha Cunha ,
- Fabiane de Amorim Almeida
Views0See moreABSTRACT
Objective:
To know the experiences and perceptions of nurses who care for dying cancer patients.
Method:
A descriptive, qualitative study, developed in a private hospital in Sao Paulo, with a total of nine nurses, aged between 24 and 46 years old, who participated in a semi-structured interview.
Results:
Through Bardin’s Content Analysis, three categories were highlighted: Death as a natural process and the final stage of the life cycle; Although it is difficult, it is important to get emotionally involved with dying patients and their family; and Reflecting on their experiences in the care of dying patients and their family.
Final Considerations:
The nurses’ experiences and perceptions of the death of cancer patients showed the professional’s involvement and feelings of anxiety and anguish. Adopting effective strategies to address people who are suffering, in the context of the study, can provide subsidies that will guide clinical practice in health.
- Marina Macedo Funes
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ORIGINAL ARTICLE10-05-2020
Mobile application development structured in self-care for occupational post-exposure prophylaxis to biological material
Revista Brasileira de Enfermagem. 2020;73:e20190721
Abstract
ORIGINAL ARTICLEMobile application development structured in self-care for occupational post-exposure prophylaxis to biological material
Revista Brasileira de Enfermagem. 2020;73:e20190721
DOI 10.1590/0034-7167-2019-0721
Views0See moreABSTRACT
Objective:
to develop and validate an application for cellphones structured in self-care to encourage adherence to antiretroviral prophylaxis after occupational exposure to biological material.
Methods:
phase 1 – descriptive study to identify characteristics of occupational exposure; phase 2 – methodological study to construct and validate an application content aiming to increase adherence to antiretrovirals.
Results:
phase 1 – 55 occupational exposures were recorded; 32 (58.2%) antiretroviral indication. Blood was present in 96.9% of exposures; most professionals have insufficient knowledge about exposure risks. A statistical relationship was identified between self-care and adherence (p<0.001). Phase 2 - application was constructed, validated by 11 experts, and considered appropriate to encourage health professionals for self-care and adherence to antiretrovirals.
Conclusion:
the application “Exposição Ocupacional ao HIV” was considered adequate to expand self-care and adherence of professionals to prophylactic treatment to occupational infections arising from biological risks.
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ORIGINAL ARTICLE06-17-2020
Nursing process for a patient with needle phobia: a case study
- Angelo Braga Mendonça ,
- Eliane Ramos Pereira ,
- Carinne Magnago ,
- Rose Mary Costa Rosa Andrade Silva ,
- Adriana de Oliveira Martins
Abstract
ORIGINAL ARTICLENursing process for a patient with needle phobia: a case study
Revista Brasileira de Enfermagem. 2020;73(4):e20190095
DOI 10.1590/0034-7167-2019-0095
- Angelo Braga Mendonça ,
- Eliane Ramos Pereira ,
- Carinne Magnago ,
- Rose Mary Costa Rosa Andrade Silva ,
- Adriana de Oliveira Martins
Views0See moreABSTRACT
Objectives:
to report a clinical case of needle phobia which culminated in cardiac arrest and describe the outcome of a care plan based on fear and anxiety diagnoses, using the Roy adaptation model as the framework.
Methods:
case study conducted in a chemotherapy outpatient unit in Rio de Janeiro. Care was guided by the nursing process and the use of instruments to assess the venous network, anxiety and fear.
Results:
the Roy adaptation model enabled proposing nursing interventions that allowed the study subject to adapt to the external and internal stimuli triggered by vasovagal syndrome. The instruments indicated the choice of an adequate semi-implanted venous access device and led to improved levels of anxiety and fear.
Final Considerations:
after carrying out the nursing activities, anxiety was reduced, and the patient achieved greater control over fear.
- Angelo Braga Mendonça
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ORIGINAL ARTICLE12-13-2019
Cross-cultural adaptation of the Preterm Parenting & Self-efficacy Checklist
- Carolina Queiroz de Souza Mendes ,
- Myriam Aparecida Mandetta ,
- Miriam Harumi Tsunemi ,
- Maria Magda Ferreira Gomes Balieiro
Abstract
ORIGINAL ARTICLECross-cultural adaptation of the Preterm Parenting & Self-efficacy Checklist
Revista Brasileira de Enfermagem. 2019;72:274-281
DOI 10.1590/0034-7167-2018-0658
- Carolina Queiroz de Souza Mendes ,
- Myriam Aparecida Mandetta ,
- Miriam Harumi Tsunemi ,
- Maria Magda Ferreira Gomes Balieiro
Views0See moreABSTRACT
Objective:
To conduct a cross-cultural adaptation of the Preterm Parenting & Self-Efficacy Checklist to the Brazilian Portuguese.
Method:
A methodological study was carried out with 51 parents of premature infants. Data analysis was based on psychometric and inferential statistical analyses.
Results:
The instrument content validation by experts obtained excellent agreement (97%) and the semantic analysis by the target population showed good understanding of the terms and ease of use. In test-retest, most participants were female (64.7%); and parents with higher education (47.1%). The instrument showed stability over time, with good internal consistency (α = 0.84). Four factors were generated in the subscales parenting self-efficacy, importance of tasks and self-perceived parental competence (67.0% to 74.2% of the variance).
Conclusion:
The properties of the Preterm Parenting & Self-Efficacy Checklist – Brazilian Version were maintained, which is a reliable indicator to evaluate the hospital discharge of premature infants.
- Carolina Queiroz de Souza Mendes
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ORIGINAL ARTICLE12-13-2019
Social support of families with tracheostomized children
Revista Brasileira de Enfermagem. 2019;72:282-289
Abstract
ORIGINAL ARTICLESocial support of families with tracheostomized children
Revista Brasileira de Enfermagem. 2019;72:282-289
DOI 10.1590/0034-7167-2018-0708
Views0See moreABSTRACT
Objective:
To understand the social support of families with tracheostomized children.
Method:
Qualitative study using the Model of Dimensions of Social Support together with the Family System-Illness model as theoretical frameworks, based on the hybrid model of thematic analysis. Nine families with tracheostomized children were interviewed in an outpatient pediatric otorhinolaryngology department of a public hospital in the inner state of São Paulo.
Results:
The experience of social support to each phase of the family experience was presented in three themes: “Knowing the need for a tracheostomy”, “Performing a tracheostomy” and “Living with a tracheostomy”.
Final considerations:
Understanding how the experience of social support occurs can support assessment and intervention strategies, aiming to meet the demands of the family at each phase of its trajectory, collaborating for a continuous and integral nursing care.
-
ORIGINAL ARTICLE06-17-2020
Implementation of improvement cycle in health records of mobile emergency prehospital care
- Maria do Socorro Telma Batista Araújo Timóteo ,
- Rodrigo Assis Neves Dantas ,
- Ilanne Caroline Santos Costa ,
- Tâmara Taynah Medeiros da Silva ,
- Kauanny Vitoria Gurgel dos Santos , [ … ],
- Daniele Vieira Dantas
Abstract
ORIGINAL ARTICLEImplementation of improvement cycle in health records of mobile emergency prehospital care
Revista Brasileira de Enfermagem. 2020;73(4):e20190049
DOI 10.1590/0034-7167-2019-0049
- Maria do Socorro Telma Batista Araújo Timóteo ,
- Rodrigo Assis Neves Dantas ,
- Ilanne Caroline Santos Costa ,
- Tâmara Taynah Medeiros da Silva ,
- Kauanny Vitoria Gurgel dos Santos ,
- Eloysa dos Santos Oliveira ,
- Daniele Vieira Dantas
Views0See moreABSTRACT
Objective:
to evaluate the effect of the implementation of a quality improvement cycle in the completion of occurrence forms of a Mobile Emergency Service.
Methods:
this is a time series, quantitative, quasi-experimental study without control group, with three quality assessments in which was used an improvement cycle for adequacy of health records in Mobile Emergency Service Patos.
Results:
in 100% of the seven criteria, there was improvement between evaluations. Noncompliance with criteria reduced from 95 cases in the first evaluation to eight cases in the third evaluation.
Conclusions:
the representation of joint results between the three evaluations highlighted progressive improvement in the compliance with each criterion.
- Maria do Socorro Telma Batista Araújo Timóteo
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ORIGINAL ARTICLE12-13-2019
Harm reduction: trends being disputed in health policies
- Carla Regina Moreira ,
- Cassia Baldini Soares ,
- Celia Maria Sivalli Campos ,
- Thais Helena Mourão Laranjo
Abstract
ORIGINAL ARTICLEHarm reduction: trends being disputed in health policies
Revista Brasileira de Enfermagem. 2019;72:312-320
DOI 10.1590/0034-7167-2017-0671
- Carla Regina Moreira ,
- Cassia Baldini Soares ,
- Celia Maria Sivalli Campos ,
- Thais Helena Mourão Laranjo
Views0See moreABSTRACT
Objective:
to identify the underlying harm reduction trends in Brazilian drug policies.
Method:
The research, qualitative in nature, used in-depth interviews with experts in the field. The recorded and transcribed material was analyzed via the content analysis method.
Results:
The analysis exposed the following conceptions: drug use is a disease, and its associated health practices should be treatment, rehabilitation and social reintegration. These conceptions deviate to some extent from the war on drugs approach, and support the adoption of harm-reduction practices, proposed by public health. Less expressively, critical conceptions which clearly distance themselves from the prohibitionist approach and from public health may be seen, in line with the perspective of collective health, for the implementation of emancipatory harm-reduction practices.
Final considerations:
Harm-reduction conceptions and practices reveal the underlying conservative, liberal, and critical tendencies in Brazilian drug policies.
- Carla Regina Moreira
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ORIGINAL ARTICLE10-21-2019
Knowledge of the care of wounded patients: evidence of validity of an instrument
- Eurides Araújo Bezerra de Macedo ,
- Camylla Cavalcante Soares de Freitas ,
- Alessandra Justino Dionisio ,
- Gilson de Vasconcelos Torres
Abstract
ORIGINAL ARTICLEKnowledge of the care of wounded patients: evidence of validity of an instrument
Revista Brasileira de Enfermagem. 2019;72(6):1562-1570
DOI 10.1590/0034-7167-2018-0643
- Eurides Araújo Bezerra de Macedo ,
- Camylla Cavalcante Soares de Freitas ,
- Alessandra Justino Dionisio ,
- Gilson de Vasconcelos Torres
Views0See moreABSTRACT
Objective:
to present evidence of validity of an instrument aimed at evaluating the knowledge of nursing students about the care of the wounded patient, according to the difficulty and discrimination indexes of the items.
Method:
methodological study conducted in a nursing higher education institution with 117 undergraduate students and 38 professionals from a research group with experience in the area of wounds. For data collection, a questionnaire with 10 multiple choice questions was applied before and after classes on wounds.
Results:
most of the questions presented low level of difficulty and inefficient discrimination index, requiring a revision of the instrument. After two review stages, the difficulty and discrimination indexes of the instruments improved.
Conclusion:
an instrument with better evidence of validity was obtained. However, it still requires refinement for later revalidation in the same population.
- Eurides Araújo Bezerra de Macedo
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