Articles - Revista Brasileira de Enfermagem

  • 01-01-2015

    Adverse events and safety in nursing care

    Revista Brasileira de Enfermagem. 2015;68(1):144-154

    Abstract

    Adverse events and safety in nursing care

    Revista Brasileira de Enfermagem. 2015;68(1):144-154

    DOI 10.1590/0034-7167.2015680120i

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    Objective:

    to identify the scientific publications about adverse events in nursing care in adult hospitalized patients and discuss the main adverse events in nursing care.

    Method:

    Integrative revision with a qualitative approach. The data were collected at LILACS, MEDLINE, BDENF and the library SCIELO and were submitted to thematic analysis.

    Results:

    three categories were developed: Adverse events in nursing care; The main causes of the adverse events in nursing care; Attitude of nursing professionals in face of errors. The main events were identified in nursing care with emphasis on the medication error, the failure to perform dressings and falls of patients. The importance of instruments was emphasized for notification of adverse events in the institutions. However the fear of punishment on professionals stimulates the underreporting of events.

    Conclusion:

    it is important to discuss effective prevention strategies that ensure patient safety in healthcare institutions.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2015

    Staphylococcus aureus meticilino resistente adquirido na comunidade: um problema mundial

    Revista Brasileira de Enfermagem. 2015;68(1):136-143

    Abstract

    Staphylococcus aureus meticilino resistente adquirido na comunidade: um problema mundial

    Revista Brasileira de Enfermagem. 2015;68(1):136-143

    DOI 10.1590/0034-7167.2015680119p

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    Objetivo:

    descrever a epidemiologia dos casos de CA-MRSA no Brasil de forma a compreender sua ocorrência, fatores de risco associados e formas de manejo em relação à situação mundial.

    Método:

    revisão integrativa e para seleção dos estudos utilizou-se as bases de dados: Scopus, Science direct, Isi Web of Knowledge, PUBMED e BVS.

    Resultados:

    foram identificados dez artigos nacionais que descreveram 21 casos de CA-MRSA principalmente em crianças, adolescentes e adultos com quadro de infecção de pele e tecidos moles evoluindo para infecções graves relacionados ao clone Oceania Southwest Pacific Clone (OSPC) que resultaram em hospitalização.

    Conclusão:

    apesar do CA-MRSA ser considerado um micro-organismo de relevância mundial verificou-se a escassez de dados publicados sobre sua epidemiologia no Brasil, o que dificultam o delineamento da realidade do país frente ao CA-MRSA.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2015

    Prevention and non-pharmacological management of pain in newborns

    Revista Brasileira de Enfermagem. 2015;68(1):131-135

    Abstract

    Prevention and non-pharmacological management of pain in newborns

    Revista Brasileira de Enfermagem. 2015;68(1):131-135

    DOI 10.1590/0034-7167.2015680118i

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    Objective:

    to describe the main non-pharmacological interventions for pain relief in newborns available in Neonatal Intensive Care Unit.

    Method:

    an exploratory search of the MedLine, Lilacs and Scielo online databases was conducted to retrieve references of studies published from 2004 to 2013.

    Results:

    several non-pharmacological interventions were shown to be effective, to represent low risk for neonates and to have a low operational cost. The ones most often discussed in the literature were: oral administration of glucose/sucrose, non-nutritive sucking, breastfeeding, skin-to-skin contact, facilitated tucking and swaddling.

    Conclusion:

    healthcare teams should be familiar with these methods and use them more effectively in Neonatal Intensive Care Unit daily routines, so as to ensure that newborns receive qualified and more human care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2015

    BANFISA e (IN)DICA-SUS na graduação em saúde: o lúdico e a construção de aprendizados

    Revista Brasileira de Enfermagem. 2015;68(1):124-130

    Abstract

    BANFISA e (IN)DICA-SUS na graduação em saúde: o lúdico e a construção de aprendizados

    Revista Brasileira de Enfermagem. 2015;68(1):124-130

    DOI 10.1590/0034-7167.2015680117i

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    Objectives:

    to analyze the learning built during the matches of the games by students of the subject Gestão de Políticas Públicas em Saúde at the Universidade de Brasília.

    Method:

    exploratory, descriptive research, in a qualitative approach, with 26 students from various graduation courses in health, using a questionnaire and participant observation.

    Results:

    participants reinvented rules, related issues addressed in the games to the reality, interacted with colleagues and had fun throughout the match. Comparing the games in relation to ludicity, the BANFISA was more attractive than the (IN) DICA-SUS, although they are complementary.

    Conclusions:

    learning constructed by the students goes beyond the content of the subject; involve the active participation in group and creativity.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2015

    Chinese auriculotherapy to improve quality of life of nursing team

    Revista Brasileira de Enfermagem. 2015;68(1):117-123

    Abstract

    Chinese auriculotherapy to improve quality of life of nursing team

    Revista Brasileira de Enfermagem. 2015;68(1):117-123

    DOI 10.1590/0034-7167.2015680116p

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    Objective:

    to evaluated the effi cacy of auriculotherapy for improving quality of life and reducing stress in nursing staff.

    Method:

    single-blind radomizad clinical trail envolving 175 subjects randomized in: Control (G1), Protocol Group (G2) and without Protocol Group (G3). They were evaluated by the Stress Symptoms List and SF36v2 at baseline, after 12 sessions and follow up (30 days), between January and July 2012.

    Results:

    both intervention groups reduced stress (p <0.05) with greater effect for G3 (d = 1.15). G3 was also higher for improving life quality especially the physical domain (p = 0.05).

    Conclusion:

    individualized auriculotherapy (G3) had greater effect compared to the protocol auriculotherapy (G2) for reducing stress and improving life quality.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Chinese auriculotherapy to improve quality of life of nursing team
  • 01-01-2015

    Adherence to foot self-care in diabetes mellitus patients

    Revista Brasileira de Enfermagem. 2015;68(1):111-116

    Abstract

    Adherence to foot self-care in diabetes mellitus patients

    Revista Brasileira de Enfermagem. 2015;68(1):111-116

    DOI 10.1590/0034-7167.2015680115p

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    Objective:

    to analyze the self-care of patients with type 2 diabetes mellitus in the Family Health Strategy in Teresina-PI.

    Method:

    search cross selected by simple random sampling, 331 people with diabetes mellitus. Data collection took place from August to December 2012 with the use of Self-Care Activities Questionnaire with Diabetes and structured instrument for recording information socioeconomic and guidance received by the professional nurse.

    Results:

    the data revealed that patients have poor adherence to blood glucose monitoring, the physical exercise and foot care, but with good adherence to the medication. Only 38.7% of the sample examined the feet of fi ve to seven days a week. Statistically signifi cant association between self-care activities with their feet and orientations of nurses (p < 0,05).

    Conclusion:

    that there is need to raise awareness with regard to the development of skills for self-care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Adherence to foot self-care in diabetes mellitus patients
  • 01-01-2015

    Patients with disorders of consciousness: vital, facial and muscular responses to music or messages

    Revista Brasileira de Enfermagem. 2015;68(1):102-110

    Abstract

    Patients with disorders of consciousness: vital, facial and muscular responses to music or messages

    Revista Brasileira de Enfermagem. 2015;68(1):102-110

    DOI 10.1590/0034-7167.2015680114p

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    Purposes:

    to compare vital signs, facial expression and basal electroneurographic signs with measures during stimuli music, message or “silence” in coma patients, vegetative status or sedated; and relating the score of Glasgow Results Scale with the intervention realized.

    Method:

    a Monoblind Transversal Controlled Clinical Trial to researcher. The distribution, among the three groups, was randomized (experiment with music, experiment with message or control). Two assessments (sessions) were performed with interval of 40 minutes on the same day.

    Results:

    most of the 76 patients were male, between 18 to 36 years old and hospitalized due to trauma. Statistically signifi cant changes were found in the variables referred to temperature, facial expression, electroneurography and Glasgow Results Scale; more frequent alterations in second session, in coma and vegetative patients, in frontal muscles and in experiment group.

    Conclusions:

    the facial expression and the electroneurography seem to be more trustworthy variables than vital signs to evaluate consciousness.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 01-01-2015

    Prevalence of minor psychiatric disorders in socio-educational agents in the state of Rio Grande do Sul

    Revista Brasileira de Enfermagem. 2015;68(1):93-101

    Abstract

    Prevalence of minor psychiatric disorders in socio-educational agents in the state of Rio Grande do Sul

    Revista Brasileira de Enfermagem. 2015;68(1):93-101

    DOI 10.1590/0034-7167.2015680113p

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    Objective:

    to determine the prevalence and factors associated with minor psychiatric disorders (MPD) in socio-educational agents.

    Method:

    it is a cross-sectional study with 381 socio-educational agents the Centers for Socio-Educational Services in the State of Rio Grande do Sul, Brazil. The Brazilian versions of the Scale of Demand-control-social support at work and the Self Reporting Questionnaire-20 have been applied.

    Results:

    the results showed a prevalence of suspicion MPD of 50.1%. They showed to be related to suspicion of MPD : being female (55.7%), having age up to 44 years old (58.5%), no physical activity (57.4%), do not have time for leisure (75%), make use of medication (61.4%), require medical attention (56.9%) and psychological counseling (72.7%), not being satisfied with the workplace (61.7%) and need for time off from work (65.6%).

    Conclusion:

    the study provides important data about the mental health of agents, showing the need for the involvement of managers and of the health service of worker’s health in planning actions to promote health of these workers.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • REVIEW06-17-2020

    The role of the nurse in caring for the critical patient with sepsis

    Revista Brasileira de Enfermagem. 2020;73(4):e20190031

    Abstract

    REVIEW

    The role of the nurse in caring for the critical patient with sepsis

    Revista Brasileira de Enfermagem. 2020;73(4):e20190031

    DOI 10.1590/0034-7167-2019-0031

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    ABSTRACT

    Objectives:

    to know the nursing interventions in the identification, prevention and control of sepsis in critical patients.

    Methods:

    integrative review of the literature, with two parallel researches using different MesH terms, using the EBSCO database and Google Scholar. Nine studies were included in the sample.

    Results:

    nursing interventions are centered on the creation/implementation of protocols for the early recognition of sepsis, the training of teams to ensure a safe and effective approach and the adoption of measures for infection prevention and control as a way to prevent sepsis.

    Final Considerations:

    the evidence shows that nurses are fundamental in the early identification, control and prevention of sepsis, preventing disease progression and contributing to decreased morbidity and mortality.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    The role of the nurse in caring for the critical patient with sepsis
  • ORIGINAL ARTICLE02-10-2020

    Common Mental Disorders and Contemporary Factors: 1982 Birth Cohort

    Revista Brasileira de Enfermagem. 2020;73(1):e20180162

    Abstract

    ORIGINAL ARTICLE

    Common Mental Disorders and Contemporary Factors: 1982 Birth Cohort

    Revista Brasileira de Enfermagem. 2020;73(1):e20180162

    DOI 10.1590/0034-7167-2018-0162

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    ABSTRACT

    Objective:

    To describe the association between common mental disorders and socio-demographic variables, smoking habits and stressful events among the 30-year-old members of a 1982 cohort.

    Method:

    Mental disorder was analyzed by the Self-Reporting Questionnaire (SRQ-20). Poisson regression was used to analyze the unadjusted and adjusted associations.

    Results:

    Low level of education and stressful events increased the prevalence of mental disorders for both genders. Lower income for women and unemployment for men also remained associated with CMD.

    Conclusion:

    It was possible to describe the association between contemporary factors and mental disorders in a young population, to which prevention and control measures, through public policies proposed to the areas of Primary Care, Mental Health and Education, can represent a better quality of life and health.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE09-21-2020

    Prevalence of xerostomia in women during breast cancer chemotherapy

    Revista Brasileira de Enfermagem. 2020;73:e20190785

    Abstract

    ORIGINAL ARTICLE

    Prevalence of xerostomia in women during breast cancer chemotherapy

    Revista Brasileira de Enfermagem. 2020;73:e20190785

    DOI 10.1590/0034-7167-2019-0785

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    ABSTRACT

    Objective:

    To identify the prevalence of xerostomia in women undergoing chemotherapy for breast cancer.

    Method:

    Prospective cohort with 27 women who underwent up to 16 sessions of intravenous chemotherapy. Data collection was performed at the outpatient clinic of a university hospital in the city of São Paulo, where two forms were applied before the start of treatment and the Xerostomia Inventory before and after each chemotherapy session.

    Results:

    Complaints of dry mouth were present in 48.1% of women before chemotherapy, and they were approximately 28 times more likely to develop dry mouth during treatment. It was observed that the use of antiemetics contributed to the occurrence of xerostomia, and the anti-ulcerous were presented as a protective factor.

    Conclusion:

    The study identified both a high prevalence of xerostomia regardless of the chemotherapy used and the need to create protocols to improve the quality of life of these patients.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE12-13-2019

    Hammock and nesting in preterm infants: randomized controlled trial

    Revista Brasileira de Enfermagem. 2019;72:96-102

    Abstract

    ORIGINAL ARTICLE

    Hammock and nesting in preterm infants: randomized controlled trial

    Revista Brasileira de Enfermagem. 2019;72:96-102

    DOI 10.1590/0034-7167-2018-0099

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    ABSTRACT

    Objective:

    To compare the physiological variables and the sleep-wake pattern presented by preterm in nesting and hammock positions after diaper change.

    Method:

    This is a crossover randomized controlled trial. It was conducted with 20 preterm infants who, after diaper change, were placed in nests or hammocks. These preterm infants were evaluated for physiological variables (heart rate and oxygen saturation) and behavioral variables (sleep and wakefulness).

    Results:

    There was no statistically significant difference in the studied variables between nesting and hammock positions. However, regarding the categorical variable sleep, the comparison between the research phases for the hammock position showed differences between the baseline phase and the immediate recovery (p=0.00), baseline and late recovery (p=0.00), response and immediate recovery (p=0.00), response and late recovery (p=0.00).

    Conclusion:

    No differences were identified between the nest and the hammock; however, the use of the hammock favored the sleep of preterm infants compared to its non-use.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Hammock and nesting in preterm infants: randomized controlled trial
  • ORIGINAL ARTICLE05-15-2020

    Configuration of power relations in physicians and nurses’ professional practices

    Revista Brasileira de Enfermagem. 2020;73:e20180629

    Abstract

    ORIGINAL ARTICLE

    Configuration of power relations in physicians and nurses’ professional practices

    Revista Brasileira de Enfermagem. 2020;73:e20180629

    DOI 10.1590/0034-7167-2018-0629

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    ABSTRACT

    Objective:

    to analyze the configuration of power relations constituted in and by the knowledge and daily practices of physicians and nurses in an Intensive Care Unit (ICU).

    Method:

    qualitative study in which data were collected through interviews with physicians and nurses from an ICU of a hospital in Belo Horizonte, Minas Gerais. A semi-structured script was used. Data were analyzed through discourse analysis in a Foucaultian perspective.

    Results:

    three categories were developed – Professional Identity: self-recognition in the profession; Discipline: individualizing attitudes or collective need?; and Circularity of knowledge and power in the constitution of daily practices.

    Final considerations:

    the identity, discipline and circulation of power are connected in a continuous movement of subjectivation of the subject, which, in turn, uses discourse as a persuasion strategy to modify the position taken over in different situations thereby causing the circulation of power.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW03-30-2020

    Internet influence on the biopsychosocial health of adolescents: an integratitive review

    Revista Brasileira de Enfermagem. 2020;73(2):e20180766

    Abstract

    REVIEW

    Internet influence on the biopsychosocial health of adolescents: an integratitive review

    Revista Brasileira de Enfermagem. 2020;73(2):e20180766

    DOI 10.1590/0034-7167-2018-0766

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    ABSTRACT

    Objectives:

    To identify scientific evidence on the influence of internet use on adolescents’ biopsychosocial health.

    Methods:

    Integrative review, with database search, using the descriptors “internet”, “adolescent health” and “adolescent behavior”. After applying the inclusion and exclusion criteria, 16 articles were selected.

    Results:

    Knowledge convergence produced for three main themes was demonstrated: “Internet exposure time and possible damages to adolescent health”; “Internet, adolescent and cyberbullying”; and “Internet as a source of information for adolescent health”.

    Final considerations:

    The network involves an intricate network of interactions, providing varied behaviors and attitudes that reflect on adolescent health. Therefore, it is important to articulate nursing actions with the school community and the family, in order to carry out health education.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Internet influence on the biopsychosocial health of adolescents: an integratitive review
  • ORIGINAL ARTICLE02-17-2020

    Analysis of records by nursing technicians and nurses in medical records

    Revista Brasileira de Enfermagem. 2020;73(2):e20180542

    Abstract

    ORIGINAL ARTICLE

    Analysis of records by nursing technicians and nurses in medical records

    Revista Brasileira de Enfermagem. 2020;73(2):e20180542

    DOI 10.1590/0034-7167-2018-0542

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    ABSTRACT

    Objectives:

    to analyze the main non-conformities of the nursing records of a public hospital in Natal, Brazil.

    Methods:

    this is a descriptive, cross-sectional study, with a quantitative approach. This study was conducted in nursing departments of medical and surgical wards. The sample was composed of 120 medical records of inpatients between October and December 2016. The obtained data were tabulated and analyzed by simple statistics in absolute and relative frequency using the 2013 Microsoft Excel software. The Pareto Diagram was used to evaluate the non-conformities of the records.

    Results:

    the main problems in the nursing records were the absence of the professional category and the nursing council number, responsible for 41.8% of the non-conformities in the records of nursing technicians; for nurses’ records, the main non-conformities were the absence of time and the illegible handwriting, with 61.2%.

    Conclusions:

    the study showed that nursing professionals perform their records incompletely and often do not document the care provided.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Analysis of records by nursing technicians and nurses in medical records
  • 12-05-2019

    Hospital care and urinary incontinence in the elderly

    Revista Brasileira de Enfermagem. 2019;72:284-293

    Abstract

    Hospital care and urinary incontinence in the elderly

    Revista Brasileira de Enfermagem. 2019;72:284-293

    DOI 10.1590/0034-7167-2018-0273

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    ABSTRACT

    Objective:

    to identify factors inherent in hospital care that favor urinary incontinence in the elderly.

    Method:

    an integrative review with Scopus, CINAHL and Pubmed searches. Includes original articles, no language restriction, published between 2008 and 2018. Rated level of recommendation and level of evidence were assessed using the Oxford Center for Evidence-Based Medicine classification. Exploited content through thematic analysis in light of the Donabedian model.

    Results:

    13 articles constituted the sample. There were factors such as the unjustified and indiscriminate use of devices such as the geriatric diaper; hospital structure adversely affecting the needs of the elderly; and deficit in screening, risk identification and underreporting of the problem favor urinary incontinence in the hospitalized elderly.

    Conclusion:

    modifiable factors related to hospital structures and care processes favor both the onset and worsening of urinary incontinence in the elderly.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Hospital care and urinary incontinence in the elderly

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