Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-16-2024

    Childbirth care by health professionals: conflicting practices in obstetrics

    Revista Brasileira de Enfermagem. 2024;77(6):e20230129

    Abstract

    ORIGINAL ARTICLE

    Childbirth care by health professionals: conflicting practices in obstetrics

    Revista Brasileira de Enfermagem. 2024;77(6):e20230129

    DOI 10.1590/0034-7167-2023-0129

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    ABSTRACT

    Objectives:

    to understand the perceptions of women and health professionals regarding childbirth care at a teaching hospital in the western state of Paraná, Brazil.

    Methods:

    this qualitative study employed Grounded Theory, conducted in an obstetric care service with 38 participants (women and health professionals) through semi-structured interviews.

    Results:

    limitations in physical infrastructure and management of care, along with the women’s limited knowledge about the childbirth process and the decision-making and guidance of professionals, show conflicting obstetric practices-a discrepancy between good practices and obstetric violence. Training in obstetric nursing and active participation in care, alongside the presence of a companion, were identified as intervening conditions and strategies in the process.

    Final Considerations:

    childbirth care is characterized by dichotomous practices. While some professionals base their practices on scientific evidence, others rely on teachings and experiences from the time of their training.

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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.
  • 12-16-2024

    Religión y experiencia profesional: ¿Serán predictores de la inteligencia espiritual de los enfermeros? Estudio transversal

    Revista Brasileira de Enfermagem. 2024;77(6):e20240217

    Abstract

    Religión y experiencia profesional: ¿Serán predictores de la inteligencia espiritual de los enfermeros? Estudio transversal

    Revista Brasileira de Enfermagem. 2024;77(6):e20240217

    DOI 10.1590/0034-7167-2024-0217es

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    RESUMEN

    Objetivos:

    analizar la relación entre religión y experiencia profesional con la inteligencia espiritual en enfermeros.

    Métodos:

    estudio transversal y analítico realizado en 2021, participaron 544 profesionales de enfermería que laboraban en establecimiento de salud de Perú durante la pandemia por COVID-19. Para el análisis de los datos se emplearon el análisis de regresión múltiple y correlación de Pearson.

    Resultados:

    en los enfermeros predominó un nivel de inteligencia espiritual saludable (42,8%). Quienes no profesaban una religión tenían mayor probabilidad de tener menor puntaje de inteligencia espiritual (escala global y dimensiones); sin embargo, los enfermeros expertos tuvieron mayor probabilidad de tener mayor inteligencia espiritual (escala global y dimensiones) que los enfermeros novatos (p<0,05).

    Conclusiones:

    la inteligencia espiritual en los enfermeros fue predicha por la religión y la experiencia profesional. Este hallazgo sugiere que la inteligencia espiritual en enfermería se consolida mediante prácticas religiosas y durante el ejercicio profesional.

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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.
  • 12-16-2024

    A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem

    Revista Brasileira de Enfermagem. 2024;77(6):e20220615

    Abstract

    A relação entre gênero, formação educacional e ambiente de aprendizagem com a ansiedade do estudante de enfermagem

    Revista Brasileira de Enfermagem. 2024;77(6):e20220615

    DOI 10.1590/0034-7167-2022-0615

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    RESUMEN

    Objetivos:

    identificar las variables asociadas a la práctica clínica relacionadas con la ansiedad de los estudiantes de enfermería.

    Métodos:

    se utilizó un diseño descriptivo, cuantitativo, correlacional con las recomendaciones STROBE, EQUATOR. La población fue de 233 estudiantes de enfermería con una muestra de 135 personas. Los datos se recopilaron de marzo a abril de 2022 utilizando instrumentos validados.

    Resultados:

    la prueba de chi-cuadrado y razón de verosimilitud significativa para género, formación académica y entorno de aprendizaje son superiores a 0.05, por lo que no existe una relación significativa entre las variables y la ansiedad de los estudiantes.

    Conclusiones:

    los estudiantes necesitan prepararse nuevamente antes de ingresar al campo de la práctica. Investigaciones cualitativas también son necesarias.

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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 ARTICLE12-16-2024

    Bladder ultrasound: evidence of content validity of a checklist for training nurses

    Revista Brasileira de Enfermagem. 2024;77(6):e20230183

    Abstract

    ORIGINAL ARTICLE

    Bladder ultrasound: evidence of content validity of a checklist for training nurses

    Revista Brasileira de Enfermagem. 2024;77(6):e20230183

    DOI 10.1590/0034-7167-2023-0183

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    ABSTRACT

    Objectives:

    to develop and analyze evidence of content validity of a checklist for training nurses in measuring bladder volume through ultrasound.

    Methods:

    a methodological study, consisting of three stages: literature review; instrument item preparation; and analysis of evidence of content validity. The Content Validity Index (CVI) and Gwet’s AC2 were used for content validity analyses.

    Results:

    the checklist consisted of 23 items. The CVIs for clarity, relevance and dimensionality were 0.99, 0.99 and 0.98 respectively, and the CVIs for Gwet’s AC2 with coefficients for clarity, relevance and dimensionality were 0.89, 0.97 and 0.95, respectively, with p<0.001.

    Conclusions:

    the checklist developed for training nurses in measuring bladder volume through ultrasound achieved adequate evidence of content validity, and can be used to train nurses in clinical practice and future research.

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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.
    Bladder ultrasound: evidence of content validity of a checklist for training nurses
  • ORIGINAL ARTICLE12-16-2024

    Nursing team’s perceptions about care for pregnant women in a psychiatric unit

    Revista Brasileira de Enfermagem. 2024;77(6):e20230186

    Abstract

    ORIGINAL ARTICLE

    Nursing team’s perceptions about care for pregnant women in a psychiatric unit

    Revista Brasileira de Enfermagem. 2024;77(6):e20230186

    DOI 10.1590/0034-7167-2023-0186

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    ABSTRACT

    Objectives:

    to understand the nursing team’s perception in relation to the care provided to pregnant women with mental disorders admitted to a psychiatric hospital unit.

    Methods:

    Convergent Care Research carried out between August and December 2021, through semi-structured interviews with 25 nursing professionals from a Psychiatric Unit from a reference Hospital in Southern Brazil.

    Results:

    the organized and analyzed data resulted in two thematic categories: Technical, generic and impersonal care; and From impersonality to the singularity of nursing care. Ensuring unique care for pregnant women with mental disorders means giving them a meaning of existence and providing care from a multidimensional and continuous perspective.

    Final Considerations:

    nursing care for pregnant women in psychiatric hospitalization requires continuous professional qualification, interactive technologies and support for the nursing process, in addition to promoting singular and multidimensional 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.
  • ORIGINAL ARTICLE12-16-2024

    The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230315

    Abstract

    ORIGINAL ARTICLE

    The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study

    Revista Brasileira de Enfermagem. 2024;77(6):e20230315

    DOI 10.1590/0034-7167-2023-0315

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    ABSTRACT

    Objectives:

    to analyze the relationship between the nursing practice environment and hospital sociotechnical complexity as perceived by nurses.

    Methods:

    a sequential explanatory mixed-methods study was conducted in a hospital in southern Brazil. The Brazilian version of the Practice Environment Scale-Nursing Work Index and the Complexity Characterization Questionnaire were administered to 132 nurses. Subsequently, semi-structured interviews were conducted with 18 participants, and the data were subjected to thematic analysis. Data integration was achieved through a connection approach.

    Results:

    the nursing practice environment was found to be favorable, except in the subscale concerning Staffing and Resource Adequacy, where complexity was present in the activities. The three emerging categories explained human and technical aspects related to complexity in the practice environment, quality of care, and patient safety. Unexpected variability was inversely correlated with the practice environment.

    Conclusions:

    the study results indicate a relationship between these constructs, with implications for the quality and the safety of 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.
    The nursing practice environment and hospital sociotechnical complexity: a mixed-methods study
  • ORIGINAL ARTICLE12-16-2024

    Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais

    Revista Brasileira de Enfermagem. 2024;77(6):e20230304

    Abstract

    ORIGINAL ARTICLE

    Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais

    Revista Brasileira de Enfermagem. 2024;77(6):e20230304

    DOI 10.1590/0034-7167-2023-0304

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    ABSTRACT

    Objectives:

    to analyze the factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais.

    Methods:

    a cross-sectional study nested within a cohort was conducted with postpartum women in a municipality of Minas Gerais. The Maternal Well-being in Childbirth Scale 2 was used. The prevalence of maternal well-being during childbirth was estimated. The magnitude of the association between maternal distress and care practices was estimated using the Prevalence Ratio (PR), applying Poisson regression.

    Results:

    a total of 183 postpartum women aged between 15 and 46 years participated, with 26.2%, 27.9%, and 45.9% reporting excellent, adequate, and poor well-being during childbirth care, respectively. Maternal distress was more prevalent among women who underwent cesarean sections (PR = 1.60) and those who did not receive breastfeeding information (PR = 1.59).

    Conclusions:

    a high prevalence of maternal distress during childbirth was observed, associated with cesarean delivery and the lack of breastfeeding information.

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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.
    Factors associated with maternal well-being during childbirth among postpartum women in Minas Gerais
  • ORIGINAL ARTICLE12-16-2024

    Prevalence and factors associated with musculoskeletal pain among hospital cleaning staff

    Revista Brasileira de Enfermagem. 2024;77(6):e20230237

    Abstract

    ORIGINAL ARTICLE

    Prevalence and factors associated with musculoskeletal pain among hospital cleaning staff

    Revista Brasileira de Enfermagem. 2024;77(6):e20230237

    DOI 10.1590/0034-7167-2023-0237

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    RESUMO

    Objetivos:

    verificar a prevalência e os fatores associados à dor musculoesquelética em trabalhadores do serviço hospitalar de limpeza.

    Métodos:

    estudo transversal, realizado com trabalhadores de limpeza de um hospital de ensino do Sul do Brasil. Utilizaram-se questionário com variáveis sociodemográficas, laborais e de saúde, o Nordic Musculoskeletal Questionnaire e o Diagrama de Corlett e Manenica. Realizou-se análise bivariada.

    Resultados:

    participaram 149 trabalhadores. Prevaleceu dor musculoesquelética na coluna lombar no último ano (65,8%) e últimos sete dias (42,3%). Constataram-se associações entre automedicação e dor na parte inferior das costas (p=0,020) e ombros (p=0,026); sedentarismo, oito horas de sono diárias e dor nos tornozelos (p=0,041) e pés (p=0,039); ex-tabagismo, uso de medicamento e dor nos punhos (p=0,015) e mãos (p=0,004).

    Conclusões:

    prevaleceram lombalgias associadas a hábitos de saúde e vida. Um programa de educação em saúde e recomendações de melhorias nos processos de trabalho podem minimizar a exposição à dor musculoesquelética.

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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.

  • REFLECTION09-29-2022

    Health care of deaf persons during coronavirus pandemics

    Revista Brasileira de Enfermagem. 2022;75:e20201036

    Abstract

    REFLECTION

    Health care of deaf persons during coronavirus pandemics

    Revista Brasileira de Enfermagem. 2022;75:e20201036

    DOI 10.1590/0034-7167-2020-1036

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    ABSTRACT

    Objective:

    To reflect about the barriers experienced by the deaf population during the COVID-19 pandemic, the proposals to overcome communication barriers in health care and the role of public policies in effecting the social inclusion of deaf people.

    Methods:

    Reflection based on studies on health care for deaf people, the COVID-19 pandemic and public accessibility policies.

    Results:

    The global crisis of COVID-19 has deepened pre-existing inequalities in the world, in addition to highlighting the vulnerability of people with disabilities, including deaf. Government, institutional and social initiatives to mitigate difficulties in communicating to deaf people have been made, but they are still insufficient to guarantee protection for them in this pandemic and full inclusion in health care.

    Final considerations:

    Social inclusion, supported by law, and the linguistic accessibility of deaf people still need to generate broad and concrete actions so that deaf people can enjoy their rights as citizens.

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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 ARTICLE12-07-2020

    Sarcopenia screening in elderly in primary health care: nurse knowledge and practices

    Revista Brasileira de Enfermagem. 2020;73:e20200421

    Abstract

    ORIGINAL ARTICLE

    Sarcopenia screening in elderly in primary health care: nurse knowledge and practices

    Revista Brasileira de Enfermagem. 2020;73:e20200421

    DOI 10.1590/0034-7167-2020-0421

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    ABSTRACT

    Objective:

    Describe the knowledge and practices of the Primary Health Care nurse on sarcopenia screening in the elderly.

    Methods:

    Qualitative study conducted with 24 Primary Health Care nurses. The data was collected through semi-structured interviews, recorded and later transcribed. The speeches were grouped in thematic categories, later analyzed, supported by Paulo Freire’s reference.

    Results:

    The findings showed that the primary care nurses’ knowledge of sarcopenia screening in the elderly was incipient and fragile. This reality is reflected in a gap in practice, although some instruments already require the registration of characteristics indicative of sarcopenia, such as the evaluation of the calf circumference.

    Final Considerations:

    The need to train nurses to perform sarcopenia screening and to implement a promotional and preventive care plan, which will result in improving the quality of life of the elderly assisted in Primary Care, was highlighted.

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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.
  • REVIEW08-05-2020

    Communication of bad news in pediatrics: integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190059

    Abstract

    REVIEW

    Communication of bad news in pediatrics: integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190059

    DOI 10.1590/0034-7167-2019-0059

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    ABSTRACT

    Objectives:

    to identify the scientific evidence of the elements of communication in the process of communicating bad news in pediatrics.

    Methods:

    integrative review searched in the LILACS, PubMed and WoS databases. Primary studies in Portuguese, Spanish or English were included.

    Results:

    the evidence from the 40 studies were organized according to the elements of communication: sender (family and/or professional), receiver (family and/or child), message (bad or difficult news about diagnosis/prognosis; empathetically, honestly, objective, hopeful and available), channel (materials, quality, quantity and pace), context and effects (social and emotional changes), noise (feelings and language) and failures (silencing and misleading information).

    Conclusions:

    there is a need to prepare the institution and team, as well as the family and the child, in order to promote co-responsibility in this process, to minimize suffering and communication noise and to avoid failures, recognizing the child’s right to know their condition.

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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.
    Communication of bad news in pediatrics: integrative review
  • 01-22-2021

    Humanization practices in the parturitive course from the perspective of puerperae and nurse-midwives

    Revista Brasileira de Enfermagem. 2021;74:e20190743

    Abstract

    Humanization practices in the parturitive course from the perspective of puerperae and nurse-midwives

    Revista Brasileira de Enfermagem. 2021;74:e20190743

    DOI 10.1590/0034-7167-2019-0743

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    ABSTRACT

    Objective:

    to understand humanization practices in the parturitive course from the point of view of purperae and nurse-midwives.

    Methods:

    an exploratory, descriptive, qualitative research carried out in a maternity hospital in Bahia State. Semi-structured interviews were carried out, with a structured script applied to 11 mothers and 5 nurse-midwives from March to June 2019. Analysis followed Bardin’s content structure.

    Results:

    this study unveiled the importance of using soft care technologies, respect for female role, active participation and women’s autonomy as a positive impact on the parturition process.

    Final considerations:

    nurse-midwives are qualified professionals to assist women in labor and birth. They can favor the implantation and implementation of care with humanization practices, respect for women’s choices and incentive to the normal way of delivery with an expanded view of individual and multidisciplinary needs.

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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 ARTICLE03-30-2020

    Meanings assigned by families about children’s chronic disease diagnosis

    Revista Brasileira de Enfermagem. 2020;73(2):e20180742

    Abstract

    ORIGINAL ARTICLE

    Meanings assigned by families about children’s chronic disease diagnosis

    Revista Brasileira de Enfermagem. 2020;73(2):e20180742

    DOI 10.1590/0034-7167-2018-0742

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    ABSTRACT

    Objectives:

    to understand the meanings assigned by family caregivers about children’s chronic disease diagnosis.

    Methods:

    qualitative study, which used as theoretical framework the Symbolic Interactionism, and methodological, the Grounded Theory. It was held in a pediatric unit in Southern Brazil, in 2016, through interviews submitted to open and axial analysis, with the participation of 20 family caregivers of hospitalized children.

    Results:

    relatives, interacting with the nursing/health staff, perceive children’s disease at birth. They are diagnosed with chronic disease by the physician and deny it. Subsequently, they accept and seek information on care.

    Conclusions:

    the results pointed out the stages that relatives experience by assigning meanings to about children’s chronic disease diagnosis. These meanings provide subsidies for nurses’ actions, which need to be aware of children’s and family’s needs in order to offer comprehensive and humanized 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.
    Meanings assigned by families about children’s chronic disease diagnosis
  • 03-09-2020

    Psychiatric nursing and mental health teaching in relation to Brazilian curriculum

    Revista Brasileira de Enfermagem. 2020;73(2):e20180200

    Abstract

    Psychiatric nursing and mental health teaching in relation to Brazilian curriculum

    Revista Brasileira de Enfermagem. 2020;73(2):e20180200

    DOI 10.1590/0034-7167-2018-0200

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    ABSTRACT

    Objectives:

    to know the scientific production on psychiatric nursing and mental health teaching in relation to Brazilian nursing curriculum.

    Methods:

    an Integrative Literature Review with no temporal delineation, whose data collection took place in ten Brazilian and international databases, adding to the total 35 objects of analysis.

    Results:

    a priori categories were adopted, consisting of the psychiatric nursing and mental health teaching in Brazil according to the 1923, 1949, 1962, 1972, 1994 and 2001 nursing curriculum, presented in the light of the dimensions: thought model; places of practice; methods or contents used; and profile or skills of the student.

    Final considerations:

    the study made it possible to observe psychiatric nursing and mental health teaching historical evolution, indicating that teaching transformations involved changes in curriculum, Psychiatric Reform and the way nursing undergraduate courses and schools take these determinants.

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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 ARTICLE10-21-2019

    Inclusion of mental health in primary health care: care strategy in the territory

    Revista Brasileira de Enfermagem. 2019;72(6):1677-1682

    Abstract

    ORIGINAL ARTICLE

    Inclusion of mental health in primary health care: care strategy in the territory

    Revista Brasileira de Enfermagem. 2019;72(6):1677-1682

    DOI 10.1590/0034-7167-2018-0806

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    ABSTRACT

    Objective:

    To analyze the strategies, challenges and possibilities of the articulation between mental health and primary health care from the perspective of health managers.

    Method:

    Exploratory, qualitative research carried out with 28 managers of mental health and primary care. The data were collected through semi-structured interviews between July and November 2013 and submitted to thematic content analysis.

    Results:

    The inclusion of mental health actions in primary care made it possible, in the view of managers, to increase users’ access to the care they need. This care strategy allows the extension of care practices in the territory, with matrix support as the main tool for the implementation of this care strategy.

    Final considerations:

    The articulation between primary care and mental health is a powerful device for psychosocial care, but it demands a new conformation of the Psychosocial Care Centers (Caps) and primary care services.

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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 ARTICLE09-16-2019

    Knowledge of nursing student on the prevention of sexually transmitted infections

    Revista Brasileira de Enfermagem. 2019;72(5):1145-1152

    Abstract

    ORIGINAL ARTICLE

    Knowledge of nursing student on the prevention of sexually transmitted infections

    Revista Brasileira de Enfermagem. 2019;72(5):1145-1152

    DOI 10.1590/0034-7167-2017-0801

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    ABSTRACT

    Objective:

    To identify the knowledge and self-care actions taken by nursing undergraduate students of a Federal University of the South of Brazil, against Sexually Transmitted Infections.

    Method:

    Exploratory qualitative study, conducted 40 interviews with undergraduate students at the beginning and end of the course. The analysis was thematic, resulting in three categories.

    Results:

    Knowledge about the subject is a decisive factor for self-care, and the more knowledge, the greater the prevention. The dissemination of knowledge of students at the end of the course not only influences self-care but also health promotion in the social sphere.

    Final considerations:

    Knowledge is important in self-care and caring for others. The dissemination of knowledge becomes evident according to the complexity of the course. Stable relationships may interfere with the use or disuse of condoms in sexual relationships, a misnomer present in today’s society.

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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.

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