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RESEARCH01-01-2018
Good practices of labor and birth care from the perspective of health professionals
Revista Brasileira de Enfermagem. 2018;71:1313-1319
Abstract
RESEARCHGood practices of labor and birth care from the perspective of health professionals
Revista Brasileira de Enfermagem. 2018;71:1313-1319
DOI 10.1590/0034-7167-2016-0661
Views0See moreABSTRACT
Objective:
Determine the understanding of health professionals of an obstetric hospital regarding the good practices of labor and birth care recommended by the World Health Organization.
Method:
Research-initiative, with data collection between April and July 2016 using the focal group technique, with 27 health professionals of an obstetric hospital of Rio Grande do Sul with 21 hospitalization beds.
Results:
Three thematic categories were achieved: good obstetric practices and their meanings; from the biological character to singular and multidimensional care; from the punctual and fragmented conception to the labor and birth care network.
Conclusion:
Good practices, in addition to enabling rethinking the obstetric model and contributing to organize the maternal and child health care network in order to ensure access, humane care, and problem-solving capacity, also foster female protagonism.
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RESEARCH01-01-2018
Intimate partner violence among postpartum women: associated factors
Revista Brasileira de Enfermagem. 2018;71:1306-1312
Abstract
RESEARCHIntimate partner violence among postpartum women: associated factors
Revista Brasileira de Enfermagem. 2018;71:1306-1312
DOI 10.1590/0034-7167-2016-0643
Views0See moreABSTRACT
Objective:
To identify the profile and assess the self-esteem of postpartum women, to characterize their babies and partners, and to verify the association of these characteristics with the occurrence of intimate partner violence (IPV).
Method:
Cross-sectional study with 207 postpartum women assisted in a public clinic.
Results:
There was no statistic correlation among the sociodemographic variables, personal and obstetric characteristics with the occurrence of IPV. The postpartum women who showed low self-esteem presented a higher exposure risk to IPV (p<0.01; OR=2.01 and CI 95% [1.40-2.87]). The mothers of the babies that were born with low weight (less than 2,500 g) had almost twice the chances of suffering violence (p<0.05; OR=1.74 and CI 95% [1.00-3.03]). The women whose partners did not consume alcohol presented a lower probability to be exposed to IPV (p<0.05; OR=0.182 and CI 95% [0.03-0.93]).
Conclusion:
Women’s low self-esteem, babies’ inappropriate weight and consumption of alcohol by partners were correlated to the occurrence of IPV.
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RESEARCH01-01-2018
Family composing the soundtrack of its reintegration: a theoretical model
Revista Brasileira de Enfermagem. 2018;71:1298-1305
Abstract
RESEARCHFamily composing the soundtrack of its reintegration: a theoretical model
Revista Brasileira de Enfermagem. 2018;71:1298-1305
DOI 10.1590/0034-7167-2017-0485
Views0See moreABSTRACT
Objective:
to understand the meaning of the family’s reintegration attributed by the family experiencing it and to construct a representative theoretical model of this experience.
Method:
this is a qualitative study, conducted with four families with a total of 20 interviewees, with Symbolic Interactionism as theoretical framework, Grounded Theory as methodological, participant observation and the experience of musical making, mediating the interview as strategies of data collection.
Results:
a comparative analysis of the data led to the identification of the main category and to the construction of the theoretical model TRYING TO REBUILD WHAT WAS BROKEN.
Conclusion:
the family experiencing reintegration lives a process of reconstruction that allows to revisit situations of abandonment and review the behavior of caring and re-meaning of family coexistence. For the health professional, this study invites to think about this theme and to review the concept of family, in order to create their own sense of care.
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RESEARCH01-01-2018
Educational technology to mediate care of the “kangaroo family” in the neonatal unit
Revista Brasileira de Enfermagem. 2018;71:1290-1297
Abstract
RESEARCHEducational technology to mediate care of the “kangaroo family” in the neonatal unit
Revista Brasileira de Enfermagem. 2018;71:1290-1297
DOI 10.1590/0034-7167-2017-0156
Views0See moreABSTRACT
Objective:
to validate the content of an educational technology in the form of a booklet developed to mediate care of family members of newborns hospitalized in a neonatal unit.
Method:
Methodological research with content validation. Data collected from October 2011 to February 2012; research developed in three steps: development, evaluation and adaptation. The study population was 15 judges, health professionals and other professionals. The participants answered a Likert-type questionnaire with 3 blocks of evaluative items. Data were analyzed statistically.
Results:
validation reached the results proposed in most responses (80%); 16 items exceeded the parameter, 4 were equal to the score established and 2 were below the parameter.
Conclusion:
the content of educational technologies need to be validated. The booklet, after the evaluation, constitutes an adequate device to mediate care of the family members in the NICU.
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RESEARCH01-01-2018
Assistance flowchart for pain management in a Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2018;71:1281-1289
Abstract
RESEARCHAssistance flowchart for pain management in a Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2018;71:1281-1289
DOI 10.1590/0034-7167-2017-0265
Views0See moreABSTRACT
Objective:
To describe and discuss the process of developing a flowchart collectively constructed by the health team of a Neonatal Intensive Care Unit for the management of neonatal pain.
Method:
This is a descriptive and an exploratory study with a qualitative approach that used Problem-Based Learning as a theoretical-methodological framework in the process of developing the assistance flowchart for the management of neonatal pain.
Results:
Based on this methodology, there was training in service and the discussion of key points of pain management by the health team, which served as input for the construction of the flowchart.
Final considerations:
The assistance flowchart for pain management, based on scientific evidence, provided means to facilitate the decision-making of the health team regarding the pain of the newborn. It is suggested to use the flowchart frequently to promote the permanent education of the team and identify possible points to be adjusted.
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RESEARCH01-01-2018
Computerized nursing process: development of a mobile technology for use with neonates
Revista Brasileira de Enfermagem. 2018;71:1273-1280
Abstract
RESEARCHComputerized nursing process: development of a mobile technology for use with neonates
Revista Brasileira de Enfermagem. 2018;71:1273-1280
DOI 10.1590/0034-7167-2017-0267
Views0See moreABSTRACT
Objective:
to build a mobile technology to assist nurses during data collection, diagnostic reasoning, and identification of interventions in neonates.
Method:
methodological study with a qualitative approach. The development was carried out in three phases, namely: bibliographical survey, construction of a database of diagnosis/interventions, and development of the software. We used the development tools Ruby on Rails, IONIC 2, PostgresSQL, and Amazon EC2.
Results:
The developed technology received the name Natus, able to contribute to the development of the nursing process applied to patients of neonatal units. Its requirements are: to define human needs, select nursing diagnoses, select interventions, define time periods, and issue printed files.
Final considerations:
the technology built is a computerized tool that allows for the development of the nursing process, facilitating data collection, diagnostic reasoning, and identification and grouping of the clinical signs presented by the newborn in neonatal units.
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RESEARCH01-01-2018
The maternity ward of a teaching hospital: reconfiguration of maternal-child nursing care
Revista Brasileira de Enfermagem. 2018;71:1265-1272
Abstract
RESEARCHThe maternity ward of a teaching hospital: reconfiguration of maternal-child nursing care
Revista Brasileira de Enfermagem. 2018;71:1265-1272
DOI 10.1590/0034-7167-2016-0585
Views0See moreABSTRACT
Objective:
to analyze the strategies used by nurses and nurse professors for a better position in the maternity ward of the teaching hospital of the Universidade Federal do Espírito Santo.
Method:
this is a social-historical study with a qualitative approach. The primary sources were written documents, such as official letters, memos, ordinances, standards and routines of the hospital; photographic material; and oral testimonies from seven participants. The interviews were performed using a semi-structured questionnaire, with questions regarding the adaptation from a sanatorium to a teaching hospital, the challenges faced, and the strategies adopted by the nursing department.
Results:
the results allowed us to understand the close link between the maternity ward and the nursing course of the Universidade Federal do Espírito Santo, which created a differentiated nursing care that integrated training and care with a broader and humanized look.
Final considerations:
the actions of the nurses were recognized and gave them professional visibility, influencing a new form of care in the maternity ward.
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RESEARCH01-01-2018
The work of nurses in high-risk prenatal care from the perspective of basic human needs
Revista Brasileira de Enfermagem. 2018;71:1257-1264
Abstract
RESEARCHThe work of nurses in high-risk prenatal care from the perspective of basic human needs
Revista Brasileira de Enfermagem. 2018;71:1257-1264
DOI 10.1590/0034-7167-2017-0328
Views1See moreABSTRACT
Objective:
To analyze the work of nurses in high-risk prenatal care in secondary care, considering nursing problems and the basic human needs of pregnant women.
Method:
Cross-sectional and quantitative study, developed in a high-risk prenatal care clinic. Data were selected in the records of the nursing consultation. The studied variables were related to sociodemographic and obstetric characteristics, in addition to nursing problems. We performed the descriptive analysis of the data and the grouping of nursing problems within the levels of Basic Human Needs (BHN).
Results:
We evaluated 54 nursing consultations of pregnant women, mostly young, multiparous, and with nine or more years of study. Every pregnant woman reported, on average, 7.4 nursing problems. The psychobiological BHN prevailed in relation to psychosocial ones.
Conclusion:
In high-risk prenatal care, nurses can use the nursing consultation considering their mastery of light technologies to engage with hard and light-hard technologies.
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ORIGINAL ARTICLE06-14-2021
Continuity of neuro-psychomotor stimulation of children with congenital Zika syndrome
Revista Brasileira de Enfermagem. 2021;74(6):e20200694
Abstract
ORIGINAL ARTICLEContinuity of neuro-psychomotor stimulation of children with congenital Zika syndrome
Revista Brasileira de Enfermagem. 2021;74(6):e20200694
DOI 10.1590/0034-7167-2020-0694
Views0See moreABSTRACT
Objective:
Understand the continuity of stimulation of neuro-psychomotor development in children with congenital Zika syndrome.
Method:
Descriptive-exploratory study with theoretical support in symbolic interactionism. Between August and November 2019, 12 health professionals were interviewed in depth; and to the focus group, seven caregivers of children with the syndrome. The analysis was thematic inductive.
Results:
The continuation of neuro-psychomotor stimulation of children with Zika syndrome goes through: organizational difficulties (lack of doctors, professional unpreparedness, dissatisfaction and search for other services); socioenvironmental aspects (low maternal education, low socioeconomic level, difficulty in moving and lack of support); and conditions inherent to children (hospitalizations for respiratory crises, seizures, hypoactivity and social stigma).
Final considerations:
A strengthened support network with qualified human resources is necessary in order to provide comprehensive care and avoid the discontinuity of neuro-psychomotor stimulation of children with congenital Zika syndrome.
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ORIGINAL ARTICLE08-20-2021
Risk of suicide among nursing students
Revista Brasileira de Enfermagem. 2021;74(6):e20200867
Abstract
ORIGINAL ARTICLERisk of suicide among nursing students
Revista Brasileira de Enfermagem. 2021;74(6):e20200867
DOI 10.1590/0034-7167-2020-0867
Views0See moreABSTRACT
Objectives:
to identify the risk and degree of risk of suicide in nursing students of a public institution in the countryside of Pernambuco, Brazil.
Methods:
this was a cross-sectional, quantitative research conducted with 150 students. For data collection, a sociodemographic questionnaire and the instrument, M.I.N.I. – Brazilian version 5.0.0 – Module C – Risk of suicide were used. Statistical analyses were performed with IBM(® )SPSS(®), version 23.
Results:
53.3% of nursing students had a risk of suicide, of which 20.7% had a high risk. Moreover, 22.67% reported previous suicide attempt. It is noteworthy that students without a partner have a higher risk of suicide (56.8%) than those with a partner (29.4%).
Conclusions:
it is perceived the need to develop programs that identify students at risk of suicide in higher education institutions, in order to raise awareness of the problem and implement policies to promote mental health in the academia.
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REVIEW08-20-2021
Root Cause Analysis, Failures and Effects in pediatric total quality management: a scoping review
Revista Brasileira de Enfermagem. 2021;74(6):e20200954
Abstract
REVIEWRoot Cause Analysis, Failures and Effects in pediatric total quality management: a scoping review
Revista Brasileira de Enfermagem. 2021;74(6):e20200954
DOI 10.1590/0034-7167-2020-0954
Views0See moreABSTRACT
Objectives:
to analyze the applicability of Root Cause Analysis and Failure Mode and Effect Analysis tools, aiming to improve care in pediatric units.
Methods:
this is a scoping review carried out according to the Joanna Briggs Institute guidelines, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes extension for Scoping Reviews. Search took place in May 2018 on 15 data sources.
Results:
search totaled 8,254 studies. After using the relevant inclusion and exclusion criteria, 15 articles were included in the review. Of these, nine were published between 2013 and 2018, 12 used Failure Mode and Effect Analysis and 11 carried out interventions to improve the quality of the processes addressed, showing good post-intervention results.
Final Considerations:
the application of the tools indicated significant changes and improvements in the services that implemented them, proving to be satisfactory for detecting opportunities for improvement, employing specific methodologies for harm reduction in pediatrics.
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ORIGINAL ARTICLE07-26-2021
Representations about sexuality of people diagnosed late with HIV infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201028
Abstract
ORIGINAL ARTICLERepresentations about sexuality of people diagnosed late with HIV infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201028
DOI 10.1590/0034-7167-2020-1028
Views0See moreABSTRACT
Objective:
to understand the representations about sexuality of people diagnosed late with HIV infection and its implications in the delayed search for diagnosis.
Methods:
this is a qualitative study, whose theoretical and methodological framework was Social Representation Theory. The research was carried out with 18 people diagnosed late with HIV infection through an open interview. For data analysis, Structural Narration Analysis was used, with support from MAXQDA 12®.
Results:
representations about sexuality contributed to delayed diagnosis, such as trust in a fixed partnership, sexual intercourse is natural, sexuality as a taboo, search for pleasure in sexual intercourse, regardless of risks, denial of risk for HIV infection.
Final considerations:
representations about sexuality participate in a web of stereotypes and riskier ways of living, which contribute to delayed diagnosis. Sexual health education remains necessary and essential throughout people’s lives.
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08-20-2021
Prevalence of central venous catheter salvage in newborn with staphylococcal bloodstream infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201073
Abstract
Prevalence of central venous catheter salvage in newborn with staphylococcal bloodstream infection
Revista Brasileira de Enfermagem. 2021;74(6):e20201073
DOI 10.1590/0034-7167-2020-1073
Views0See moreABSTRACT
Objectives:
to establish the prevalence of salvage of central venous catheters in newborns with bloodstream infection caused by coagulase-negative staphylococci.
Methods:
retrospective cross-sectional study with 136 newborns admitted to the Neonatal Intensive Care Unit between 2011 and 2017. The total of 143 infection events undergoing antibiotic therapy were evaluated.
Results:
among the 143 infection events, 39 catheters in which antibiotic therapy was used were saved and in 69 cases, the device was removed. Positive central blood culture and single lumen catheter were factors associated with salvage failure. The probability of salvage decreased with infections diagnosed from 15 days of using the catheter. Negative blood culture raised the chance of salvage by fourfold.
Conclusions:
the use of antibiotic therapy in the treatment of infections resulted in a low prevalence of salvage of the central venous catheter. The probability of salvage was associated with variables of the device.
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EXPERIENCE REPORT02-15-2021
Coronavirus infections: health care planning based on Orem’s Nursing Theory
Revista Brasileira de Enfermagem. 2021;74:e20200281
Abstract
EXPERIENCE REPORTCoronavirus infections: health care planning based on Orem’s Nursing Theory
Revista Brasileira de Enfermagem. 2021;74:e20200281
DOI 10.1590/0034-7167-2020-0281
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Objective:
to report the experience of professors and students of a graduate course on nursing care in coping with the new coronavirus (COVID-19) based on Self-Care Theory.
Method:
the active methodologies used were a literature search and seminar presentations, with an understanding of Orem’s theoretical concepts: health; man; self-care; universal, developmental and health deviation requirements; self-care activities; self-care deficits; the required therapeutic demand; nursing systems. The pandemic was considered a health deviation that requires critical thinking and nursing care planning. Methodological frameworks to classify nursing diagnoses, interventions, and outcomes were used.
Results:
for each health deviation, nursing systems were identified; self-care deficits, diagnoses; actions, interventions; and the form of assessment, outcomes.
Final considerations:
theoretical-practical reflections of the academic context support nursing care planning.
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REFLECTION03-05-2021
Reflections on patient safety incident reporting systems
Revista Brasileira de Enfermagem. 2021;74:e20200307
Abstract
REFLECTIONReflections on patient safety incident reporting systems
Revista Brasileira de Enfermagem. 2021;74:e20200307
DOI 10.1590/0034-7167-2020-0307
Views0See moreABSTRACT
Objective:
To reflect on the main characteristics and recommendations of Incident Reporting Systems, discuss the population’s participation in reporting, and point out challenges in the Brazilian system.
Method:
Reflection study, based on Ordinance No. 529/13, which instituted the National Patient Safety Program, under Collegiate Board Resolution (CBR) No. 36/13; reflections by experts were added.
Results:
Reporting systems are a source for learning and monitoring, allow early detection of incidents, investigations and, mainly, the generation of recommendations prior to recurrences, in addition to raising information for patients and relatives. There is little participation of the population in the reporting, regardless of the type of system and characteristics such as confidentiality, anonymity, and mandatory nature.
Final Considerations:
In Brazil, although reporting is mandatory, there is an urgency to advance the involvement and participation of the population, professionals, and institutions. To simplify data entry by improving the interface and importing data from the reporting system is an objective to be achieved.
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EXPERIENCE REPORT01-29-2021
Restructuring service at a mastology outpatient clinic during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200571
Abstract
EXPERIENCE REPORTRestructuring service at a mastology outpatient clinic during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200571
DOI 10.1590/0034-7167-2020-0571
Views0INTRODUCTIONCOVID-19 is a disease caused by the SARS-CoV-2 coronavirus (Severe Acute Respiratory Syndrome Coronavirus 2) and has brought a threat to public health worldwide. In need of immediate changes, adaptations tend to be the way out to avoid contamination that potentially does not distinguish race, color, gender().The global numbers of suspected and confirmed cases are […]See more
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