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ORIGINAL ARTICLE12-16-2024
Health literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
Abstract
ORIGINAL ARTICLEHealth literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
DOI 10.1590/0034-7167-2024-0154
Views0ABSTRACT
Objectives:
to identify the process of health literacy development among primary care patients, relating it to their self-care practices.
Methods:
qualitative, prospective research with 22 patients from two Family Health Strategy units. Data were obtained through individual semi-structured interviews, examined through descriptive statistics and thematic content analysis.
Results:
the results discuss how participants learn about health and how this resonates in their behaviors, culminating in two thematic categories: “Health knowledge construction”; and “Dialogue between health knowledge construction and patient care actions”.
Final Considerations:
health knowledge is developed mainly through interpersonal relationships, mediated by health professionals through bonding and communication. Community educational actions and training of health professionals in communication can promote health literacy and self-care among patients.
Keywords:Chronic DiseaseHealth LiteracyPrimary Health CareQualitative ResearchWorld Health OrganizationSee more
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ORIGINAL ARTICLE12-16-2024
Analysis of omission of antimicrobial doses in Intensive Care Units
- Isabelle Ribeiro Machado
, - Danielle de Mendonça Henrique ,
- Flávia Giron Camerini ,
- Vanessa Galdino de Paula ,
- Cintia Silva Fassarella , [ … ],
- Lucas Rodrigo Garcia de Mello
Abstract
ORIGINAL ARTICLEAnalysis of omission of antimicrobial doses in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(6):e20240102
DOI 10.1590/0034-7167-2024-0102
- Isabelle Ribeiro Machado ,
- Danielle de Mendonça Henrique ,
- Flávia Giron Camerini ,
- Vanessa Galdino de Paula ,
- Cintia Silva Fassarella ,
- Lucas Rodrigo Garcia de Mello
Views0ABSTRACT
Objectives:
to analyze the rate of antimicrobial dose omission in intensive care units.
Methods:
cross-sectional study carried out between March 1 and September 30, 2023, in intensive care units of a University Hospital in Rio de Janeiro.
Results:
the sample consisted of 452 prescriptions and 1467 antimicrobial doses. The dose omission rate was 4.29%. Each antimicrobial prescribed increased the chance of omission by 51%. The strategy of double-checking prescriptions helped prevent 30% of antimicrobial dose omissions (p=0.0001).
Conclusions:
monitoring the omission of antimicrobial doses can guide nursing actions to improve quality and patient safety, contributing to the prevention of medication errors, antimicrobial stewardship and the fight against antimicrobial resistance.
Keywords:Anti-Infective AgentsAntimicrobial StewardshipIntensive Care UnitsMedication errorsPatient SafetySee more - Isabelle Ribeiro Machado
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REVIEW12-16-2024
Recommendations for guidelines for promoting mental health in the workplace: an umbrella review
- Evelin Daiane Gabriel Pinhatti ,
- Amanda Salles Margatho do Nascimento ,
- Regina Celia Bueno Rezende Machado ,
- Rosangela Aparecida Pimenta ,
- André Estevam Jaques , [ … ],
- Maria do Carmo Fernandez Lourenço Haddad
Abstract
REVIEWRecommendations for guidelines for promoting mental health in the workplace: an umbrella review
Revista Brasileira de Enfermagem. 2024;77(6):e20240086
DOI 10.1590/0034-7167-2024-0086
- Evelin Daiane Gabriel Pinhatti ,
- Amanda Salles Margatho do Nascimento ,
- Regina Celia Bueno Rezende Machado ,
- Rosangela Aparecida Pimenta ,
- André Estevam Jaques ,
- Maria do Carmo Fernandez Lourenço Haddad
Views1See moreABSTRACT
Objectives:
to summarize the recommendations of guidelines for promoting mental health in the workplace.
Methods:
an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845.
Results:
four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention – worker protection; secondary prevention – promoting workers’ mental health; and tertiary prevention – supporting, monitoring and rehabilitating workers upon returning to work.
Conclusions:
the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.
- Evelin Daiane Gabriel Pinhatti
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ORIGINAL ARTICLE12-16-2024
Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
- Frederico Marques Andrade ,
- Lanuza Borges Oliveira ,
- Igor Monteiro Lima Martins ,
- Maria Eduarda Borges Rodrigues ,
- Carla Silvana de Oliveira e Silva
Abstract
ORIGINAL ARTICLEPsychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
Revista Brasileira de Enfermagem. 2024;77(6):e20240085
DOI 10.1590/0034-7167-2024-0085
- Frederico Marques Andrade ,
- Lanuza Borges Oliveira ,
- Igor Monteiro Lima Martins ,
- Maria Eduarda Borges Rodrigues ,
- Carla Silvana de Oliveira e Silva
Views0ABSTRACT
Objectives:
to analyze the psychometric properties of the ProQOL-BR instrument in hospital nursing professionals.
Methods:
a methodological study to validate the ProQOL-BR. Confirmatory factor analysis, assessment of local and global adjustment quality, Pearson hypothesis testing and Cronbach’s alpha internal consistency analysis were used.
Results:
a total of 490 professionals participated. The model presents adequate quality due to factor weights (λ≥ 0.40), acceptable overall fit quality and adequate chi-square ratio and degrees of freedom (χ2/g.1=2.51) for the parameters of CFI (0.923), GFI (0.902), TLI (0.914) and RMSEA (0.042). In terms of validity, it was shown to be adequate with CC=0.89. The internal consistency obtained by standardized Cronbach’s alpha was 0.761. Criterion validity was shown to be favorable with significant correlations (0.001).
Conclusions:
the instrument was validated regarding content, criteria and reliability. Three questions were removed from the original instrument, ProQOL-BR, leaving the final instrument with 25 questions.
Keywords:BurnoutHealth Status IndicatorsNursing StaffQuality of Professional LifeValidation Studies as TopicSee more
- Frederico Marques Andrade
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TECHNOLOGICAL INNOVATION12-16-2024
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
Abstract
TECHNOLOGICAL INNOVATIONGerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
DOI 10.1590/0034-7167-2024-0050
Views0See moreABSTRACT
Objectives:
to develop a digital technological solution (prototype) for assessing patients with chronic pain.
Methods:
this is a methodological and technological development study based on the Human-Centered Design framework and the principles of Patient-Centered Care. The prototype guides patients through a body diagram and directs them to an evaluation using specific instruments that address the multidimensional aspects of chronic pain.
Results:
the GerenciaDOR* project enables navigation through the Web App screens, providing access to pain assessment features up to the presentation of results.
Final Considerations:
the study describes a systematic approach to pain assessment and expands nurses’ knowledge in pain management. Additionally, it can promote the development of other digital technologies for chronic pain assessment and contribute to a multidisciplinary, patient centered treatment.
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ORIGINAL ARTICLE12-16-2024
Respectful care for postpartum women with sickle cell disease: a netnographic study
- Zannety Conceição Silva do Nascimento Souza ,
- Luana Gabriella Pinheiro Barrêto ,
- Paulo Roberto Lima Falcão do Vale ,
- Elysangela Dittz Duarte ,
- Cristiane dos Santos Silva , [ … ],
- Evanilda Souza de Santana Carvalho
Abstract
ORIGINAL ARTICLERespectful care for postpartum women with sickle cell disease: a netnographic study
Revista Brasileira de Enfermagem. 2024;77(6):e20230545
DOI 10.1590/0034-7167-2023-0545
- Zannety Conceição Silva do Nascimento Souza ,
- Luana Gabriella Pinheiro Barrêto ,
- Paulo Roberto Lima Falcão do Vale ,
- Elysangela Dittz Duarte ,
- Cristiane dos Santos Silva ,
- Evanilda Souza de Santana Carvalho
Views0See moreABSTRACT
Objectives:
to analyze principles of respectful maternity care in narratives of postpartum women with sickle cell disease, relating them to Sustainable Development Goals.
Methods:
netnographic study, with two videos published in 2020. Deductive iconographic and thematic analysis by Respectful Maternity Care Charter, organized in MAXQDA.
Results:
principles identified were the right to: freedom from harm and ill-treatment; information, informed consent, refusal of medical procedures, and respect for their choices and preferences including companion; be considered a person from birth, with dignified and respectful treatment; health at the highest possible level; newborns being with their parents or guardians. The Sustainable Development Goals for women by 2030 were not positively contemplated in postpartum women’s experience.
Final Considerations:
it is appropriate that health workers qualify themselves to provide respectful maternity care, with qualified listening, understanding, and resolution of unique demands of postpartum women with sickle cell disease, seeking equality in care for women.
- Zannety Conceição Silva do Nascimento Souza
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ORIGINAL ARTICLE12-16-2024
Construction and validation of an educational game on biosafety in the central sterile supply department
- Tatiana Nemoto Piccoli Moraes ,
- Fernanda Moura D’Almeida Miranda ,
- Rafaela Danta de Sousa ,
- Luciana Schleder Gonçalves ,
- Maria de Fatima Mantovani , [ … ],
- Jenira Priscila dos Anjos
Abstract
ORIGINAL ARTICLEConstruction and validation of an educational game on biosafety in the central sterile supply department
Revista Brasileira de Enfermagem. 2024;77(6):e20230478
DOI 10.1590/0034-7167-2023-0478
- Tatiana Nemoto Piccoli Moraes ,
- Fernanda Moura D’Almeida Miranda ,
- Rafaela Danta de Sousa ,
- Luciana Schleder Gonçalves ,
- Maria de Fatima Mantovani ,
- Jenira Priscila dos Anjos
Views0See moreABSTRACT
Objectives:
to construct and validate an educational game on biosafety in the Central Sterile Supply Department of a hospital in Curitiba, PR.
Methods:
the study was conducted using a quantitative approach, employing applied and technological research with an exploratory design. The process was divided into six stages, from the definition of the theme to the validation and application of the game. The study was carried out from May to August 2022, involving 17 nursing professionals from a Central Sterile Supply Department during day and night shifts, as well as 9 judges.
Results:
the study resulted in the construction of a board game named by the authors as “My Health First.”
Conclusions:
the research achieved its objective of constructing and validating an educational game. By reflecting on professional practice and correlating the occupational risks present, the professionals were able to list safe actions, identify problems, and seek solutions.
- Tatiana Nemoto Piccoli Moraes
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ORIGINAL ARTICLE12-16-2024
Training profile of intensive care nurses in Brazil: cross-sectional study
- Thais Oliveira Gomes ,
- Fernanda Berchelli Girão ,
- Tágora do Lago Santos ,
- Matheus Henrique Silva ,
- Erika Azevedo Portes , [ … ],
- Marcus Vinicius Melo de Andrade
Abstract
ORIGINAL ARTICLETraining profile of intensive care nurses in Brazil: cross-sectional study
Revista Brasileira de Enfermagem. 2024;77(6):e20230460
DOI 10.1590/0034-7167-2023-0460
- Thais Oliveira Gomes ,
- Fernanda Berchelli Girão ,
- Tágora do Lago Santos ,
- Matheus Henrique Silva ,
- Erika Azevedo Portes ,
- Clayton Lima Melo ,
- Marcus Vinicius Melo de Andrade
Views0ABSTRACT
Objectives:
to describe the training profile of Brazilian intensive care nurses.
Methods:
a cross-sectional study carried out in two stages: a structured, self-administered questionnaire; mapping of the national supply of lato sensu postgraduate courses. Data was collected on the sociodemographic profile, training process and characterization of the courses.
Results:
in the first stage, 202 respondents were obtained. The majority were women (79.2%), aged between 26 and 45 (80.7%), graduated less than 5 years ago (44%), through lato sensu postgraduate courses (55.5%), which were marked by the absence of laboratory practice (57.5%) and guided tours (42.5%). In the second stage, 457 courses were identified, with face-to-face teaching (58.9%), a workload of 360 to 420 hours (51.2%), a duration of up to 6 months (41.8%) and variation in the sub-area of training.
Conclusions:
there was a predominance of professionals graduating from lato sensu post-graduate courses, with essentially theoretical teaching and heterogeneity in terms of modality, workload and sub-area of training.
Keywords:Critical Care NursingEducationIntensive Care UnitsNursing EducationNursing, GraduateProfessional PracticeSee more - Thais Oliveira Gomes
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ORIGINAL ARTICLE03-27-2023
Outline of a project for nursing health education on the Instagram social network
- Gabriella Picoli dos Santos Faustino ,
- Matheus Oliveira da Silva ,
- Antonio José de Almeida Filho ,
- Márcia de Assunção Ferreira
Abstract
ORIGINAL ARTICLEOutline of a project for nursing health education on the Instagram social network
Revista Brasileira de Enfermagem. 2023;76(2):e20220301
DOI 10.1590/0034-7167-2022-0301
- Gabriella Picoli dos Santos Faustino ,
- Matheus Oliveira da Silva ,
- Antonio José de Almeida Filho ,
- Márcia de Assunção Ferreira
Views0See moreABSTRACT
Objectives:
to characterize the outline of a project for health education and its contributions to the propagation of information on the Instagram social network.
Methods:
exploratory and descriptive research on an Instagram profile called ;. Data collection: from July 23, 2020, to April 21, 2021. Interaction metrics were generated on 36 posts. Simple and percentage statistical analysis were applied.
Results:
there are 1,016 followers in Brazil, with a 206.02% growth. The largest audience is teenagers, young people, and women, with a gender difference of 41.8%. The greatest interest was about covid-19, sexual health, and drugs. Followers’ misconceptions reinforce the need for the dissemination of quality information.
Conclusions:
Instagram metrics point to the project’s validation in terms of audience interest, mostly adolescents and youth. Instagram proved to be powerful for educational purposes and information dissemination, as well as an autonomous field for nursing.
- Gabriella Picoli dos Santos Faustino
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ORIGINAL ARTICLE03-27-2023
Prevalence of characteristics associated with sarcopenia in elders: a cross-sectional study
- Caroline Ribeiro de Sousa ,
- Janaína Fonseca Victor Coutinho ,
- Marília Braga Marques ,
- Rachel Gabriel Bastos Barbosa ,
- Jarbas de Sá Roriz Filho , [ … ],
- Rodrigo Lopes de Paula Souza
Abstract
ORIGINAL ARTICLEPrevalence of characteristics associated with sarcopenia in elders: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220209
DOI 10.1590/0034-7167-2022-0209
- Caroline Ribeiro de Sousa ,
- Janaína Fonseca Victor Coutinho ,
- Marília Braga Marques ,
- Rachel Gabriel Bastos Barbosa ,
- Jarbas de Sá Roriz Filho ,
- Edson Silva Soares ,
- Charlys Barbosa Nogueira ,
- Rodrigo Lopes de Paula Souza
Views0See moreABSTRACT
Objectives:
to identify the prevalence and characteristics associated with sarcopenia in elders in Primary Health Care Units.
Methods:
cross-sectional study with 384 elders. To evaluate sarcopenia, we measured: strength and muscle mass, and physical performance. The elderly were classified as having: probable sarcopenia; sarcopenia; or severe sarcopenia. The chi-squared test and the multinomial logistic regression method were used.
Results:
the prevalence of probable sarcopenia was 25.52%; of sarcopenia, 11.98%; and of severe sarcopenia, 9.90%. Probable sarcopenia is 1.75 times more prevalent in men; osteoporosis is 2.16 times more prevalent in people with severe sarcopenia; polypharmacy is 1.57 times more likely in individuals with probable sarcopenia; and calf circumference below 31 cm is 2.24 times more likely in patients with sarcopenia and 2.19 times more likely in patients with severe sarcopenia.
Conclusions:
the highest prevalence was of probable sarcopenia, and the characteristics associated with sarcopenia were sex, osteoporosis, polypharmacy, overweight, obesity, and calf circumference.
- Caroline Ribeiro de Sousa
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ORIGINAL ARTICLE03-27-2023
RESVECH 2.0: cross-cultural adaptation for Brazil, reliability and validity for the evaluation of venous ulcers
- Marina Rosa Menegon ,
- Suelen Gomes Malaquias ,
- Joana Aragão da Silva ,
- Beatriz Guitton Renaud Baptista de Oliveira ,
- Juan Carlos Restrepo Medrano , [ … ],
- Maria Márcia Bachion
Abstract
ORIGINAL ARTICLERESVECH 2.0: cross-cultural adaptation for Brazil, reliability and validity for the evaluation of venous ulcers
Revista Brasileira de Enfermagem. 2023;76(2):e20220185
DOI 10.1590/0034-7167-2022-0185
- Marina Rosa Menegon ,
- Suelen Gomes Malaquias ,
- Joana Aragão da Silva ,
- Beatriz Guitton Renaud Baptista de Oliveira ,
- Juan Carlos Restrepo Medrano ,
- José Verdú-Soriano ,
- Maria Márcia Bachion
Views0See moreABSTRACT
Objectives:
to cross-culturally adapt the scale Resultados en la valoración y evolución de la cicatrización de las heridas – RESVECH 2.0 for Brazilian Portuguese; to estimate the internal consistency and construct and criterion validity of the scale in the evaluation of venous ulcers.
Methods:
methodological study, based on international guidelines for studies of this type. Wounds were evaluated using the RESVECH 2.0 and Pressure Ulcer Scale of Healing 3.0 (PUSH). Descriptive analysis, confirmatory factor analysis, Cronbach’s alpha and Spearman’s correlation (p<0.05) were used.
Results:
12 nurses and 77 people with 153 venous ulcers participated in the study. The translation was successful, the proposed factor model was validated, and Cronbach ‘s alpha = 0.832 (95%CI, 0.780-0.880) and correlation coefficient (RESVECH 2.0 and PUSH 3.0) = 0.74 were obtained.
Conclusions:
the adaptation of RESVECH 2.0 to Brazilian Portuguese is robust. Reliability and validity show compatibility for use in the country in the evaluation of venous ulcers.
- Marina Rosa Menegon
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ORIGINAL ARTICLE03-17-2023
Characteristics of work in primary care identified in the collective exercise of application of the SWOT matrix
- Maristela Izcak Baldissera ,
- Carine Vendruscolo ,
- Denise Antunes de Azambuja Zocche ,
- Fabiane Ferraz ,
- Rafael Gue Martini
Abstract
ORIGINAL ARTICLECharacteristics of work in primary care identified in the collective exercise of application of the SWOT matrix
Revista Brasileira de Enfermagem. 2023;76(2):e20220443
DOI 10.1590/0034-7167-2022-0443
- Maristela Izcak Baldissera ,
- Carine Vendruscolo ,
- Denise Antunes de Azambuja Zocche ,
- Fabiane Ferraz ,
- Rafael Gue Martini
Views0See moreABSTRACT
Objective:
to understand how variables strengths, weaknesses, opportunities and threats make it possible to characterize work in Primary Health Care, to collectively propose strategies for systematizing this process with Family Health teams.
Methods:
methodological research, with 23 participants in direct relationship with Primary Care, including representatives of segments: care (work), management and social control. In one of the three pedagogical meetings, the SWOT matrix was used as a tool for organizational work planning.
Results:
applying the matrix resulted in the following thematic categories: Teamwork and regulations: key elements for interprofessionality at work; Continuing Health Education: path to autonomy and participatory management (co-management).
Final considerations:
the study promoted the systematization of teams’ work, through the mobilization of sectors and distribution of tasks, involving professionals in the co-management of the process.
- Maristela Izcak Baldissera
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ORIGINAL ARTICLE03-17-2023
Production and validation of an educational video on the use of the Z-Track Technique
- Patricia Magnabosco ,
- Simone de Godoy ,
- Isabel Amélia Costa Mendes ,
- Maria Beatriz Guimarães Raponi ,
- Bruna Francielle Toneti , [ … ],
- Leila Maria Marchi-Alves
Abstract
ORIGINAL ARTICLEProduction and validation of an educational video on the use of the Z-Track Technique
Revista Brasileira de Enfermagem. 2023;76(2):e20220439
DOI 10.1590/0034-7167-2022-0439
- Patricia Magnabosco ,
- Simone de Godoy ,
- Isabel Amélia Costa Mendes ,
- Maria Beatriz Guimarães Raponi ,
- Bruna Francielle Toneti ,
- Leila Maria Marchi-Alves
Views0ABSTRACT
Objective:
to create and validate an educational video on intramuscular drug administration using the Z-track technique.
Methods:
the Delphi Technique was used to validate the script. PhDs in Nursing and PhDs in Social Communication with experience in the production of educational videos participated in the process. After editing, the video was validated by three nursing professors and assessed by students of the undergraduate nursing program at a public university.
Results:
the video was validated by the examiners with 100% agreement in three rounds for script validation and in two for video validation after editing. The duration of the video was 9 minutes.
Conclusion:
after validation by the examiners, students assessed the video and considered it suitable for learning. We This video is expected to aid in the training of nursing professionals and the enhancement of patient care.
Keywords:EducationInjectionsInstructional Film and VideoIntramuscularNursingValidation StudyVideo-Audio MediaSee more - Patricia Magnabosco
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ORIGINAL ARTICLE03-17-2023
Professional autonomy in dealing with complications: discourse of obstetric nurses working in planned home births
- Natália Webler ,
- Lilian Conceição Guimarães de Almeida ,
- Jordana Brock Carneiro ,
- Luana Moura Campos ,
- Tanila Amorim Glaeser , [ … ],
- Ingrid Bonfim Silva
Abstract
ORIGINAL ARTICLEProfessional autonomy in dealing with complications: discourse of obstetric nurses working in planned home births
Revista Brasileira de Enfermagem. 2023;76(2):e20220388
DOI 10.1590/0034-7167-2022-0388
- Natália Webler ,
- Lilian Conceição Guimarães de Almeida ,
- Jordana Brock Carneiro ,
- Luana Moura Campos ,
- Tanila Amorim Glaeser ,
- Telmara Menezes Couto ,
- Samara Garcia de Lima ,
- Ingrid Bonfim Silva
Views0See moreABSTRACT
Objective:
to understand the exercise of professional autonomy by obstetric nurses in dealing with complications in planned home births.
Methods:
this is a qualitative study, supported by the Discourse of the Collective Subject methodological framework, whose data collection took place from January to March 2021, through interviews guided by a semi-structured script, in which seven midwives who are members of a childbirth care collective in northeastern Brazil and who work in the home context participated.
Results:
four central ideas emerged from the collective discourses related to the exercise of professional autonomy by obstetric nurses: shared decisions; theoretical-practical instrumentalization; professional expertise; and teamwork.
Final considerations:
obstetric nurses’ autonomy in the face of complications reflects the safety of planned home births and is based on collective critical thinking, reinforcing this professional’ leading role in obstetrics.
- Natália Webler
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ORIGINAL ARTICLE03-17-2023
Features of the triggering of the yellow code and factors associated with the occurrence of adverse events
- Pollyana Karine Lopes dos Santos ,
- Gabriella Novelli Oliveira ,
- Karina Sichieri ,
- Diná de Almeida Lopes Monteiro da Cruz ,
- Lilia de Souza Nogueira
Abstract
ORIGINAL ARTICLEFeatures of the triggering of the yellow code and factors associated with the occurrence of adverse events
Revista Brasileira de Enfermagem. 2023;76(2):e20220181
DOI 10.1590/0034-7167-2022-0181
- Pollyana Karine Lopes dos Santos ,
- Gabriella Novelli Oliveira ,
- Karina Sichieri ,
- Diná de Almeida Lopes Monteiro da Cruz ,
- Lilia de Souza Nogueira
Views0See moreABSTRACT
Objective:
to analyze the characteristics of the activation of the yellow code in wards and identify the factors associated with adverse events after the Rapid Response Team.
Methods:
a cross-sectional study with retrospective analysis of medical records of adults admitted to medical or surgical clinic wards of the University Hospital of São Paulo.
Results:
among the 91 patients, the most frequent signs of triggers (n=107) were peripheral oxygen saturation of less than 90% (40.2%) and hypotension (30.8%). Regarding the associated factors the research identified each minute of attendance of the Rapid Response Team in the wards increased by 1.2% odds of adverse events (twenty-four unplanned admission in the ICU and one cardiac arrest) in the sample (p=0.014).
Conclusions:
decreased oxygen saturation and hypotension were the main reasons for the triggering, and the length of care was associated with the frequency of adverse events.
- Pollyana Karine Lopes dos Santos
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ORIGINAL ARTICLE03-06-2023
The self-care process of community-dwelling older adults during the COVID-19 pandemic
- Larissa Padoin Lopes ,
- Daniela Bulcão Santi ,
- Francielle Renata Danielli Martins Marques ,
- Maria Aparecida Salci ,
- Lígia Carreira , [ … ],
- Vanessa Denardi Antoniassi Baldissera
Abstract
ORIGINAL ARTICLEThe self-care process of community-dwelling older adults during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20220644
DOI 10.1590/0034-7167-2022-0644
- Larissa Padoin Lopes ,
- Daniela Bulcão Santi ,
- Francielle Renata Danielli Martins Marques ,
- Maria Aparecida Salci ,
- Lígia Carreira ,
- Vanessa Denardi Antoniassi Baldissera
Views0See moreABSTRACT
Objectives:
to understand the self-care process of community-dwelling older adults during the COVID-19 pandemic.
Methods:
this is an explanatory study with a qualitative approach based on the constructivist Grounded Theory, carried out with 18 community-dwelling older adults. Data collection took place through interviews and content was analyzed through initial and focused coding.
Results:
two categories were obtained: “Building connections to support self-care practices” and “Living with the risk group stigma”. From their interaction, the phenomenon “Performing self-care in old age during the COVID-19 pandemic” emerged.
Final Considerations:
it was possible to identify how older adults’ experiences curing the COVID-19 pandemic had repercussions on their self-care process, being influenced by factors such as information about the disease and the impacts of risk group stigmas.
- Larissa Padoin Lopes
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TECHNOLOGICAL INNOVATION03-18-2024
Nursing rights in comics: educational technological innovation report
- Odilon Vieira Santos ,
- Meiry Fernanda Pinto Okuno ,
- Paula Hino ,
- Mônica Taminato ,
- Dulce Aparecida Barbosa , [ … ],
- Hugo Fernandes
Abstract
TECHNOLOGICAL INNOVATIONNursing rights in comics: educational technological innovation report
Revista Brasileira de Enfermagem. 2024;77:e20230438
DOI 10.1590/0034-7167-2023-0438
- Odilon Vieira Santos ,
- Meiry Fernanda Pinto Okuno ,
- Paula Hino ,
- Mônica Taminato ,
- Dulce Aparecida Barbosa ,
- Hugo Fernandes
Views0ABSTRACT
Objectives:
to report an educational technology construction on nursing professionals’ rights.
Methods:
an experience report on educational technology construction during the crediting of university extension hours in an undergraduate nursing course at a Brazilian public university, between March and June 2023. The Deming cycle was used as a procedural method.
Results:
four meetings were held between students and extension workers. Eight comic books were produced based on the Code of Ethics for Nurses, addressing professional autonomy, fair remuneration, risk-free work, denial of exposure in the media and others. The Deming cycle proved to be an important strategy for constructing products.
Conclusions:
nursing professionals’ rights must be discussed and improved. Educational technologies, such as comic books, provide playful and reflective learning.
Keywords:Education, NursingEthics, NursingGraphic NovelNursingTechnological Development and Innovation ProjectsSee more
- Odilon Vieira Santos
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ORIGINAL ARTICLE03-18-2024
Nurses’ workload during the COVID-19 pandemic: potential for experiences of moral distress
- Thallison Carlos Campos Santos ,
- Gabriela da Costa Soares ,
- Kelly Cristina Oliveira de Lima ,
- Beatriz Bolognani Cardoso de Souza ,
- Isabela Silva Câncio Velloso , [ … ],
- Carolina da Silva Caram
Abstract
ORIGINAL ARTICLENurses’ workload during the COVID-19 pandemic: potential for experiences of moral distress
Revista Brasileira de Enfermagem. 2024;77:e20230200
DOI 10.1590/0034-7167-2023-0200
- Thallison Carlos Campos Santos ,
- Gabriela da Costa Soares ,
- Kelly Cristina Oliveira de Lima ,
- Beatriz Bolognani Cardoso de Souza ,
- Isabela Silva Câncio Velloso ,
- Carolina da Silva Caram
Views0See moreABSTRACT
Objectives:
to understand nurses’ experiences of moral distress related to work overload during the COVID-19 pandemic in Brazil.
Methods:
qualitative research, whose data collection occurred through individual interviews with 19 nurses who worked on the front line of COVID-19 in health services in southeastern Brazil. Data were analyzed using thematic content analysis.
Results:
work overload proved to be a powerful source of experiences of moral distress due to excessive working hours during vaccination, double working hours, a troubled relationship due to pressure from managers and the population and physical and mental exhaustion, which prevented nurses from act according to their judgment.
Final Considerations:
nurses’ work overload reflects on quality patient care and prevents nurses from acting in accordance with their moral principles, generating moral distress in nurses.
- Thallison Carlos Campos Santos
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ORIGINAL ARTICLE03-15-2024
Cultural adaptation and validity evidence of the Student Nurse Stressor-15 (SNS-15) Scale for Brazil
- Agostinho Antônio Cruz Araújo ,
- Simone de Godoy ,
- Natália Maria Freitas e Silva Maia ,
- Maria Eduarda Bonissoni Trevelin ,
- Kelly Graziani Giacchero Vedana , [ … ],
- Isabel Amélia Costa Mendes
Abstract
ORIGINAL ARTICLECultural adaptation and validity evidence of the Student Nurse Stressor-15 (SNS-15) Scale for Brazil
Revista Brasileira de Enfermagem. 2024;77(1):e20230356
DOI 10.1590/0034-7167-2023-0356
- Agostinho Antônio Cruz Araújo ,
- Simone de Godoy ,
- Natália Maria Freitas e Silva Maia ,
- Maria Eduarda Bonissoni Trevelin ,
- Kelly Graziani Giacchero Vedana ,
- Carmem Beatriz Neufeld ,
- Neyson Pinheiro Freire ,
- Carla Aparecida Arena Ventura ,
- Patricia McAleer ,
- Isabel Amélia Costa Mendes
Views0See moreABSTRACT
Objectives:
to carry out the cultural adaptation and evaluation of validity evidence of the Student Nurse Stressor-15 (SNS-15) Scale for use in Brazil.
Methods:
psychometric study, conducted from the stages of translation, synthesis, back-translation, review by a committee of seven experts, pre-test and evaluation of measurement properties with 32 and 238 nursing students, respectively. Descriptive statistics, Exploratory Factor Analysis (EFA), and Confirmatory Factor Analysis (CFA) were performed. The reliability of the instrument was estimated using McDonald’s Omega (ω).
Results:
EFA subsidized the distribution of the fifteen SNS-15 items into four factors. Using AFC, satisfactory fit indices were achieved (Comparative Fit Index = 0.94; Tucker-Lewis Index = 0.93; Root Mean Square Error of Approximation = 0.06; Standardized Root Mean Square Residual = 0.16) and ω = 0.86.
Conclusions:
the Brazilian version of the SNS-15 presents evidence that confirms its validity and reliability.
- Agostinho Antônio Cruz Araújo
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ORIGINAL ARTICLE03-15-2024
Health Management of an HIV Testing and Counseling Center: Nursing Contributions
- Patrícia dos Santos Augusto ,
- Camila Pureza Guimarães da Silva ,
- Tânia Cristina Franco Santos ,
- Lilian Dias Ennes ,
- Carolina Fraga Paiva , [ … ],
- Antonio José de Almeida Filho
Abstract
ORIGINAL ARTICLEHealth Management of an HIV Testing and Counseling Center: Nursing Contributions
Revista Brasileira de Enfermagem. 2024;77(1):e20230217
DOI 10.1590/0034-7167-2023-0217
- Patrícia dos Santos Augusto ,
- Camila Pureza Guimarães da Silva ,
- Tânia Cristina Franco Santos ,
- Lilian Dias Ennes ,
- Carolina Fraga Paiva ,
- Antonio José de Almeida Filho
Views0See moreABSTRACT
Objectives:
to analyze the role of nursing in the establishment of an HIV/AIDS Testing and Counseling Center in a Brazilian municipality.
Methods:
a historical study utilizing primary sources, including documents and oral accounts, involving a total of ten participants. The study encompasses the years 1997 and 1998. The research took place at the Testing and Counseling Center in São João de Meriti. Data was collected from March to May 2022.
Results:
nursing made significant contributions through the development of training initiatives led by nurses, who were also responsible for individual and group counseling, as well as HIV testing requests.
Final Considerations:
nursing played a crucial role in the center and in the management of Sexually Transmitted Infections, being involved in all stages of treatment in accordance with current public health policy.
- Patrícia dos Santos Augusto
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REVIEW03-15-2024
Factors associated with increased lactate levels in cardiac surgeries: scoping review
- Fernanda de Castro Teixeira ,
- Thatiane Evelyn de Lima Fernandes ,
- Karena Cristina da Silva Leal ,
- Katia Regina Barros Ribeiro ,
- Daniele Vieira Dantas , [ … ],
- Rodrigo Assis Neves Dantas
Abstract
REVIEWFactors associated with increased lactate levels in cardiac surgeries: scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230117
DOI 10.1590/0034-7167-2023-0117
- Fernanda de Castro Teixeira ,
- Thatiane Evelyn de Lima Fernandes ,
- Karena Cristina da Silva Leal ,
- Katia Regina Barros Ribeiro ,
- Daniele Vieira Dantas ,
- Rodrigo Assis Neves Dantas
Views0See moreABSTRACT
Objectives:
to map the factors associated with increased lactate levels in the postoperative period of cardiac surgery using extracorporeal circulation.
Methods:
this is a scoping review carried out in December 2022, across ten data sources. It was prepared in accordance with the recommendations of the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta Analyses Extension for Scoping Reviews checklist.
Results:
the most recurrent findings in studies regarding the factors responsible for the increase in lactate were: tissue hypoperfusion, cardiopulmonary bypass time and use of vasoactive drugs. In 95% of studies, increased lactate was related to increased patient mortality.
Conclusions:
discussing the causes of possible complications in cardiac surgery patients is important for preparing the team and preventing complications, in addition to ensuring quality recovery.
- Fernanda de Castro Teixeira
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REVIEW03-15-2024
Use of podcasts for health education: a scoping review
- Fabiola Leticia Damascena Amador ,
- Gabriele Cardoso Gonçalves Alves ,
- Vagner Rogério dos Santos ,
- Rita Simone Lopes Moreira
Abstract
REVIEWUse of podcasts for health education: a scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230096
DOI 10.1590/0034-7167-2023-0096
- Fabiola Leticia Damascena Amador ,
- Gabriele Cardoso Gonçalves Alves ,
- Vagner Rogério dos Santos ,
- Rita Simone Lopes Moreira
Views0See moreABSTRACT
Objectives:
to map the scientific evidence related to the characteristics, themes, and outcomes of using health education podcasts aimed at individuals over 18 years of age in intra or extrahospital environments.
Methods:
a scoping review, based on the Joanna Briggs Institute method, conducted in 11 databases, including studies from 2004 to 2022.
Results:
11 studies were selected, categorized, highlighting the characteristics, evaluated outcomes, areas, and conditions of podcast application, indicating it as an effective tool for promoting behavioral change, health promotion, and social interaction, demonstrating its potential to improve well-being, quality of life, and user/client autonomy.
Conclusions:
the use of podcasts proves to be an effective, innovative, and low-cost tool, with a significant social impact, being effective for behavioral change, satisfaction, and social interaction. However, the lack of comprehensive studies on podcast development methodologies represents challenges to be overcome.
- Fabiola Leticia Damascena Amador
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REVIEW03-15-2024
Resources for health literacy among caregivers of prematurely born children: a scoping review
- Ana Clara Gomes Andrade ,
- Giovanna Barbosa Mendes ,
- Mariana Fuentes Mendoza Rodrigues Soares ,
- Suelen Rosa de Oliveira ,
- Luciano Marques dos Santos , [ … ],
- Elysângela Dittz Duarte
Abstract
REVIEWResources for health literacy among caregivers of prematurely born children: a scoping review
Revista Brasileira de Enfermagem. 2024;77(1):e20230062
DOI 10.1590/0034-7167-2023-0062
- Ana Clara Gomes Andrade ,
- Giovanna Barbosa Mendes ,
- Mariana Fuentes Mendoza Rodrigues Soares ,
- Suelen Rosa de Oliveira ,
- Luciano Marques dos Santos ,
- Elysângela Dittz Duarte
Views0See moreABSTRACT
Objectives:
to map the available evidence on resources used to promote health literacy among caregivers of prematurely born children during outpatient follow-up.
Methods:
the Joanna Briggs Institute’s scope review protocol was utilized. The search encompassed six databases, incorporating studies from 2012 to 2022.
Results:
the three included publications revealed that the resources employed are: mobile applications, phone calls, individual counseling, videos, educational pamphlets, and group discussions. Implementing an education protocol during the transition home enhances scientifically grounded health promotion rates.
Conclusions:
there is limited literature addressing the health literacy of these caregivers. The nursing team plays a crucial role in health education and in developing resources applicable to these families.
- Ana Clara Gomes Andrade
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ORIGINAL ARTICLE03-15-2024
Effects of training Community Health Agents on dementia: a quasi-experimental study
- Aline Cristina Ramos Coelho ,
- Edmir Batista da Silva Cruz ,
- Helena Zacharias Radicchi ,
- Emanuela Bezerra Torres Mattos ,
- Marcia Maria Pires Camargo Novelli , [ … ],
- Corina Lopes Ribeiro
Abstract
ORIGINAL ARTICLEEffects of training Community Health Agents on dementia: a quasi-experimental study
Revista Brasileira de Enfermagem. 2024;77(1):e20230027
DOI 10.1590/0034-7167-2023-0027
- Aline Cristina Ramos Coelho ,
- Edmir Batista da Silva Cruz ,
- Helena Zacharias Radicchi ,
- Emanuela Bezerra Torres Mattos ,
- Marcia Maria Pires Camargo Novelli ,
- Felipe Granado de Souza ,
- Rubens Goulart ,
- Corina Lopes Ribeiro
Views1See moreABSTRACT
Objectives:
to evaluate the knowledge of Community Health Agents about dementia before and after the training workshop for detecting signs of the disease.
Methods:
a quasi-experimental study with 33 community agents, in which sociodemographic information and knowledge about dementia were collected and assessed using the Alzheimer’s Disease Knowledge Scale before and after the workshop. There were 10 weekly, online, synchronous meetings. The Student’s t-test for related samples was used, and the effect size was calculated.
Results:
while the average score on the initial assessment, using the measurement instrument, was 16.3, it was 21.24 in the final assessment. An increase in the scale score was observed after participating in the workshop, with a value of 4.94.
Conclusions:
it is urgent to invest in the ongoing education of these professionals for greater awareness in the timely detection of dementia cases in primary care and awareness of potentially modifiable factors.
- Aline Cristina Ramos Coelho
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