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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
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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
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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.
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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
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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.
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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
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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
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ORIGINAL ARTICLE05-08-2023
Validity of a booklet to promote the health of people with diabetes in the face of COVID-19
- Carla Lidiane Jácome dos Santos ,
- Alex dos Santos Silva ,
- Waleska de Brito Nunes ,
- Jacira dos Santos Oliveira ,
- Cizone Maria Carneiro Acioly , [ … ],
- Lidiane Lima de Andrade
Abstract
ORIGINAL ARTICLEValidity of a booklet to promote the health of people with diabetes in the face of COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220472
DOI 10.1590/0034-7167-2022-0472
- Carla Lidiane Jácome dos Santos ,
- Alex dos Santos Silva ,
- Waleska de Brito Nunes ,
- Jacira dos Santos Oliveira ,
- Cizone Maria Carneiro Acioly ,
- Thalys Maynnard Costa Ferreira ,
- Marta Miriam Lopes Costa ,
- Lidiane Lima de Andrade
Views0ABSTRACT
Objectives:
to validate the content and appearance of a booklet to promote the health of people with diabetes mellitus in the face of COVID-19.
Methods:
a methodological study, carried out in a virtual environment with experts who had practical and scientific experience in diabetes mellitus, from November 2021 to February 2022. Data were analyzed using the Content Validity Ratio.
Results:
twenty-seven experts from different states of Brazil and with different academic backgrounds participated in the study. In content validity, reviews were suggested in items in relation to objectives and structure, in appearance validity, adjustments in layout were suggested.
Conclusions:
the results showed that the booklet achieved adequate content and appearance validity rates. Therefore, when adapting to experts’ suggestions, it becomes an accurate tool.
Keywords:Coronavirus InfectionsDiabetes MellitusEducational TechnologyHealth PromotionValidation StudySee more - Carla Lidiane Jácome dos Santos
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ORIGINAL ARTICLE05-08-2023
Pleasure and suffering of nursing in COVID-19 hospital units: between disenchantment and formation of meanings
- Alexa Pupiara Flores Coelho Centenaro ,
- Andressa de Andrade ,
- Gianfábio Pimentel Franco ,
- Rosângela Marion da Silva ,
- Leticia Silveira Cardoso , [ … ],
- Marta Cocco da Costa
Abstract
ORIGINAL ARTICLEPleasure and suffering of nursing in COVID-19 hospital units: between disenchantment and formation of meanings
Revista Brasileira de Enfermagem. 2023;76:e20220356
DOI 10.1590/0034-7167-2022-0356
- Alexa Pupiara Flores Coelho Centenaro ,
- Andressa de Andrade ,
- Gianfábio Pimentel Franco ,
- Rosângela Marion da Silva ,
- Leticia Silveira Cardoso ,
- Lílian Moura de Lima Spagnolo ,
- Clarice Alves Bonow ,
- Marta Cocco da Costa
Views0See moreABSTRACT
Objective:
to analyze the experiences of pleasure and suffering of nursing workers in COVID-19 hospital units.
Methods:
a multicenter, qualitative study, developed with 35 nursing workers from COVID-19 units in seven hospitals in southern Brazil. Data were produced through semi-structured interviews, submitted to thematic content analysis with the help of NVivo.
Results:
experiences of pleasure were linked to gratification, identification with work content, positive results in care, recognition, integration with the team and personal overcoming. Suffering was revealed in daily life of deaths and losses, feelings of helplessness, team conflicts, institutional demands, professional devaluation. Workers reported disenchantment, but also strengthening the meaning of their work, highlighting frontline impacts on their mental health.
Final considerations:
in the dynamics between pleasure and suffering in nursing work in COVID-19 hospital units, elements point to the risk of psychological illness.
- Alexa Pupiara Flores Coelho Centenaro
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ORIGINAL ARTICLE05-08-2023
Interactive gerontechnology for fall prevention in the elderly: a descriptive study
- Juliana Cunha Maia ,
- Jamylle Lucas Diniz ,
- Caroline Ribeiro de Sousa ,
- Francisco Gerlai Lima Oliveira ,
- Brenda Pinheiro Evangelista , [ … ],
- Rachel Gabriel Bastos Barbosa
Abstract
ORIGINAL ARTICLEInteractive gerontechnology for fall prevention in the elderly: a descriptive study
Revista Brasileira de Enfermagem. 2023;76(2):e20220739
DOI 10.1590/0034-7167-2022-0739
- Juliana Cunha Maia ,
- Jamylle Lucas Diniz ,
- Caroline Ribeiro de Sousa ,
- Francisco Gerlai Lima Oliveira ,
- Brenda Pinheiro Evangelista ,
- Janaína Fonseca Victor Coutinho ,
- Marília Braga Marques ,
- Rachel Gabriel Bastos Barbosa
Views0See moreABSTRACT
Objectives:
to develop interactive gerontechnology for the prevention of falls in the elderly at home.
Methods:
an exploratory and descriptive study that consisted of gerontechnology development and evaluation by experts and the target audience. For evaluation, researchers used the Agreement Index (AI), considering values greater than 80%.
Results:
the three-dimensional virtual scale model was elaborated through the SketchUp program, with the distribution of rooms and floors, constituting Prototype 1 (P1). Fifty-four judges evaluated the P1, and all presented agreement above the established, with a minimum AI of 88% and a maximum of 100%, producing Prototype 2 (P2). Thirty elderly participants from a philanthropic institution evaluated Prototype 2. On all items, AI ranged from 83% a 100%, resulting in the final version.
Conclusions:
the product of this research reveals itself as an innovative and scientifically based tool aimed at preventing falls in the elderly.
- Juliana Cunha Maia
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ORIGINAL ARTICLE05-08-2023
Trend in hospitalizations due to ambulatory care-sensitive conditions in the Federal District
- Isabel Pintas Marques Horta ,
- Flávia Reis de Andrade ,
- Lorena da Silva Luz Santos ,
- Naira Pereira de Sousa ,
- Luciano Ramos de Lima , [ … ],
- Tania Cristina Morais Santa Bárbara Rehem
Abstract
ORIGINAL ARTICLETrend in hospitalizations due to ambulatory care-sensitive conditions in the Federal District
Revista Brasileira de Enfermagem. 2023;76(2):e20220351
DOI 10.1590/0034-7167-2022-0351
- Isabel Pintas Marques Horta ,
- Flávia Reis de Andrade ,
- Lorena da Silva Luz Santos ,
- Naira Pereira de Sousa ,
- Luciano Ramos de Lima ,
- Tania Cristina Morais Santa Bárbara Rehem
Views0ABSTRACT
Objectives:
to analyze the trend, according to sex, of Ambulatory Care-Sensitive Conditions in the Primary Health Care of the Federal District, from 2009 to 2019.
Methods:
ecological trend study using ACSC hospitalization data available in the Hospitalization System of the Single Health System. The Prais-Winsten method was used to calculate the annual rate variation, expressed in percentages. The dependent variable was the logarithm of the rates, and the independent one, the years in the time series.
Results:
the Federal District registered 2,103,951 general hospitalizations, 16.4% of which were due to Ambulatory Care-Sensitive Conditions. Males had a higher rate of hospitalization in the period, and both sexes showed a stationary trend.
Conclusions:
the time trend of Ambulatory Care- Sensitive Conditions was stationary, but further studies are necessary regarding primary health care coverage.
Keywords:Ambulatory Care Sensitive ConditionsHealth Care Quality, Access, and EvaluationHealth Status IndicatorsHospitalizationPrimary Health CareSee more
- Isabel Pintas Marques Horta
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ORIGINAL ARTICLE05-08-2023
Factors associated with demand for emergency medical services by people with hypertension and diabetes
- Patrícia Chatalov Ferreira ,
- Sonia Silva Marcon ,
- Elen Ferraz Teston ,
- Viviane Cazetta de Lima Vieira ,
- Rebeca Rosa de Souza , [ … ],
- Robson Marcelo Rossi
Abstract
ORIGINAL ARTICLEFactors associated with demand for emergency medical services by people with hypertension and diabetes
Revista Brasileira de Enfermagem. 2023;76(2):e20220147
DOI 10.1590/0034-7167-2022-0147
- Patrícia Chatalov Ferreira ,
- Sonia Silva Marcon ,
- Elen Ferraz Teston ,
- Viviane Cazetta de Lima Vieira ,
- Rebeca Rosa de Souza ,
- Mislaine Casagrande de Lima Lopes ,
- Verônica Francisqueti Marquete ,
- Robson Marcelo Rossi
Views0ABSTRACT
Objectives:
to analyze the association between recurrence of emergency service visits due to lack of blood pressure and/or glycemic control with sociodemographic variables and disease registration in Primary Care.
Methods:
quantitative study, which consulted medical records of people who attended these services two or more times for 26 months. Descriptive statistics and multiple logistic regression models were used in analysis.
Results:
most people did not have hypertension and/or diabetes record in their Primary Care records. The absence of this record was more frequent in males, aged between 18 and 59 years, with low education and lack of blood pressure. There was association between greater number of people seeking these services in the same year and not monitoring the chronic condition in specialized care.
Conclusions:
people who do not follow up hypertension and/or diabetes in Primary Care are more likely to need assistance due to blood pressure and/or glycemic management.
Keywords:Diabetes MellitusElectronic Health RecordsEmergency Medical ServicesHypertensionPrimary Health CareSee more - Patrícia Chatalov Ferreira
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ORIGINAL ARTICLE05-08-2023
Precarious work at a surgical center: implications for the organization and for the health of nursing workers
- Elias Barbosa de Oliveira ,
- Tatiane Xavier ,
- Regina Celia Gollner Zeitoune ,
- Joanir Pereira Passos ,
- Bruno Rafael de Oliveira , [ … ],
- Ana Rita Alves Ferreira
Abstract
ORIGINAL ARTICLEPrecarious work at a surgical center: implications for the organization and for the health of nursing workers
Revista Brasileira de Enfermagem. 2023;76(2):e20220120
DOI 10.1590/0034-7167-2022-0120
- Elias Barbosa de Oliveira ,
- Tatiane Xavier ,
- Regina Celia Gollner Zeitoune ,
- Joanir Pereira Passos ,
- Bruno Rafael de Oliveira ,
- Ana Rita Alves Ferreira
Views0ABSTRACT
Objectives:
to analyze the implications of precarious work for the organization of work and for the health of nursing professionals in a surgical center.
Methods:
qualitative, descriptive study in which the interview technique was applied on 30 nursing professionals from a surgical center in a university hospital located in the Southeast region of Brazil. The project was approved by the research ethics committee. Thematic content analysis was applied in the categorization of speeches.
Results:
precarious work in the surgical center negatively affects the organization of work due to staff turnover, loss of skilled talent, and the need for continuous training of temporary workers. It also affects the quality of care, leading to risks to patient safety and workers’ health.Final Considerations: it is important to make work conditions less precarious in order to minimize staff turnover and promote the quality of the service offered and the health of the worker.
Keywords:HospitalHuman Resources ManagementNursingOccupational RiskSurgery DepartmentWorkers' HealthSee more - Elias Barbosa de Oliveira
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EXPERIENCE REPORT04-14-2023
Construction of educational technology on non-violent communication between health professionals: an experience report
Revista Brasileira de Enfermagem. 2023;76:e20220414
Abstract
EXPERIENCE REPORTConstruction of educational technology on non-violent communication between health professionals: an experience report
Revista Brasileira de Enfermagem. 2023;76:e20220414
DOI 10.1590/0034-7167-2022-0414
Views0ABSTRACT
Objective:
to report the construction of an educational technology to promote non-violent communication for health professionals.
Methods:
an experience report on the development of an educational technology on non-violent communication for health professionals, prepared by members of a social university extension project. The Plan-Do-Study-Act cycle was used as a process or product management procedure.
Results:
two complete management method cycles were performed. A mini almanac was generated as a final product, which addressed the main elements of non-violent communication, an example of its use in everyday life, hobbies and interspersed activities.
Conclusion:
educational technology construction (mini almanac) by members of a university extension project was facilitated using the Plan-Do-Study-Act cycle, proving to be a resource for disseminating non-violent communication in health work and promoting a culture of peace.
Keywords:Educational TechnologyHealth CommunicationHealth PersonnelInterpersonal RelationsWorkplace violenceSee more
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ORIGINAL ARTICLE04-14-2023
Validity study of educational technology on gynecological high dose rate (HDR) brachytherapy
- Meiriane Lopes Ximenes ,
- Mariana Alves Firmeza ,
- Andrea Bezerra Rodrigues ,
- Maria Isis Freire de Aguiar ,
- Gabriela Lacerda Souza , [ … ],
- Patrícia Peres de Oliveira
Abstract
ORIGINAL ARTICLEValidity study of educational technology on gynecological high dose rate (HDR) brachytherapy
Revista Brasileira de Enfermagem. 2023;76:e20220232
DOI 10.1590/0034-7167-2022-0232
- Meiriane Lopes Ximenes ,
- Mariana Alves Firmeza ,
- Andrea Bezerra Rodrigues ,
- Maria Isis Freire de Aguiar ,
- Gabriela Lacerda Souza ,
- Georgia de Sousa Serpa ,
- Patrícia Peres de Oliveira
Views0See moreABSTRACT
Objective:
to construct and validate an educational booklet on high dose rate gynecological brachytherapy (HDR) for women with gynecologic cancer.
Methods:
a methodological study, with the construction and validity of a booklet based on the Doak, Doak and Root theoretical-methodological framework. Content and appearance validity was guided by the Delphi technique, by 11 judges, selected using Jasper’s criteria. Afterwards, clinical validity was carried out with the target population.
Results:
the booklet, built from evidence from an integrative review, validated with judges, obtained an overall CVI of 0.98. After clinical validity with 27 women, it presents 24 sheets with illustrations produced by a graphic designer, subdivided into topics: gynecological system anatomy and gynecological cancer epidemiology, gynecological brachytherapy definition, therapeutic steps, approach to side effects and management, and two pages for notes.
Conclusions:
the booklet has validity for use in HDR gynecological brachytherapy treatment.
- Meiriane Lopes Ximenes
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EDITORIAL01-01-2015
A Pesquisa em Enfermagem e os novos rumos a partir do SENPE
Revista Brasileira de Enfermagem. 2015;68(4):571-572
Abstract
EDITORIALA Pesquisa em Enfermagem e os novos rumos a partir do SENPE
Revista Brasileira de Enfermagem. 2015;68(4):571-572
DOI 10.1590/0034-7167.2015680401i
Views0Após quase meio século do início da pesquisa em Enfermagem no Brasil, ainda há necessidade de investimentos para considerá-la consolidada. Os seminários nacionais que discutem a investigação nesta área demonstram esta afirmação ao longo de 17 eventos, por seus resultados e participação da categoria de pesquisadores e prestadores de serviço.O 18º Seminário Nacional de Pesquisa […]See more -
REFLECTION01-01-2015
Comprehensive health care: dilemmas and challenges in nursing
Revista Brasileira de Enfermagem. 2015;68(2):333-338
Abstract
REFLECTIONComprehensive health care: dilemmas and challenges in nursing
Revista Brasileira de Enfermagem. 2015;68(2):333-338
DOI 10.1590/0034-7167.2015680221i
Views0See moreABSTRACT
Objective:
this article discusses comprehensive care as a guiding tenet of the Brazilian Unifi ed Health System (SUS), outlining health care practices, especially nursing, and the relationships built by subjects in action by means of different knowledge.
Methods:
this is a theoretical refl ection that aims to propose dimensions of analysis (access to services, reception, links, lines of care, accountability, and responsiveness), with an emphasis on the dilemmas and challenges of nursing. The proposed dimensions analyze the production of care and its political and technical aspects.
Conclusion:
care should be the focus of all health care work, bearing in mind that intervention for technological action of each profession goes beyond the core of isolated knowledge, as is the case of nursing, which is connected to other professional practices, and can peruse other territories that operate through relational technologies, entering into the world of the needs of users and families.
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REVIEW01-01-2015
Gender and violence against women in nursing literature: a review
Revista Brasileira de Enfermagem. 2015;68(2):325-332
Abstract
REVIEWGender and violence against women in nursing literature: a review
Revista Brasileira de Enfermagem. 2015;68(2):325-332
DOI 10.1590/0034-7167.2015680220i
Views0See moreABSTRACT
Objective:
considering the potential of nursing to expand understanding on this theme, this study aims to learn what is being published on gender and violence against women in the main Brazilian nursing journals.
Method:
an integrative review of online publications between 2000 and 2012 was conducted. Of the 138 articles selected, 25 addressed gender and violence against women as social constructs.
Results:
there was a predominance of qualitative approaches (60%), empirical research (60%), academic (100%), authors who were nurses (96%), spousal violence (32%) and domestic violence (20%). Violence against women in the light of gender was associated in only 32% of the articles.
Conclusion:
there is a need for increased studies in partnership with the public health care service, and to expand discussions on the dynamics of power and resistance, which are the basis of the concept of gender.
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RESEARCH01-01-2015
Nasal colonization in nursing professionals from units specialized in HIV/AIDS
Revista Brasileira de Enfermagem. 2015;68(2):320-324
Abstract
RESEARCHNasal colonization in nursing professionals from units specialized in HIV/AIDS
Revista Brasileira de Enfermagem. 2015;68(2):320-324
DOI 10.1590/0034-7167.2015680119i
Views0See moreABSTRACT
Objective:
to investigate the presence of microorganisms in the nostrils of the nursing professionals of a Brazilian teaching hospital.
Method:
cross-sectional study in two inpatient units specialized in HIV/AIDS. Nasal secretion samples of nursing professionals were collected in one month. The samples were processed at the microbiology laboratory of the institution and analyzed using the Statistical Package for the Social Sciences (SPSS) software, version 19.0. Ethical aspects were abided.
Results:
from the 73 members of the nursing staff, samples of nasal secretions were collected from 61 (80.2%). Six types of microorganisms were isolated in 22 (41.0%) positive cultures. It is noteworthy that Staphylococcus aureus accounted for 22.9%, four of them oxacillin-resistant (MRSA).
Conclusion:
Staphylococcus aureus microorganism accounted for the largest prevalence in individuals of this study.
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RESEARCH01-01-2015
Evaluation of nursing students about learning with clinical simulation
Revista Brasileira de Enfermagem. 2015;68(2):311-319
Abstract
RESEARCHEvaluation of nursing students about learning with clinical simulation
Revista Brasileira de Enfermagem. 2015;68(2):311-319
DOI 10.1590/0034-7167.2015680218i
Views0See moreABSTRACT
Objective:
to describe the contributions of clinical simulation for learning cognitive and procedural attributes through debriefi ng, from the perspective of nursing students.
Method:
descriptive exploratory study. Twenty nursing undergraduate students from a university in the interior of the state of São Paulo participated in this study. Data collection was performed at the debriefi ng stage. Student’s perceptions about the simulation, positive aspects and what they could have done differently were registered. The students’ statements were grouped according to the central themes and the framework of Bardin’s content analysis (2011) and were analyzed using descriptive statistics.
Results:
enhancement of active, critical and refl ective learning (47.5%) was identifi ed due to the closeness to reality in nursing care (20.3%), manifestation of feelings experienced during the simulation (15.3%) and composition of the scenario (15.3%).
Conclusion:
the clinical simulation followed by debriefi ng promotes the understanding of the link between action and achievements in learning.
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RESEARCH01-01-2015
Risk assessment of patient falls while taking medications ordered in a teaching hospital
Revista Brasileira de Enfermagem. 2015;68(2):305-310
Abstract
RESEARCHRisk assessment of patient falls while taking medications ordered in a teaching hospital
Revista Brasileira de Enfermagem. 2015;68(2):305-310
DOI 10.1590/0034-7167.2015680217i
Views0See moreABSTRACT
Objective:
to stratify prescribed medication in a fall risk scale, identifying subgroups of drugs and inpatient units with higher risk of falls.
Method:
retrospective study on prescription order forms given by medical clinic, surgical clinic, and general intensive care unit. Risk factors under consideration: 1) orthostatic hypotension; 2) arterial hypotension; 3) arterial hypertension; 4) bradycardia; 5) psychomotor agitation; 6) mental confusion; 7) dizziness; 8) drowsiness/sedation; 9) reduced eyesight; 10) seizures; 11) atonia/dystonia/muscle weakness; 12) hypoglycemia; 13) urgent urination and 14) urgent defecation/diarrhea. Risk levels adopted: 0: 0 factor; I: 1-2 factors; II: 3-5 factors; III: 6-9 factors; IV: 10-14 factors.
Results:
3893 drugs were analyzed and stratifi ed in levels: 0 22.7%; I 33.5%; II 28%; III 15.1%; IV 0.7%. Levels III and IV more often refer to drugs for stomach acid disorders, 22.6%, and psycholeptics, 100%.
Conclusion:
knowing the risk factors associated with medication may help prevent and reduce falls, especially when therapeutic regimens cannot be modifi ed.
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RESEARCH01-01-2015
Knowledge and practice of the nurse about leprosy: actions of control and elimination
Revista Brasileira de Enfermagem. 2015;68(2):297-304
Abstract
RESEARCHKnowledge and practice of the nurse about leprosy: actions of control and elimination
Revista Brasileira de Enfermagem. 2015;68(2):297-304
DOI 10.1590/0034-7167.2015680216i
Views0See moreABSTRACT
Objective:
to assess the knowledge and practice of primary health care nurses about control and elimination actions of leprosy.
Method:
evaluation study with qualitative approach, using the Discourse of the Collective Subject, data were collected through semi-structured interviews conducted with 16 nurses.
Results:
the data collected revealed that health professionals have suffi cient knowledge about the National Policy on Control and Elimination of Leprosy (NPCEL) and that the main actions preconized were applied, however, notifi cation of suspected or confi rmed cases and social reintegration of the patient were not mentioned.
Conclusion:
keeping patients in treatment, overload of work, lack of interdisciplinarity and treatment performed at other locations outside of the community were diffi culties reported by professionals. Nurses know the actions addressed at assistance of leprosy patients, however, the study points to the need for a practice which is more aligned to what advocates NPCEL.
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RESEARCH01-01-2015
Weaknesses of vaccine storage in Primary Healthcare Centers
Revista Brasileira de Enfermagem. 2015;68(2):291-296
Abstract
RESEARCHWeaknesses of vaccine storage in Primary Healthcare Centers
Revista Brasileira de Enfermagem. 2015;68(2):291-296
DOI 10.1590/0034-7167.2015680215i
Views0See moreABSTRACT
Objective:
assessment through qualitative approach of vaccine storage in Primary Healthcare Centers.
Method:
assessment study of qualitative approach in which 30 interviews were conducted with nurses, nursing technicians or assistants and technical reference in immunization, in 12 vaccine rooms that had 100% of the structural criteria evaluated. Recorded testimonials of the subjects were organized and analyzed using thematic Content Analysis.
Results:
the assessment pointed to absence of knowledge on the parts of nurses and nursing technicians and assistants with respect to the effects of low temperature on vaccines. Barriers were also encountered in relation to the supervision of nurses in the vaccine room activities and in relation to the knowledge needed by workers to care for preservation of vaccines.
Conclusion:
vaccine storage is inadequate and may compromise the quality of the immunobiologicals dispensed to the populace.
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