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RESEARCH01-01-2018
Phytotherapy in pediatrics: the production of knowledge and practices in Primary Care
Revista Brasileira de Enfermagem. 2018;71:637-645
Abstract
RESEARCHPhytotherapy in pediatrics: the production of knowledge and practices in Primary Care
Revista Brasileira de Enfermagem. 2018;71:637-645
DOI 10.1590/0034-7167-2017-0436
Views0See moreABSTRACT
Objective:
To demonstrate the use of phytotherapy as a therapy adopted in the context of Primary Care to Childhood.
Method:
Observational and analytical field research, with quantitative-qualitative approach. A semi-structured survey was used on socio-demographic and ethnopharmacological variables, audio interview and daily observation.
Results:
The production of knowledge about phytotherapy constitutes a family heritage, but incorporated data resulting from the daily experiences shared by the community. The main factors were: easy access to this resource, high costs of conventional treatment, difficulty in accessing medical services and belief in the power of plants. The attributed meanings were: prevention and treatment of injuries, rescue of memory and of experiences, factor integrative with nature and aggregative among members of the community.
Final considerations:
Rescuing this tradition brings a new meaning to health care.
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RESEARCH01-01-2018
Perception of nurses who perform rapid tests in Health Centers
Revista Brasileira de Enfermagem. 2018;71:631-636
Abstract
RESEARCHPerception of nurses who perform rapid tests in Health Centers
Revista Brasileira de Enfermagem. 2018;71:631-636
DOI 10.1590/0034-7167-2017-0298
Views0See moreABSTRACT
Objective:
Learn about the perception of health professionals who perform rapid tests in Health Centers (HCs).
Method:
This is a descriptive and qualitative study conducted in nine HCs in Recife. Data were collected through individual interviews and evaluated using Bardin’s content analysis, in its thematic category.
Results:
Challenges were observed in rapid tests related to the supply of products, physical structure, training for pre- and post-test counseling, and the need for improvements in permanent education actions.
Final considerations:
These issues can be resolved with management improvements, systematization of permanent education activities, and definition of care flows that enable early diagnosis. Besides the diagnosis, care lines should be created for people living with HIV and AIDS who use the HCs for early health care process.
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RESEARCH01-01-2018
Social support of people with HIV/AIDS: the Social Determinants of Health Model
Revista Brasileira de Enfermagem. 2018;71:625-630
Abstract
RESEARCHSocial support of people with HIV/AIDS: the Social Determinants of Health Model
Revista Brasileira de Enfermagem. 2018;71:625-630
DOI 10.1590/0034-7167-2017-0346
Views0See moreABSTRACT
Objective:
To analyze the social support of people with HIV/AIDS from the perspective of the Social Determinants of Health Model.
Method:
This was a cross-sectional study conducted in 2015 in an infectious disease outpatient clinic. The sample was made up of 116 people with HIV/AIDS. The data was collected through interviews, using a sociodemographic form and a social support scale. The data was analyzed using descriptive statistics, and Student’s t-tests and Mann-Whitney tests were performed to determine the association between social support and the social determinants of health.
Results:
Total social support was satisfactory, emotional support was influenced by smoking (p=0.0432) and instrumental support, by the number of people in the household (p=0.0003). The main source of instrumental and emotional support was relatives living outside the household, corresponding to 66.7% and 56.1%, respectively.
Conclusion:
It was found that smokers havelower emotional support and people living alone received less instrumental support.
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RESEARCH01-01-2018
Evaluation study of the National Immunization Program Information System
Revista Brasileira de Enfermagem. 2018;71:615-624
Abstract
RESEARCHEvaluation study of the National Immunization Program Information System
Revista Brasileira de Enfermagem. 2018;71:615-624
DOI 10.1590/0034-7167-2017-0601
Views0See moreABSTRACT
Objective:
To carry out the National Immunization Program Information System (SIPNI) accessability assessment (EA), considering the description of the intervention, the elaboration of the theoretical-logical model and the identification of the evaluative questions.
Method:
A single case study with a qualitative approach, based on the system of seven elements proposed by Thurston and Ramaliu (2005). The SIPNI and the context of analysis, the vaccination rooms, were defined as the case.
Results:
The SIPNI description, based on documents and scientific evidence, made it possible to understand its operationalization, the main events that characterize it. The theoretical-logical model visually and systematically configured the SIPNI organization with details of the inputs, activities, products and expected effects. The evaluative questions were evaluated and validated to evaluate the SIPNI.
Final considerations:
The SIPNI is evaluable and presented a favorable scenario for its development. EA is an important strategy for planning subsequent evaluations, maximizing their potentials.
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RESEARCH01-01-2018
Gender, sexuality and violence: perception of mobilized adolescents in an online game
Revista Brasileira de Enfermagem. 2018;71:607-614
Abstract
RESEARCHGender, sexuality and violence: perception of mobilized adolescents in an online game
Revista Brasileira de Enfermagem. 2018;71:607-614
DOI 10.1590/0034-7167-2017-0561
Views0See moreABSTRACT
Objective:
To identify and analyze the perception of high school students about violence in intimacy relations in adolescence, in the light of the category Gender.
Method:
A qualitative, descriptive and exploratory study, based on the comments of 27 adolescents participating in the online game, Papo Reto. The discourses were submitted to the analysis of thematic content and discussed in the light of the category Gender.
Results:
Adolescents naturalize violence in their relationships of intimacy, but when they recognize it, they react in several ways: with aggressions, dialoguing with the partner or seeking support from third parties.
Final considerations:
There were discordant perceptions regarding the phenomenon, most of which reiterated gender stereotypes. However, they reveal attitudes favorable to overcoming mainly related to the attainment of autonomy.
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RESEARCH01-01-2018
Evaluation of the satisfaction of users of a service specialized in diabetes mellitus
Revista Brasileira de Enfermagem. 2018;71:599-606
Abstract
RESEARCHEvaluation of the satisfaction of users of a service specialized in diabetes mellitus
Revista Brasileira de Enfermagem. 2018;71:599-606
DOI 10.1590/0034-7167-2017-0554
Views0See moreABSTRACT
Objective:
to evaluate the satisfaction of users of a service that specializes in diabetes mellitus.
Method:
evaluative research, with mixed approach, developed at the Integrated Center for Diabetes and Hypertension of Barbalha-CE, in the period from 2011 to 2014, with 97 users. Data concerning the characterization and satisfaction of users in relation to the dimensions of infrastructure, accessibility and the user-health team relationship were collected.
Results:
77.3% were older adults, 88.7% women and 84.8%, retired. 63.9% of the users were satisfied with the service; however, dissatisfaction with the dimensions of infrastructure (offices, equipment and medicines) and accessibility (laboratory tests and medical consultations) was reported.
Final considerations:
most users revealed be satisfied with the service received considering the dimensions analyzed. However, studies that assess the satisfaction of users need to contemplate the participants’ reports and not rely on the use of previously structured forms only.
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RESEARCH01-01-2018
Aging demographic profile in municipalities in the state of Pará, Brazil
Revista Brasileira de Enfermagem. 2018;71:591-598
Abstract
RESEARCHAging demographic profile in municipalities in the state of Pará, Brazil
Revista Brasileira de Enfermagem. 2018;71:591-598
DOI 10.1590/0034-7167-2017-0070
Views0See moreABSTRACT
Objective:
To investigate socioeconomic and demographic differences regarding population aging in municipalities of the state of Pará, Brazil.
Method:
Ecological study with secondary demographic, socioeconomic and health data from the 144 municipalities of the state of Pará, Brazil. Data were treated with segmentation analysis, the Mann-Whitney U test and logistic regression models, with a significance level of p ≤ 0.05.
Results:
Segmentation analysis provided a single variable to describe aging in the municipalities of Pará and originated two clusters, the high and low aging rate ones, with 104 (72.22%) and 40 (27.78%) municipalities in each, respectively. The fitted model revealed an association between aging and per capita income (p = 0.021), vulnerability to poverty (p = 0.003), rich to poor ratio (p = 0.012) and density of people (p = 0.019).
Conclusion:
There is heterogeneity in the population aging among the municipalities of Pará, mainly regarding socioeconomic conditions and number of people living in the municipalities.
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01-01-2018
Decline of mortality from cervical cancer
Revista Brasileira de Enfermagem. 2018;71:585-590
Abstract
Decline of mortality from cervical cancer
Revista Brasileira de Enfermagem. 2018;71:585-590
DOI 10.1590/0034-7167-2016-0530
Views0See moreABSTRACT
Objective:
To describe occurrences of mortality due to cervical cancer in Recife (PE), in northeastern Brazil.
Method:
This was a time-series ecological study using data from the Mortality Information System (SIM) regarding the total number of deaths due to cervical cancer (C53 ICD10) that occurred between 2000 and 2012.
Results:
It was observed that the risk of death due to this form of cancer was higher among women over 60 years of age, those of mixed skin color (53.24%), those who only worked at home (63.16%) and those who did not have a partner (44.32%).
Conclusion:
Additional efforts towards maintaining early detection and health education programs and towards using therapeutic strategies of greater efficiency are needed, given that mortality due to this form of cancer is considered avoidable when diagnosed early.
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ORIGINAL ARTICLE06-27-2019
Patient safety incidents identified by the caregivers of hospitalized children
- Letícia Maria Hoffmann
, - Wiliam Wegner ,
- Cecilia Biasibetti ,
- Merianny de Ávila Peres ,
- Luiza Maria Gerhardt , [ … ],
- Márcia Koja Breigeiron
Abstract
ORIGINAL ARTICLEPatient safety incidents identified by the caregivers of hospitalized children
Revista Brasileira de Enfermagem. 2019;72(3):707-714
DOI 10.1590/0034-7167-2018-0484
- Letícia Maria Hoffmann ,
- Wiliam Wegner ,
- Cecilia Biasibetti ,
- Merianny de Ávila Peres ,
- Luiza Maria Gerhardt ,
- Márcia Koja Breigeiron
Views0See moreABSTRACT
Objective:
to analyze patient safety incidents identified by caregivers of hospitalized children.
Method:
a qualitative, exploratory-descriptive study was carried out with 40 caregivers of children hospitalized in three hospital institutions in the city of Porto Alegre, Rio Grande do Sul State, Brazil, from April to December 2016. Semi-structured, recorded and transcribed interviews were carried out in their entirety, submitted to a thematic analysis using the NVivo 11.0 software.
Results:
reports related to falls, infant feeding, patient/caregiver identification, medication process, communication, hand hygiene and hygiene of the hospital environment, spread of diseases, relations between caregivers and professionals and care processes/procedures were all cited.
Final considerations:
communication and the relations among caregivers and professionals are the main contributory factors for patient safety incidents, interfering with the quality of care. The participation of caregivers and engagement in child care may be strategies to be developed to promote a safety culture.
- Letícia Maria Hoffmann
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ORIGINAL ARTICLE09-16-2019
Tuberculosis: health care and surveillance in prisons
- Manuela Filter Allgayer ,
- Karine Zenatti Ely ,
- Graziela Hamann de Freitas ,
- Andréia Rosane de Moura Valim ,
- Roxana Isabel Cardozo Gonzales , [ … ],
- Lia Gonçalves Possuelo
Abstract
ORIGINAL ARTICLETuberculosis: health care and surveillance in prisons
Revista Brasileira de Enfermagem. 2019;72(5):1304-1310
DOI 10.1590/0034-7167-2018-0260
- Manuela Filter Allgayer ,
- Karine Zenatti Ely ,
- Graziela Hamann de Freitas ,
- Andréia Rosane de Moura Valim ,
- Roxana Isabel Cardozo Gonzales ,
- Suzane Beatriz Frantz Krug ,
- Lia Gonçalves Possuelo
Views0See moreABSTRACT
Objective:
To identify tuberculosis-related health care and surveillance actions in Prison Health Units.
Method:
Cross-sectional study, of quantitative, exploratory and descriptive character. We visited 13 Teams of Prison Health, and nurses and technicians were interviewed regarding epidemiological surveillance instruments, physical structure and materials.
Results:
Search for respiratory symptoms in admission was reported by 6 (46.2%) of the teams, and the smear microscopy was the most requested test. The Logbook of Respiratory Symptoms and the Logbook for Monitoring Tuberculosis Cases were used in 7 (53.8%) institutions. Two of them (15.4%) had a location for sputum collection and 1 (7.7%) had a radiographer. The Directly Observed Therapy was reported in 7 (53.8%) units.
Conclusion:
Health care actions related to the search for respiratory symptoms and Directly Observed Therapy should be expanded, as well as surveillance actions and recording in official documents of the National Tuberculosis Control Program.
- Manuela Filter Allgayer
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ORIGINAL ARTICLE03-07-2022
Adaptation and validation of the Advanced Practice Nursing Competency Assessment Instrument
- Flávia Carvalho Pena Dias ,
- Tamara Cristina Baitelo ,
- Beatriz Rosana Gonçalves de Oliveira Toso ,
- Pedro Sastre-Fullana ,
- Ana Railka de Souza Oliveira-Kumakura , [ … ],
- Renata Cristina Gasparino
Abstract
ORIGINAL ARTICLEAdaptation and validation of the Advanced Practice Nursing Competency Assessment Instrument
Revista Brasileira de Enfermagem. 2022;75(5):e20210582
DOI 10.1590/0034-7167-2021-0582
- Flávia Carvalho Pena Dias ,
- Tamara Cristina Baitelo ,
- Beatriz Rosana Gonçalves de Oliveira Toso ,
- Pedro Sastre-Fullana ,
- Ana Railka de Souza Oliveira-Kumakura ,
- Renata Cristina Gasparino
Views0See moreABSTRACT
Objective:
To adapt and validate the content of the Advanced Practice Nursing Competency Assessment Instrument (APNCAI) to Brazilian culture.
Methods:
This is a methodological study that followed the stages of translation, synthesis, back translation, evaluation by a committee of five specialists, pre-test with 31 nurses, and evaluation by the author of the original instrument. The Content Validity Index (minimum 0.90) and the modified Kappa (minimum 0.74) were calculated to evaluate the content.
Result:
In the first round of content evaluation, 18 items had to be altered because they did not reach the minimum values established. Three items have not reached a consensus in the second round and had to be sent to the author of the original version. In the pre-test, 13 items were returned to the specialists because they suffered content changes.
Conclusion:
The Advanced Practice Nursing Competency Assessment Instrument (APNCAI) – Brazilian version was cross-culturally adapted, and its content was validated.
- Flávia Carvalho Pena Dias
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REVIEW07-29-2020
Frailty syndrome in the elderly: conceptual analysis according to Walker and Avant
- Fabiana Maria Rodrigues Lopes de Oliveira ,
- Keylla Talitha Fernandes Barbosa ,
- Mayara Muniz Peixoto Rodrigues ,
- Maria das Graças Melo Fernandes
Abstract
REVIEWFrailty syndrome in the elderly: conceptual analysis according to Walker and Avant
Revista Brasileira de Enfermagem. 2020;73:e20190601
DOI 10.1590/0034-7167-2019-0601
- Fabiana Maria Rodrigues Lopes de Oliveira ,
- Keylla Talitha Fernandes Barbosa ,
- Mayara Muniz Peixoto Rodrigues ,
- Maria das Graças Melo Fernandes
Views0See moreABSTRACT
Objective:
To analyze the concept of “frailty syndrome” in the literature, according to the method proposed by Walker and Avant.
Methods:
It is a concept analysis, guided by the method proposed by Walker and Avant, made operational through an integrative literature review. The search in a scientific database was carried out using the descriptors: Frail elderly, syndrome, phenotype, geriatric assessment, and aging. The literary corpus comprised 66 studies. Results: The study found the antecedents and attributes (categorized as physical, sociodemographic, and behavioral/environmental) that integrate the signs and symptoms evidenced in the “frailty syndrome,” as well as the consequences of this concept. The variables were analyzed with emphasis on the conceptions that influence the frailty process of the elderly.
Conclusion:
The study demonstrated the complexity arising from the multifactorial genesis of the referred syndrome, emphasizing the specificities of the elderly’s frailty. However, we recommend conducting further research involving the phenomenon in question to understand the construct better.
- Fabiana Maria Rodrigues Lopes de Oliveira
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09-16-2019
Construct validation: coping with HIV/AIDS in Primary Health Care
- Révia Ribeiro Castro ,
- Sylvia Silva de Oliveira ,
- Illiana Rose Benvinda de Oliveira Pereira ,
- Wenysson Noleto dos Santos ,
- Sâmara Fontes Fernandes , [ … ],
- Richardson Augusto Rosendo da Silva
Abstract
Construct validation: coping with HIV/AIDS in Primary Health Care
Revista Brasileira de Enfermagem. 2019;72(5):1173-1181
DOI 10.1590/0034-7167-2018-0734
- Révia Ribeiro Castro ,
- Sylvia Silva de Oliveira ,
- Illiana Rose Benvinda de Oliveira Pereira ,
- Wenysson Noleto dos Santos ,
- Sâmara Fontes Fernandes ,
- Richardson Augusto Rosendo da Silva
Views0See moreABSTRACT
Objective:
To validate the construct and measure the trustworthiness of a questionnaire aimed at assessing HIV/AIDS coping actions developed by health professionals in Primary Health Care.
Method:
A methodological study carried out with 397 primary health care professionals in two municipalities in the Northeast region of Brazil. The construct validity was developed by the exploratory and confirmatory factor analysis, and the reliability analyzed by the reliability and reproducibility.
Results:
The validation determined six factors retention that composed the six domains of the questionnaire. Internal consistency was 0.91 and quality of the confirmatory analysis adjustment was 0.998 for Goodness of Fit Index. The domains presented Kappa values between 0.833 and 0.997.
Conclusions:
The final questionnaire was composed of 18 items and presented feasibility of application, and potential to evaluate actions for HIV/AIDS control in Primary Health Care.
- Révia Ribeiro Castro
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02-10-2020
Development of middle-range theories in nursing
- Tânia Alteniza Leandro ,
- Marília Mendes Nunes ,
- Iane Ximenes Teixeira ,
- Marcos Venícios de Oliveira Lopes ,
- Thelma Leite de Araújo , [ … ],
- Viviane Martins da Silva
Abstract
Development of middle-range theories in nursing
Revista Brasileira de Enfermagem. 2020;73(1):e20170893
DOI 10.1590/0034-7167-2017-0893
- Tânia Alteniza Leandro ,
- Marília Mendes Nunes ,
- Iane Ximenes Teixeira ,
- Marcos Venícios de Oliveira Lopes ,
- Thelma Leite de Araújo ,
- Francisca Elisângela Teixeira Lima ,
- Viviane Martins da Silva
Views0See moreABSTRACT
Objective:
To identify in the literature how Middle-Range Theories (MRT) are being developed in Nursing.
Method:
Integrative review on the databases Lilacs (Latin American and Caribbean Literature in Health Sciences), Scopus, Cinahl (Cumulative Index to Nursing and Allied Health Literature), Web of Science and PubMed portal, using the keywords middle range theory and nursing, as well its Portuguese correspondents (Lilacs), and the Boolean operator AND. The sample included 25 articles.
Results:
All articles presented concepts related to MRT. Most developed a synthesis picture. Some theories have formulated specific propositions, hypotheses, and names. Only 16 articles cited the methodological framework, while 22 used theories or models for theoretical foundation and 11 carried out literature reviews.
Final considerations:
The development of MRT included the presentation of fundamental concepts, synthesis, propositions, hypotheses and specific name. The MRT is recognized as a way of developing knowledge to guide the nursing practice.
- Tânia Alteniza Leandro
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REVIEW08-20-2021
Assessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review
- Marcela Moreira Nascimento Prieto ,
- Renata Elizabete Pagotti da Fonseca ,
- Silvia Helena Zem-Mascarenhas
Abstract
REVIEWAssessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review
Revista Brasileira de Enfermagem. 2021;74(6):e20201315
DOI 10.1590/0034-7167-2020-1315
- Marcela Moreira Nascimento Prieto ,
- Renata Elizabete Pagotti da Fonseca ,
- Silvia Helena Zem-Mascarenhas
Views0See moreABSTRACT
Objectives:
to describe, from literature, the characteristics of patient safety culture in Brazilian hospitals that applied the Hospital Survey on Patient Safety Culture.
Methods:
this is a scoping review. A search was performed in the databases LILACS, PubMed, SciELO, CINAHL, Web of Science, Scopus and in the CAPES Dissertations and Theses Database in September and October 2020.
Results:
thirty-six studies were identified. Nine studies identified strengthened areas such as: “teamwork within the units”, “expectations of supervisor/boss and actions promoting safety”, “organizational learning”, “support of hospital management for patient safety” and “frequency of report of events”. As a critical area, the dimension “non-punitive response to error” was evidenced in 30 of 36 studies.
Conclusions:
the identification of areas of strength and critical areas of safety culture is relevant to encourage improvement of patient safety problems in an institution.
- Marcela Moreira Nascimento Prieto
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ORIGINAL ARTICLE11-12-2022
Low-laser light therapy in venous ulcer healing: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(3):e20210396
Abstract
ORIGINAL ARTICLELow-laser light therapy in venous ulcer healing: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(3):e20210396
DOI 10.1590/0034-7167-2021-0396
Views0See moreABSTRACT
Objectives:
to compare the effect of adjuvant low-laser light therapy versus conventional treatment alone on venous ulcer healing.
Methods:
this is a randomized clinical trial with 40 patients randomized equally to a control group (topical and compressive treatment) and intervention group (adjuvant low-laser light therapy). Outcomes of interest were Wound Healing: Secondary Intention and Tissue Integrity: Skin & Mucous Membranes, as described in the Classification of Nursing Outcomes/NOC.
Results:
groups with similar sociodemographic and clinical characteristics. Eighty-two ulcers were assessed, with an average duration of 1 to 5 years, in 1,066 nursing consultations, with a statistically significant difference in the time and number of healed ulcers (intervention group). There was a significant improvement in the nursing outcomes under study and in eight clinical indicators.
Conclusions:
low-laser light therapy improves and reduces tissue regeneration time, contributing to advances in wound treatment.
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