Articles - Revista Brasileira de Enfermagem

  • 12-04-2023

    Simulation training of caregivers at hospital discharge of patients with chronic diseases: an integrative review

    Revista Brasileira de Enfermagem. 2023;76(6):e20230043

    Abstract

    Simulation training of caregivers at hospital discharge of patients with chronic diseases: an integrative review

    Revista Brasileira de Enfermagem. 2023;76(6):e20230043

    DOI 10.1590/0034-7167-2023-0043

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    ABSTRACT

    Objective:

    to identify evidence about the use and effects of clinical simulation for preparing caregivers for discharging patients with chronic conditions.

    Methods:

    an integrative peer review in the Scopus, PubMed, Web of Science, Cumulative Index to Nursing and Allied Health Literature, ScienceDirect and Virtual Health Library databases, from July to September 2022.

    Results:

    3,218 studies were identified, with a final sample consisting of four national and two international articles. Using simulation as an educational technology contributed to caregiver preparation in home care. In most studies, using clinical simulation included using other strategies to complement training: expository dialogued class, conversation circle and audiovisual resources.

    Final considerations:

    simulation proved to be efficient for training caregivers, with the active participation of family members and nurses in health education actions.

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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.
    Simulation training of caregivers at hospital discharge of patients with chronic diseases: an integrative review
  • ORIGINAL ARTICLE12-04-2023

    A longitudinal study of burden among spouse and non-spouse caregivers of older adults with stroke-induced-dependency

    Revista Brasileira de Enfermagem. 2023;76(6):e20230052

    Abstract

    ORIGINAL ARTICLE

    A longitudinal study of burden among spouse and non-spouse caregivers of older adults with stroke-induced-dependency

    Revista Brasileira de Enfermagem. 2023;76(6):e20230052

    DOI 10.1590/0034-7167-2023-0052

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    ABSTRACT

    Objective:

    to assess the burden of spouse and non-spouse caregivers of older adults with stroke-induced-dependency after discharge from a university hospital’s Specialized Care Stroke Unit in southern Brazil.

    Methods:

    a longitudinal survey. The sample consisted of 48 consenting caregivers, among which 20 were spouse caregivers. Data were collected between May 2016 and July 2018. One week after discharge, caregivers completed a sociodemographic profile, the Functional Independence Measure, and the Caregiver Burden Scale. Burden was also measured two months after discharge. Data were analyzed using Multivariate Analyses of Variance.

    Results:

    regarding time 1, non-spouse caregivers experienced greater burden with respect to social isolation (p = .01). Along with a persistently greater sense of isolation (p=.04), non-spouse caregivers felt far greater general strain (p =.01).

    Conclusion:

    statistically significant differences in burden over time highlight the importance of assessing caregiver burden after discharge and the need for a formal support program.

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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.
  • ERRATUM12-04-2023

    ERRATUM

    Revista Brasileira de Enfermagem. 2023;76(6):e2023n6e06

    Abstract

    ERRATUM

    ERRATUM

    Revista Brasileira de Enfermagem. 2023;76(6):e2023n6e06

    DOI 10.1590/0034-7167.20237606e06

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    In the article “Undergraduate nursing students’ knowledge and experience in infusion therapy and peripheral vascular acces”, with DOI number: , published in Revista Brasileira de Enfermagem, 2023;76(3): e20220219, authored:Where it read:[…]
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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.
  • 12-04-2023

    Sobrecarga entre cuidadores cônjuges e não cônjuges de idosos dependentes por AVC: estudo longitudinal

    Revista Brasileira de Enfermagem. 2023;76(6):e20230052

    Abstract

    Sobrecarga entre cuidadores cônjuges e não cônjuges de idosos dependentes por AVC: estudo longitudinal

    Revista Brasileira de Enfermagem. 2023;76(6):e20230052

    DOI 10.1590/0034-7167-2023-0052

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    RESUMEN

    Objetivo:

    evaluar la carga de los cuidadores conyugales y no conyugales de ancianos con dependencia inducida por ictus después del alta de la Unidad de Atención Especializada en Ictus de un hospital del sur de Brasil.

    Métodos:

    una encuesta longitudinal, con 48 cuidadores (20 cónyuges). Datos fueron recolectados entre mayo/2016 y julio/2018. Una semana después del alta, se aplicó la Medida de Independencia Funcional a los ancianos y la Caregiver Burden Scale a los cuidadores. Los datos se analizaron mediante análisis multivariado de varianza.

    Resultados:

    en tiempo 1, los cónyuges experimentaron mayor carga en relación al aislamiento social (p=0,01). Los cónyuges sintieron una tensión general y sensación de aislamiento mucho mayor (p=0,01; p=0,04).

    Conclusión:

    las diferencias estadísticamente significativas en la carga a lo largo del tiempo resaltan la importancia de evaluar la carga del cuidador después del alta y la necesidad de un programa de apoyo formal.

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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.
  • 12-04-2023

    Enfermagem e os Objetivos de Desenvolvimento Sustentável (ODS): Um Compromisso Essencial

    Revista Brasileira de Enfermagem. 2023;76(6):e760601

    Abstract

    Enfermagem e os Objetivos de Desenvolvimento Sustentável (ODS): Um Compromisso Essencial

    Revista Brasileira de Enfermagem. 2023;76(6):e760601

    DOI 10.1590/0034-7167.2023760601pt

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    Os Objetivos de Desenvolvimento Sustentável (ODS) são uma iniciativa global lançada pela Organização das Nações Unidas (ONU) em setembro de 2015 como parte da Agenda 2030 para o Desenvolvimento Sustentável, cujos objetivos sumarizam um apelo universal à ação para acabar com a pobreza, proteger o meio ambiente e garantir que todas as pessoas tenham acesso […]
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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.
  • 12-04-2023

    Efeitos da auriculoterapia na ansiedade e biomarcadores na Atenção Primária à Saúde: um ensaio clínico

    Revista Brasileira de Enfermagem. 2023;76(6):e20220728

    Abstract

    Efeitos da auriculoterapia na ansiedade e biomarcadores na Atenção Primária à Saúde: um ensaio clínico

    Revista Brasileira de Enfermagem. 2023;76(6):e20220728

    DOI 10.1590/0034-7167-2022-0728pt

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    RESUMEN

    Objetivo:

    evaluar los efectos de la auriculoterapia sobre la ansiedad y los niveles séricos de factor neurotrófico derivado de cerebro (BDNF), enolasa-específica de neurona (NSE) y proteína fijadora de calcio S100B (S100B) en adultos atendidos en Atención Primaria de Salud.

    Métodos:

    ensayo clínico piloto preexperimental. Se obtuvo información de 19 pacientes mediante el Inventario de Ansiedad Estado-Rasgo (STAI) y análisis de niveles séricos de BDNF, NSE y S100B.

    Resultados:

    la puntuación de ansiedad preintervención en el IDATE-Rasgo fue de 52,11±6,691 (CV 12,84%) y la valoración tras la auriculoterapia fue significativamente menor (43,72±8,141; CV 18,62%; P=0,0007). Los niveles de S100B se redujeron significativamente después de la auriculoterapia (de 64,03±72,18 a 54,03±68,53 pg/mL; CV 126,8%; P=0,0023).

    Conclusión:

    la auriculoterapia redujo efectivamente los niveles de ansiedad. Demostró ser seguro y fácil de aplicar, lo que permitió a las enfermeras realizar esta técnica de forma autónoma. También se evidenció una reducción de S100B, lo que demuestra una posible prevención del daño neuronal.

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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.
  • 12-04-2023

    Nursing and the Sustainable Development Goals (SDGs): An Essential Commitment

    Revista Brasileira de Enfermagem. 2023;76(6):e760601

    Abstract

    Nursing and the Sustainable Development Goals (SDGs): An Essential Commitment

    Revista Brasileira de Enfermagem. 2023;76(6):e760601

    DOI 10.1590/0034-7167.2023760601

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    The Sustainable Development Goals (SDGs) are a global initiative launched by the United Nations (UN) in September 2015 as part of the 2030 Agenda for Sustainable Development, whose objectives summarize a universal call to action to end poverty, protect the environment and ensure that all people have access to opportunities and well-being, all in an […]
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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 ARTICLE12-04-2023

    Effect of cardiovascular biofeedback on nursing staff stress: a randomized controlled clinical trial

    Revista Brasileira de Enfermagem. 2023;76(6):e20230069

    Abstract

    ORIGINAL ARTICLE

    Effect of cardiovascular biofeedback on nursing staff stress: a randomized controlled clinical trial

    Revista Brasileira de Enfermagem. 2023;76(6):e20230069

    DOI 10.1590/0034-7167-2023-0069

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    ABSTRACT

    Objective:

    to assess the effect of cardiovascular biofeedback on nursing staff stress when compared to an activity without self-monitoring.

    Method:

    a randomized controlled clinical trial, carried out with nursing professionals from a university hospital. The intervention group (n=58) performed cardiovascular biofeedback, and the control (n=57) performed an online puzzle without self-monitoring, totaling nine meetings over three weeks. The outcome was assessed using the Stress Symptoms and Work-Related Stress scales, and the biological marker heart rate variability. The generalized estimating equations method was used.

    Results:

    the intervention had no effect on self-reported instruments (p>0.050). However, there was an effect of time (p<0.050) on all heart rate variability indicators, demonstrating changes over the sessions.

    Conclusion:

    cardiovascular biofeedback showed promising results in the biological marker, suggesting that it can be used in nursing staff as a complementary therapy by promoting better autonomic nervous system regulation.

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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.
    Effect of cardiovascular biofeedback on nursing staff stress: a randomized controlled clinical trial

  • 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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    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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