-
ORIGINAL ARTICLE01-10-2024
Childbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
- Liandra Silva Lopes
, - Laura Maria Vidal Nogueira ,
- Erlon Gabriel Rego de Andrade ,
- Ivaneide Leal Ataíde Rodrigues ,
- Juan Andrade Guedes , [ … ],
- Paula Gisely Costa Silva
Abstract
ORIGINAL ARTICLEChildbirth dynamics in the riverside region of the Brazilian Amazon from the perspective of geospatialization
Revista Brasileira de Enfermagem. 2024;77:e20240038
DOI 10.1590/0034-7167-2024-0038
- Liandra Silva Lopes ,
- Laura Maria Vidal Nogueira ,
- Erlon Gabriel Rego de Andrade ,
- Ivaneide Leal Ataíde Rodrigues ,
- Juan Andrade Guedes ,
- Rosinelle Janayna Coêlho Caldas ,
- Paula Gisely Costa Silva
Views0See moreABSTRACT
Objective:
to analyze the spatial-temporal pattern of childbirths and flow of postpartum women assisted at a regional reference maternity hospital.
Methods:
ecological study of 4,081 childbirths, between September 2018 and December 2021, at a public maternity hospital in the Baixo Tocantins region, Pará, Brazil. With data collected from five sources, a geographic database was constructed, and spatial analysis was used with Kernel density interpolator. Maps were generated using QGis/3.5 and TerraView/4.3, calculating chi-square (p<0.05).
Results:
the highest concentrations of normal and cesarean childbirths were observed in Barcarena (n=2,558/62.68%), Abaetetuba (n=750/18.38%), Moju (n=363/8.89%) and Igarapé-Miri (n=219/5.37%). Among the municipalities in the region, ten had obstetric beds, totaling 210 beds. In this scenario, postpartum women traveled up to 288 km to reach the maternity hospital.
Conclusions:
long distances between certain municipalities of residence and maternity hospital, and low supply of obstetric beds, were identified as risk factors for unfavorable obstetric outcomes.
- Liandra Silva Lopes
-
REVIEW01-10-2024
Nurses’ practical contributions to improving healthy and sustainable public spaces: an integrative review
- Herlys Rafael Pereira do Nascimento ,
- Ingrid Mikaela Moreira de Oliveira ,
- Grayce Alencar Albuquerque ,
- Edilma Gomes Rocha Cavalcante ,
- Marlene Menezes de Souza Teixeira , [ … ],
- Maria do Socorro Vieira Lopes
Abstract
REVIEWNurses’ practical contributions to improving healthy and sustainable public spaces: an integrative review
Revista Brasileira de Enfermagem. 2024;77:e20240023
DOI 10.1590/0034-7167-2024-0023
- Herlys Rafael Pereira do Nascimento ,
- Ingrid Mikaela Moreira de Oliveira ,
- Grayce Alencar Albuquerque ,
- Edilma Gomes Rocha Cavalcante ,
- Marlene Menezes de Souza Teixeira ,
- Maria do Socorro Vieira Lopes
Views0ABSTRACT
Objective:
to identify knowledge production about nurses’ contributions to improving healthy and sustainable public spaces.
Methods:
an integrative review carried out in February 2023 in electronic databases. Studies that answered the research question and that were available in full, in Portuguese, English and Spanish, were included.
Results:
a total of five articles were selected. The findings highlighted the importance of educational projects in the training of local managers and community autonomy; citizen participation and health promotion as ways to implement Sustainable Development Goal 11; nurses as facilitators of collective care; new health practices and modes of producing subjectivity; and use of public transportation, bicycles and/or walking in these spaces.
Final considerations:
there is a clear need for greater incentives from local governments to develop effective sustainability strategies that are led by nurses and the community.
Keywords:AttitudesCommunity HealthHealth KnowledgeHealthy Lifestyle, NursesNursesPracticeSustainable DevelopmentSee more
- Herlys Rafael Pereira do Nascimento
-
ORIGINAL ARTICLE01-10-2024
Pain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
Abstract
ORIGINAL ARTICLEPain management in hospitalized infants: recommendations for achieving the Sustainable Development Goals
Revista Brasileira de Enfermagem. 2024;77:e20230421
DOI 10.1590/0034-7167-2023-0421
Views0See moreABSTRACT
Objective:
to assess pain management in infants in a Neonatal Intensive Care Unit (NICU) and discuss its articulation with the Sustainable Development Goals, with a focus on promoting neonatal well-being.
Method:
a documentary study, retrospective in nature and quantitative approach, conducted in a NICU of a public hospital in Paraná, Brazil, between January and July 2022, with 386 medical records of infants, hospitalized for more than 24 hours, between 2019 and 2021. Data were subjected to descriptive and inferential analysis, considering p-value<0.05 as a statistical difference. National ethical guidelines were respected.
Results:
all infants underwent at least one painful procedure, but only 13.7% had documented pain. Pharmacological interventions, such as fentanyl (25.9%), and non-pharmacological interventions, such as breastfeeding encouragement (86%) were used. Only 2.8% were reassessed.
Conclusion:
there was a devaluation of neonatal pain management that may perpetuate neonatal well-being and sustainable development.
-
LETTER TO THE EDITOR01-10-2024
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
Abstract
LETTER TO THE EDITORAdherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
-
LETTER TO THE EDITOR01-10-2024
Adherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
Abstract
LETTER TO THE EDITORAdherence to COVID-19 vaccination during the pandemic and fake news: Correspondence
Revista Brasileira de Enfermagem. 2024;77:e202477Suppl101c
DOI 10.1590/0034-7167.202477Suppl101c
Views0Dear Dr Dulce Aparecida BarbosaEditor in Chief of the Revista Brasileira de Enfermagem[…]See more -
ORIGINAL ARTICLE01-10-2024
Clinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
Abstract
ORIGINAL ARTICLEClinical and epidemiological characteristics and outcomes of patients affected by COVID-19 in the Intensive Care Unit
Revista Brasileira de Enfermagem. 2024;77:e20230527
DOI 10.1590/0034-7167-2023-0527
Views0See moreABSTRACT
Objective:
To understand the clinical and epidemiological characteristics, outcomes, and nursing care of adult patients affected by COVID-19 in the Intensive Care Unit.
Methods:
This is a quantitative, retrospective, and descriptive study. The study participants were clinical and epidemiological statistical reports. Variables analyzed included age, gender, race, comorbidities, signs and symptoms, length of hospital stay, use of mechanical ventilation, medications, infections, monitoring, invasive devices, positioning, diet, comfort, and clinical outcomes.
Results:
The majority of individuals were men, of white race, with a mean age of 63 years, hypertensive, diabetic, and obese. The average length of hospital stay was 16 days. Most required invasive mechanical ventilation, vasopressor drugs, sedoanalgesia, and neuromuscular blockers.
Conclusion:
Nursing care is related to monitoring, ventilation, medication administration, installation of devices, prone positioning, diet administration, and providing comfort.
-
ORIGINAL ARTICLE01-10-2024
Morbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center
- Ely Carlos Pereira de Jesus ,
- Victor Guilherme Pereira ,
- Zilá Aparecida Soares Pereira ,
- Maria Suzana Marques ,
- Cristiane Vieira da Silva , [ … ],
- Antônio Prates Caldeira
Abstract
ORIGINAL ARTICLEMorbidity and factors associated with frailty in post-COVID-19 elderly patients attended at a reference center
Revista Brasileira de Enfermagem. 2024;77:e20230454
DOI 10.1590/0034-7167-2023-0454
- Ely Carlos Pereira de Jesus ,
- Victor Guilherme Pereira ,
- Zilá Aparecida Soares Pereira ,
- Maria Suzana Marques ,
- Cristiane Vieira da Silva ,
- Leila das Graças Siqueira ,
- Luciana Colares Maia ,
- Antônio Prates Caldeira
Views0See moreABSTRACT
Objective:
To assess the morbidity profile and identify factors associated with frailty syndrome in post-COVID-19 elderly patients treated at the only Reference Center for Elderly Health Care in northern Minas Gerais.
Methods:
This is a case series study, utilizing the Clinical-Functional Vulnerability Index-20 (CFVI-20) and Comprehensive Geriatric Assessment (CGA) to characterize and evaluate the health condition of the group. To define the variables associated with frailty, a multivariate analysis was conducted.
Results:
The study included 204 elderly individuals, with a predominance of females (63.7%). The variables associated with frailty were cognitive impairment (OR: 2.95; 95% CI: 1.12-7.80; p=0.029), the presence of five or more comorbidities (OR: 11.55; 95% CI: 2.22-60.01; p=0.004), and impairment in instrumental activities of daily living (OR: 41.97; 95% CI: 5.47-321.93; p<0.001).
Conclusions:
The results of this study highlight the need for a well-established and prepared coordination of integrated care to meet the demands of the post-COVID-19 elderly population.
- Ely Carlos Pereira de Jesus
-
ORIGINAL ARTICLE01-10-2024
Nursing care management strategies to address the COVID-19 pandemic
- Gabriela Marcellino de Melo Lanzoni ,
- Leonardo Pereira de Sousa ,
- Viviane Pecini da Cunha ,
- Ana Lúcia Schaefer Ferreira de Mello ,
- Alexandre Pazetto Balsanelli , [ … ],
- José Luís Guedes dos Santos
Abstract
ORIGINAL ARTICLENursing care management strategies to address the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2024;77:e20230254
DOI 10.1590/0034-7167-20230254
- Gabriela Marcellino de Melo Lanzoni ,
- Leonardo Pereira de Sousa ,
- Viviane Pecini da Cunha ,
- Ana Lúcia Schaefer Ferreira de Mello ,
- Alexandre Pazetto Balsanelli ,
- José Luís Guedes dos Santos
Views0See moreABSTRACT
Objective:
To characterize nursing care management strategies for addressing the COVID-19 pandemic.
Method:
A descriptive, qualitative study conducted with 22 nurse professionals at a University Hospital in Southern Brazil. Data collection through interviews in June and August 2021, analyzed according to Bardin’s Content Analysis and the theoretical framework of complex thinking.
Results:
The identified strategies were organized into four categories: Reorganization of health services; People management and emergency admission; Multiprofessional articulation; and Bedside nursing care.
Final Considerations:
Professional performance revealed a complex interplay between leadership and care management practices, even in the face of working condition restrictions, and were understood as crucial in the pandemic scenario.
- Gabriela Marcellino de Melo Lanzoni
-
ORIGINAL ARTICLE08-07-2023
King’s Parkinson’s Disease Pain Questionnaire: reliability and convergent construct validity
- Ana Carolina Sartori ,
- Fânia Cristina dos Santos ,
- Juliana de Lima Lopes ,
- Vinicius Batista Santos ,
- Meiry Fernanda Pinto Okuno
Abstract
ORIGINAL ARTICLEKing’s Parkinson’s Disease Pain Questionnaire: reliability and convergent construct validity
Revista Brasileira de Enfermagem. 2023;76(3):e20220379
DOI 10.1590/0034-7167-2022-0379
- Ana Carolina Sartori ,
- Fânia Cristina dos Santos ,
- Juliana de Lima Lopes ,
- Vinicius Batista Santos ,
- Meiry Fernanda Pinto Okuno
Views0See moreABSTRACT
Objectives:
to assess the evidence of reliability and convergent construct validity of the King’s Parkinson’s Disease Pain Questionnaire.
Methods:
psychometric study of 75 older adults with Parkinson’s disease. The instrument was applied by two researchers separately and reapplied by one researcher 15 days later. In terms of reliability, internal consistency was assessed using the Cronbach’s alpha test and stability using the intraclass correlation coefficient. Scores of the King’s Parkinson’s Disease Pain Questionnaire were compared to those of the Geriatric Pain Measure in the assessment of construct validity.
Results:
the mean Cronbach’s alpha obtained between the three assessments was above 0.60, the intraclass correlation between the three assessments was above 0.90, and there was a weak but significant correlation between the two applied scales.
Conclusions:
the instrument showed adequate evidence of convergent construct validity and reliability, and can be used in clinical practice.
- Ana Carolina Sartori
-
ORIGINAL ARTICLE08-07-2023
The relationship of general, physical, and psychological violence with depressive symptoms and cognition in elders (cross-sectional study)
- Rafael da Costa Santos ,
- Gleicy Karine Nascimento De Araújo-Monteiro ,
- Matheus Farias Raposo ,
- Angela Maria Henao Castaño ,
- Betânia Maria Pereira dos Santos , [ … ],
- Rafaella Queiroga Souto
Abstract
ORIGINAL ARTICLEThe relationship of general, physical, and psychological violence with depressive symptoms and cognition in elders (cross-sectional study)
Revista Brasileira de Enfermagem. 2023;76(3):e20220375
DOI 10.1590/0034-7167-2022-0375
- Rafael da Costa Santos ,
- Gleicy Karine Nascimento De Araújo-Monteiro ,
- Matheus Farias Raposo ,
- Angela Maria Henao Castaño ,
- Betânia Maria Pereira dos Santos ,
- Rafaella Queiroga Souto
Views0See moreABSTRACT
Objectives:
to analyze the relationship of general, physical, and psychological violence with depressive symptoms and cognition in the elderly.
Methods:
quantitative, cross-sectional study, carried out with 323 elders from the Brazilian northeast. Data collection used a sociodemographic instrument; the Conflict Tactics Scales Form R; the Geriatric Depression Scale; and the Mini-Mental State Examination. The analysis employed descriptive and inferential statistics.
Results:
as violence increases, so do the depressive symptoms; the opposite was true when comparing violence with cognitive involvement. There is a correlation between physical and psychological violence and depressive symptoms; more depressive elders are from 1.96 to 3.00 times more likely to be the victims of psychological and physical violence, respectively.
Conclusions:
general, physical, and psychological violence is associated with depressive symptoms; those with less cognitive alterations are more vulnerable to abuse. Elders with depressive symptoms are more likely to suffer psychological and physically violence.
- Rafael da Costa Santos
-
ORIGINAL ARTICLE08-07-2023
Professional burnout and patient safety culture in Primary Health Care
- Vitória Talya dos Santos Sousa ,
- Hirlana Girão Dias ,
- Fernanda Pereira de Sousa ,
- Roberta Meneses Oliveira ,
- Edmara Chaves Costa , [ … ],
- Patrícia Freire de Vasconcelos
Abstract
ORIGINAL ARTICLEProfessional burnout and patient safety culture in Primary Health Care
Revista Brasileira de Enfermagem. 2023;76(3):e20220311
DOI 10.1590/0034-7167-2022-0311
- Vitória Talya dos Santos Sousa ,
- Hirlana Girão Dias ,
- Fernanda Pereira de Sousa ,
- Roberta Meneses Oliveira ,
- Edmara Chaves Costa ,
- Patrícia Freire de Vasconcelos
Views0ABSTRACT
Objectives:
to analyze the association between the risk of occupational exhaustion (burnout) and safety culture in Primary Health Care.
Methods:
ross-sectional study conducted in 18 Primary Health Care Units in the Northeast of Brazil. Three questionnaires were used: sociodemographic, Maslach Burnout Inventory, and the Medical Office Survey on Patient Safety Culture. The study was approved by the Research Ethics Committee.
Results:
seventy-eight healthcare workers participated, of which 64.1% presented a reduced risk of burnout; and 11.5%, a high risk (p=0.000). The following were identified as weakened dimensions of safety culture: Work pressure and pace; Owner, managing partners, leadership support; Overall ratings on quality; and Overall rating on patient safety.
Conclusions:
an association was found between low risk of developing burnout syndrome and positive evaluation of safety culture.
Keywords:Health PersonnelOccupational BurnoutOrganizational CulturePatient SafetyPrimary Health CareSee more - Vitória Talya dos Santos Sousa
-
ORIGINAL ARTICLE08-07-2023
Undergraduate nursing students’ knowledge and experience in infusion therapy and peripheral vascular acces
- Jaciara Tiago Antunes Alvarenga ,
- Adriana Cristina Nicolussi ,
- Aline Maria Pereira Cruz Ramos ,
- Lucas Fernando Antunes Gomes ,
- Damiana Aparecida Trindade Monteiro , [ … ],
- Silmara Elaine Malaguti Toffano
Abstract
ORIGINAL ARTICLEUndergraduate nursing students’ knowledge and experience in infusion therapy and peripheral vascular acces
Revista Brasileira de Enfermagem. 2023;76(3):e20220219
DOI 10.1590/0034-7167-2022-0219
- Jaciara Tiago Antunes Alvarenga ,
- Adriana Cristina Nicolussi ,
- Aline Maria Pereira Cruz Ramos ,
- Lucas Fernando Antunes Gomes ,
- Damiana Aparecida Trindade Monteiro ,
- Silmara Elaine Malaguti Toffano
Views0ABSTRACT
Objectives:
to analyze the knowledge and experience of undergraduate nursing students regarding infusion therapy and peripheral vascular access.
Methods:
descriptive, cross-sectional, analytical study with 123 undergraduate nursing students who answered a semi-structured instrument.
Results:
the majority were women, with a median age of 51 years old; 87% considered the teaching received insufficient to perform in clinical practice. The mean overall knowledge score was 78.1 (SD± 8.97). The themes catheter flushing and lock (38.1%), catheter selection (34.2%), infusion equipment (30.9%) and insertion site (30.9%) presented a significant number of errors.
Conclusions:
practical classes and execution of procedures in health services were predictors for a better knowledge about infusion therapy and vascular access by undergraduate nursing students.
Keywords:Education, NursingEducation, Nursing, Diploma ProgramsKnowledgeNursingVascular Access DevicesSee more - Jaciara Tiago Antunes Alvarenga
-
EDITORIAL07-31-2023
Primeira graduada do Mestrado em Enfermagem em Prática Avançada em Oncologia no Chile
Revista Brasileira de Enfermagem. 2023;76:e76suppl401
Abstract
EDITORIALPrimeira graduada do Mestrado em Enfermagem em Prática Avançada em Oncologia no Chile
Revista Brasileira de Enfermagem. 2023;76:e76suppl401
DOI 10.1590/0034-7167.202376suppl401pt
Views0Em 2020, as diretrizes para a implementação da Prática Avançada de Enfermagem (EPA)() foram publicadas pelo Conselho Internacional de Enfermagem (ICN). Na ocasião, fui convocada para comentar a realidade das enfermeiras especialistas no Chile, expressando a expectativa de implantação de um programa de EPA, especificamente o de Enfermeira Clínica Especialista (ECE). A ECE é uma […]See more -
EDITORIAL07-31-2023
First graduate of the Master of Nursing in Advanced Practice in Oncology in Chile
Revista Brasileira de Enfermagem. 2023;76:e76suppl401
Abstract
EDITORIALFirst graduate of the Master of Nursing in Advanced Practice in Oncology in Chile
Revista Brasileira de Enfermagem. 2023;76:e76suppl401
DOI 10.1590/0034-7167.202376suppl401
Views0In 2020, the guidelines for Advanced Nursing Practice (APN) implementation() were published by the International Council of Nursing (ICN). On that occasion, I was invited to comment on the reality of specialist nurses in Chile, expressing the expectation of implementing an APN program, specifically Clinical Nurse Specialists (CNS). CNS are one of the most internationally […]See more -
ORIGINAL ARTICLE07-31-2023
Sociodemographic profile, diagnoses and nursing care in post-COVID-19 patients in a Brazilian university hospital
- Evelyn Klein dos Santos ,
- Fernando Riegel ,
- Jhonatan Tyson Barros Azevedo ,
- Maria da Graça Oliveira Crossetti ,
- Margarita Ana Rubin Unicovsky , [ … ],
- Andrea Aparecida Gonçalves Nes
Abstract
ORIGINAL ARTICLESociodemographic profile, diagnoses and nursing care in post-COVID-19 patients in a Brazilian university hospital
Revista Brasileira de Enfermagem. 2023;76:e20220730
DOI 10.1590/0034-7167-2022-0730
- Evelyn Klein dos Santos ,
- Fernando Riegel ,
- Jhonatan Tyson Barros Azevedo ,
- Maria da Graça Oliveira Crossetti ,
- Margarita Ana Rubin Unicovsky ,
- Jussara Gue Martini ,
- Paula Bresolin ,
- Andrea Aparecida Gonçalves Nes
Views0See moreABSTRACT
Objectives:
to analyze the sociodemographic profile, diagnoses and nursing care of post-COVID-19 patients admitted to a university hospital in southern Brazil.
Methods:
a retrospective cohort study. The sample consisted of 1,467 medical records, from January 2020 to January 2021.
Results:
from the analyzed medical records, the most prevalent profiles, respectively, included: males (52.9%); white (81.1%); with Impaired Physiological Balance Syndrome* Nursing Diagnosis (77.3%); nursing care implementing aerosol precautions (94.5%); implementing droplet precautions (93.4%); checking vital signs (91.9%); applying standard disinfectant to equipment and surfaces (89.6%).
Conclusions:
the analysis of the sociodemographic profile, diagnoses and nursing care of patients in this study may contribute to implementing the Nursing Process in the coronavirus pandemic context.
- Evelyn Klein dos Santos
-
ORIGINAL ARTICLE07-31-2023
Parenting of mothers of children in early childhood during the COVID-19 pandemic: qualitative research
- Ricardo Barros Gurgel ,
- Juliane Lima Pereira Da Silva ,
- Estela Maria Leite Meirelles Monteiro ,
- Suzana Lins da Silva ,
- Tereza Rebecca de Melo e Lima , [ … ],
- Maria Wanderleya de Lavor Coriolano-Marinus
Abstract
ORIGINAL ARTICLEParenting of mothers of children in early childhood during the COVID-19 pandemic: qualitative research
Revista Brasileira de Enfermagem. 2023;76:e20220478
DOI 10.1590/0034-7167-2022-0478
- Ricardo Barros Gurgel ,
- Juliane Lima Pereira Da Silva ,
- Estela Maria Leite Meirelles Monteiro ,
- Suzana Lins da Silva ,
- Tereza Rebecca de Melo e Lima ,
- Maria Wanderleya de Lavor Coriolano-Marinus
Views0See moreABSTRACT
Objectives:
to understand practices of mothers of children in early childhood who live in contexts of poverty in the face of the COVID-19 pandemic.
Methods:
an exploratory, descriptive and qualitative study. Participants were selected in the community context, composing an intentional sample to be collected through semi-structured online interviews. Data were analyzed inductively and anchored in the Bioecological Model of Human Development.
Results:
eight mothers participated in the research. Mothers highlighted pleasure in taking care of their children, although they were overloaded with activities and comprehensive care at the time of the pandemic. Children, in mothers’ perception, showed a higher frequency of challenging behaviors, which may be related to negative parenting practices, such as punishment and physical violence.
Final Considerations:
interventions to support parenting become urgent in the face of changes brought about by the COVID-19 pandemic in families living in a context of poverty.
- Ricardo Barros Gurgel
-
EDITORIAL05-13-2024
Qualitative methodology: considerations and singularities regarding the implementation of person-centered interventions
Revista Brasileira de Enfermagem. 2024;77(3):e770301
Abstract
EDITORIALQualitative methodology: considerations and singularities regarding the implementation of person-centered interventions
Revista Brasileira de Enfermagem. 2024;77(3):e770301
DOI 10.1590/0034-7167.2024770301
Views0Qualitative health research allows for an in-depth understanding of how a person experiences different health transitions, their relationship with healthcare professionals and their passage through different clinical practice environments. At the same time, it has the potential to support professionals’ clinical decision-making and to empower citizens in their autonomy and responsibility for the health-disease process, […]See more -
REVIEW05-13-2024
Lean methodology: contributions to improving work processes in health and nursing
- Fernanda Novaes Moreno Brancalion ,
- Lara Gonçalves de Souza ,
- Simone Berger ,
- Antônio Fernandes Costa Lima
Abstract
REVIEWLean methodology: contributions to improving work processes in health and nursing
Revista Brasileira de Enfermagem. 2024;77(2):e20230322
DOI 10.1590/0034-7167-2023-0322
- Fernanda Novaes Moreno Brancalion ,
- Lara Gonçalves de Souza ,
- Simone Berger ,
- Antônio Fernandes Costa Lima
Views0ABSTRACT
Objective:
to investigate the contributions of applying the Lean methodology to improve work processes in health and nursing and its impact on associated financial aspects.
Method:
an integrative review, carried out in six databases, whose sample of ten (100.0%) studies was analyzed and summarized descriptively.
Results:
the outcomes obtained were stratified into: benefits/barriers to Lean Healthcare implementation; economic aspects involving Lean Healthcare implementation; and process improvements through Lean Healthcare implementation. The majority of studies (60.0%) were carried out in university hospitals, contexts that need to continually improve the quality of services provided, generally with scarce and limited resources, which support the viability of maintaining the teaching, research and extension tripod.
Conclusion:
three (30.0%) studies highlighted the financial aspects associated with Lean methodology application. The others only mentioned the possibility of financial gains through improving processes and reducing waste.
Keywords:Cost Efficiency AnalysisCost SavingsEfficiencyOrganizationalProcess OptimizationTotal Quality ManagementSee more
- Fernanda Novaes Moreno Brancalion
-
ORIGINAL ARTICLE05-13-2024
Generalized Resistance Deficits in inmates with hypertension: missing resources that limit health
- Marta Cossetin Costa ,
- Maria de Fátima Mantovani ,
- Fernanda Moura D’Almeida Miranda ,
- Ivonete Teresinha Schülter Buss Heidemann ,
- Aida Maris Peres
Abstract
ORIGINAL ARTICLEGeneralized Resistance Deficits in inmates with hypertension: missing resources that limit health
Revista Brasileira de Enfermagem. 2024;77(2):e20230246
DOI 10.1590/0034-7167-2023-0246
- Marta Cossetin Costa ,
- Maria de Fátima Mantovani ,
- Fernanda Moura D’Almeida Miranda ,
- Ivonete Teresinha Schülter Buss Heidemann ,
- Aida Maris Peres
Views0See moreABSTRACT
Objective:
to understand the Generalized Resistance Deficits of people deprived of liberty with hypertension in a Brazilian prison unit.
Method:
qualitative research, anchored in Salutogenesis, carried out with 38 people with hypertension from a Brazilian prison unit, from February to July 2022, with a semi-structured interview with open-ended questions, whose analysis was thematic, explaining the limitations to health in prison.
Results:
13 Generalized Resistance Deficits were reported, mostly related to the prison environment and, to a lesser extent, to the social group and the individual, respectively. Living in prison for people with hypertension implies living with a high number of Generalized Resistance Deficits, accentuating the movement towards the disease pole.
Final considerations:
knowing Generalized Resistance Deficits allows directing health promotion to support the use of available Generalized Resistance Resources and contributes to the expansion of intersectoral policies.
- Marta Cossetin Costa
-
REVIEW05-13-2024
Preditores de nanismo entre crianças de 0 a 24 meses no Sudeste Asiático: Uma revisão do escopo
Revista Brasileira de Enfermagem. 2024;77(2):e20220625
Abstract
REVIEWPreditores de nanismo entre crianças de 0 a 24 meses no Sudeste Asiático: Uma revisão do escopo
Revista Brasileira de Enfermagem. 2024;77(2):e20220625
DOI 10.1590/0034-7167-2022-0625
Views0See moreRESUMEN
Objetivo:
Identificar indicadores de desnutrición crónica entre niños de 0 a 24 meses en el Sudeste Asiático.
Métodos:
Esta revisión de alcance se centró en artículos con diseño de estudio observacional publicados en inglés, entre los años 2012 y 2023 de cinco bases de datos internacionales. Las principales palabras clave utilizadas fueron: “stunting (Desnutrición crónica)” o “growth disorder (Desorden del crecimiento)”, y “newborn (Recién nacido)”, y “predict (Predecir)”, y “Southeast Asia (Sudeste Asiático)”.
Resultados:
De los 27 artículos seleccionados para el análisis final, se encontraron trece indicadores que influyen en la desnutrición crónica en siete países del Sudeste Asiático. Los trece indicadores incluyen el niño, la madre, el hogar, la alimentación inadequada complementaria, la lactancia materna inadecuada, la atención inadecuada, los alimentos de mala calidad, la seguridad de los alimentos y el agua, la infección, la economía política, la salud y la asistencia sanitaria, el agua, el saneamiento y el medio ambiente, y por último el factor sociocultural.
Conclusión:
Todos estos indicadores pueden provocar desnutrición crónica en niños del Sudeste Asiático. Para poder prevenirlo los prestadores de servicios de salud y otros sectores relacionados, necesitan realizar actividades de promoción y prevención de la salud de acuerdo con los indicadores encontrados en este artículo.
-
REVIEW05-13-2024
Stunting predictors among children aged 0-24 months in Southeast Asia: a scoping review
Revista Brasileira de Enfermagem. 2024;77(2):e20220625
Abstract
REVIEWStunting predictors among children aged 0-24 months in Southeast Asia: a scoping review
Revista Brasileira de Enfermagem. 2024;77(2):e20220625
DOI 10.1590/0034-7167-2022-0625
Views0See moreABSTRACT
Objective:
To identify predictors of stunting among children 0-24 months in Southeast Asia.
Methods:
This scoping review focused on articles with observational study design in English published from 2012 to 2023 from five international databases. The primary keyword used were: “stunting” OR “growth disorder” AND “newborn” AND “predict” AND “Southeast Asia”.
Results:
Of the 27 articles selected for the final analysis there are thirteen predictors of stunting in seven Southeast Asia countries. The thirteen predictors include the child, mother, home, inadequate complementary feeding, inadequate breastfeeding, inadequate care, poor quality foods, food and water safety, infection, political economy, health and healthcare, water, sanitation, and environment, and social culture factor.
Conclusion:
All these predictors can lead to stunting in Southeast Asia. To prevent it, health service providers and other related sectors need to carry out health promotion and health prevention according to the predictors found.
-
ORIGINAL ARTICLE05-13-2024
Factors associated with Community Health Agents’ knowledge about tuberculosis
- Clery Mariano da Silva Alves ,
- Tauana de Souza Amaral ,
- Fabiana Ribeiro Rezende ,
- Hélio Galdino Júnior ,
- Rafael Alves Guimarães , [ … ],
- Anaclara Ferreira Veiga Tipple
Abstract
ORIGINAL ARTICLEFactors associated with Community Health Agents’ knowledge about tuberculosis
Revista Brasileira de Enfermagem. 2024;77(2):e20220520
DOI 10.1590/0034-7167-2022-0520
- Clery Mariano da Silva Alves ,
- Tauana de Souza Amaral ,
- Fabiana Ribeiro Rezende ,
- Hélio Galdino Júnior ,
- Rafael Alves Guimarães ,
- Dayane de Melo Costa ,
- Anaclara Ferreira Veiga Tipple
Views0See moreABSTRACT
Objective:
To analyze the factors associated with the knowledge of Community Health Agents (ACS) about tuberculosis.
Methods:
A cross-sectional study was conducted with 110 ACS. A questionnaire was used to assess knowledge about pulmonary tuberculosis (component 1) and the work functions of ACS in the National Tuberculosis Control Program (component 2). The level of knowledge, according to the scores converted into a scale of 0 to 100, was classified as: 0-50% (low), 51-75% (medium), and over 75% (high). Multiple regression was used in the analysis of associated factors.
Results:
The global score (average of the scores of components 1 and 2) median knowledge was 68.6%. Overall knowledge about tuberculosis was positively associated with the length of professional experience, having received training on tuberculosis, and access to the tuberculosis guide/handbook.
Conclusions:
Investments in training and capacity-building strategies for ACS will contribute to increasing these professionals’ knowledge, resulting in greater success in tuberculosis control.
- Clery Mariano da Silva Alves
-
ORIGINAL ARTICLE05-13-2024
A influência da internet nas escolhas sobre a saúde e o bem-estar dos idosos
Revista Brasileira de Enfermagem. 2024;77(1):e20230321
Abstract
ORIGINAL ARTICLEA influência da internet nas escolhas sobre a saúde e o bem-estar dos idosos
Revista Brasileira de Enfermagem. 2024;77(1):e20230321
DOI 10.1590/0034-7167-2023-0321
Views0See moreRESUMEN
Objetivos:
describir el perfil de los ancianos que acceden a internet para buscar información de salud e identificar los factores que pueden influir en las decisiones de los ancianos sobre su salud a partir de la información recopilada en línea.
Métodos:
391 ancianos respondieron a un cuestionario online sobre hábitos y satisfacción con la información de salud recogida en internet. El procesamiento de datos implicó regresión logística.
Resultados:
la educación superior reduce en un 44% la probabilidad de que un anciano siga las recomendaciones de salud en los sitios web. Sin embargo, las actividades sociales y la salud autopercibida aumentan la posibilidad de seguir las recomendaciones en un 83% y un 71%, respectivamente. La creencia de que internet promueve hábitos saludables aumenta 29,2 veces la probabilidad de que un anciano siga un consejo.
Consideraciones Finales:
conocer el perfil de los ancianos que utilizan internet puede ayudar a los profesionales a formular políticas públicas y construir buenas plataformas de información sobre salud y bienestar.
-
ORIGINAL ARTICLE05-13-2024
The influence of the internet on choices about older adults’ health and well-being
Revista Brasileira de Enfermagem. 2024;77(1):e20230321
Abstract
ORIGINAL ARTICLEThe influence of the internet on choices about older adults’ health and well-being
Revista Brasileira de Enfermagem. 2024;77(1):e20230321
DOI 10.1590/0034-7167-2023-0321
Views0See moreABSTRACT
Objectives:
to describe the profile of older adults who access the internet to search for health information and identify the factors that can influence older adults’ decisions about their health based on information collected online.
Methods:
391 older adults answered an online questionnaire regarding habits and satisfaction with information about health collected on the internet. Data processing involved Logistic Regression.
Results:
higher education reduces by 44% the likelihood of an older adult following the health recommendations on internet sites. However, social activities and self-perceived health increase the possibility of following the recommendations by 83% and 71%, respectively. The belief that the internet promotes healthy habits increases by 29.2 times the probability of an older adult following the advice.
Final Considerations:
knowing the profile of older adults who use the Internet can help professionals formulate public policies and build good information platforms on health and well-being.
Search
Search in:
Nuvem de Tags
Aged (144) Atenção Primária à Saúde (239) COVID-19 (104) Cuidados de Enfermagem (269) Educação em Enfermagem (151) Educação em Saúde (139) Enfermagem (930) Estudos de Validação (131) Health Education (144) Idoso (208) Mental Health (149) Nursing (987) Nursing Care (306) Patient Safety (151) Primary Health Care (284) Qualidade de Vida (104) Quality of Life (106) Saúde Mental (145) Segurança do Paciente (150) Validation Studies (108)