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ORIGINAL ARTICLE12-16-2024
Editorial discourses in the history of Acta Paulista de Enfermagem (1988-2017)
Revista Brasileira de Enfermagem. 2024;77(6):e20230362
Abstract
ORIGINAL ARTICLEEditorial discourses in the history of Acta Paulista de Enfermagem (1988-2017)
Revista Brasileira de Enfermagem. 2024;77(6):e20230362
DOI 10.1590/0034-7167-2023-0362
Views0See moreABSTRACT
Objectives:
to analyze the editorial discourses of Acta Paulista de Enfermagem from 1988 to 2017.
Methods:
qualitative, historical, oral research, with interviews with the journal’s editors. Statements were categorized and presented in three decades, discussed from Foucault’s archaeological perspective.
Results:
seven statements presented three discourses. In the first decade, the discourse of knowledge registration and circulation presented statements of graduate studies and professional recognition. In the second decade, knowledge internationalization was added, with statements of business and editorial panopticism, selection criteria, indexing and digitalization. Finally, the discourse of shifting scientific assessment centrality was added with statements of preprint, open science, exclusive digitalization and mediatization of science.
Final Considerations:
the journal needed to adapt to form its official discourse, which made it possible, over the years, to change its initial peripheral position to a central one within scientific communication, supporting its panoptic role.
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REVIEW12-16-2024
Strategies for expanding vaccination coverage in children in Brazil: systematic literature review
- Janaina Fonseca Almeida Souza
, - Thales Philipe Rodrigues da Silva ,
- Camila Kümmel Duarte ,
- Anna Luiza de Fatima Pinho Lins Gryschek ,
- Elysângela Dittz Duarte , [ … ],
- Fernanda Penido Matozinhos
Abstract
REVIEWStrategies for expanding vaccination coverage in children in Brazil: systematic literature review
Revista Brasileira de Enfermagem. 2024;77(6):e20230343
DOI 10.1590/0034-7167-2023-0343
- Janaina Fonseca Almeida Souza ,
- Thales Philipe Rodrigues da Silva ,
- Camila Kümmel Duarte ,
- Anna Luiza de Fatima Pinho Lins Gryschek ,
- Elysângela Dittz Duarte ,
- Fernanda Penido Matozinhos
Views1See moreABSTRACT
Objectives:
to identify the strategies found in the literature for increasing vaccination coverage among children in Brazil. It is justified mainly by the current scenario of falling vaccination coverage.
Methods:
systematic literature review. The search was carried out in the Pubmed (MEDLINE), Embase and Scopus databases, following the PRISMA guidelines.
Results:
initially, 4,824 results were returned. In the end, 6 studies were included for narrative synthesis using the SWiM methodology. Of these, 50% dealt with studies related to the Bolsa Família Program (PBF). The others explored strategies for approaching parents directly, Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS). The PBF did not guarantee compliance with the conditionality of keeping vaccinations up to date. The MRV and PACS are effective strategies, especially because they allow active search for absentees.
Conclusions:
we conclude that more publications are needed on strategies to increase vaccination coverage among children in Brazil.
- Janaina Fonseca Almeida Souza
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ORIGINAL ARTICLE12-16-2024
Educational technology to empower patients as participants in their care
- Rodrigo da Silva Ramos ,
- Mateus Ferreira de Aguiar ,
- Eurinete Catarina Guimarães da Silva ,
- Cleberson Morais Caetano ,
- Rizioléia Marina Pinheiro Pina , [ … ],
- Hadelândia Milon de Oliveira
Abstract
ORIGINAL ARTICLEEducational technology to empower patients as participants in their care
Revista Brasileira de Enfermagem. 2024;77(6):e20230359
DOI 10.1590/0034-7167-2023-0359
- Rodrigo da Silva Ramos ,
- Mateus Ferreira de Aguiar ,
- Eurinete Catarina Guimarães da Silva ,
- Cleberson Morais Caetano ,
- Rizioléia Marina Pinheiro Pina ,
- Joice Claret Neves ,
- Hadelândia Milon de Oliveira
Views0See moreABSTRACT
Objectives:
to build and validate an educational technology to empower patients as participants in their own care.
Methods:
methodological study to develop an educational technology based on the elaboration, validation, and evaluation that were carried out in five stages at a teaching hospital in Amazonas. The study was carried out from 2019 to 2022, with the participation of 19 judges specialized in patient safety and 72 patients admitted to the hospital’s medical and surgical clinics, the study setting.
Results:
the agreement between the judges obtained an overall index of 0.85, being considered validated. The overall analysis of the booklet obtained an assessment of the level of agreement above 85%.
Final Considerations:
the educational technology presented here was validated and suitable for promoting patient/professional rapprochement and consolidating health care in a way that increases the patient’s ability to contribute to their treatment and prevent the occurrence of adverse events.
- Rodrigo da Silva Ramos
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ORIGINAL ARTICLE12-13-2024
Educational booklet on labor and delivery: validity study
- Michelle Tatiane Carvalho Gonçalves ,
- Ana Roberta Vilarouca da Silva ,
- Mara Cristina Ribeiro Furlan ,
- Bruna Moretti Luchesi ,
- Tatiana Carvalho Reis Martins
Abstract
ORIGINAL ARTICLEEducational booklet on labor and delivery: validity study
Revista Brasileira de Enfermagem. 2024;77(5):e20240138
DOI 10.1590/0034-7167-2024-0138
- Michelle Tatiane Carvalho Gonçalves ,
- Ana Roberta Vilarouca da Silva ,
- Mara Cristina Ribeiro Furlan ,
- Bruna Moretti Luchesi ,
- Tatiana Carvalho Reis Martins
Views2See moreABSTRACT
Objectives:
to develop and validate an educational booklet on labor and delivery for pregnant women.
Methods:
this methodological study involved constructing and validating a booklet based on Echer’s framework. We used the Content Validity Index and Cronbach’s alpha for content and face validation, selecting judges according to Fering’s criteria. We then conducted a clinical validation with the target population.
Results:
the booklet, developed based on evidence from an integrative review and validated by judges and the target audience, achieved global Content Validity Index of 0.919 and 0.913, respectively. After clinical validation with 22 pregnant women, it included 28 topics and 48 pages, with illustrations by a graphic designer.
Conclusions:
expert judges and the target audience considered this educational technology valid, deeming it a relevant tool for promoting the health of pregnant women.
- Michelle Tatiane Carvalho Gonçalves
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ORIGINAL ARTICLE12-13-2024
Interobserver agreement in Reception and Risk Stratification in Obstetrics implementation
- Manuela Beatriz Velho ,
- Luciana Santos Pimentel ,
- Fernanda Amâncio Soares da Silva ,
- Alberto Trapani Junior ,
- Thayná Ventura , [ … ],
- Roxana Knobel
Abstract
ORIGINAL ARTICLEInterobserver agreement in Reception and Risk Stratification in Obstetrics implementation
Revista Brasileira de Enfermagem. 2024;77(5):e20230361
DOI 10.1590/0034-7167-2023-0361
- Manuela Beatriz Velho ,
- Luciana Santos Pimentel ,
- Fernanda Amâncio Soares da Silva ,
- Alberto Trapani Junior ,
- Thayná Ventura ,
- Adaiana Fátima Almeida ,
- Roberta Costa ,
- Roxana Knobel
Views0See moreABSTRACT
Objectives:
to analyze interobserver agreement in the Reception and Risk Stratification in Obstetrics protocol implementation.
Methods:
a cross-sectional study carried out during Reception and Risk Stratification in Obstetrics implementation, conducted in a tertiary hospital in southern Brazil with 891 participants in January 2020. Descriptive and interobserver agreement analysis was carried out using the Kappa coefficient in the risk stratification assigned by the triage nurse and reviewed by the researcher.
Results:
around half of the calls (55.6%) were stratified as not very urgent (green), followed by urgent (yellow) (31.8%), very urgent (orange) (9.3%), not urgent (blue) (3.4%) and no emerging stratification (red). Agreement analysis of revised stratification found Kappa values of 0.20 (blue), 0.54 (green), 0.77 (yellow) and 0.80 (orange).
Conclusions:
most appointments were non-urgent. The agreement analysis between the revised and assigned risk stratification revealed greater interobserver agreement as the priority level increased.
- Manuela Beatriz Velho
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12-13-2024
Training of Brazilian indigenous nurses: between human rights, valuing diversity and inclusion
- Nádile Juliane Costa de Castro ,
- Ezequiel Sakew Wai Wai ,
- Fernanda Teixeira Paes ,
- Nyvia Cristina dos Santos Lima
Abstract
Training of Brazilian indigenous nurses: between human rights, valuing diversity and inclusion
Revista Brasileira de Enfermagem. 2024;77(5):e20230430
DOI 10.1590/0034-7167-2023-0430
- Nádile Juliane Costa de Castro ,
- Ezequiel Sakew Wai Wai ,
- Fernanda Teixeira Paes ,
- Nyvia Cristina dos Santos Lima
Views0See moreABSTRACT
Objectives:
to analyze the possibilities and potential of training indigenous nurses, given the Brazilian Health System (SUS), understanding the relationships between education and health.
Methods:
theoretical-reflective study, based on scientific literature, aligned with the experience, critical thinking of its authors and the Sustainable Development Goals in Brazil.
Results:
this text articulates three axes: Potential for including indigenous students in nursing training; Paths to achieving equity through inclusion and retention policies for indigenous students at different levels; and Implications of this for the SUS and global health.
Final Considerations:
indigenous students, beneficiaries of affirmative actions, face challenges of inclusion and retention in public universities that directly impact their academic training. Added to this are the difficulties identified in basic education, professor training and implementation of permanence policies, with consequences for services and training at other levels.
- Nádile Juliane Costa de Castro
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ORIGINAL ARTICLE12-13-2024
Stress in nursing workers caring for people with COVID-19
Revista Brasileira de Enfermagem. 2024;77(5):e20230542
Abstract
ORIGINAL ARTICLEStress in nursing workers caring for people with COVID-19
Revista Brasileira de Enfermagem. 2024;77(5):e20230542
DOI 10.1590/0034-7167-2023-0542
Views1See moreABSTRACT
Objectives:
to analyze stress from the perspective of nursing workers caring for people with COVID-19 in a public hospital in the Recôncavo region of Bahia.
Methods:
this is an exploratory qualitative study, conducted through semi-structured interviews. The data were analyzed using word clouds, similarity trees, and content analysis.
Results:
nursing workers were exposed to stress while attending to patients with COVID-19. The reported stressors in the workplace included: work overload, lack of planning, speed in performing tasks, fatigue, lack of participation in decision-making, lack of support from management, technological changes, excessive responsibility without preparation, interpersonal conflicts, and professional undervaluation.
Conclusions:
exposure to these stressors leads to emotional exhaustion and demotivation, which were intensified during the COVID-19 pandemic.
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ORIGINAL ARTICLE12-13-2024
Adaptation and implementation of a Nursing care protocol for children in the Amazon Region
- Aline Lara de Carvalho ,
- Ezequiel Kleber Carpes Menezes ,
- Deisi Cristine Forlin Benedet ,
- Juliane Dias Aldrighi ,
- Hérica de Lara Cardoso , [ … ],
- Marilene Loewen Wall
Abstract
ORIGINAL ARTICLEAdaptation and implementation of a Nursing care protocol for children in the Amazon Region
Revista Brasileira de Enfermagem. 2024;77(5):e20230245
DOI 10.1590/0034-7167-2023-0245
- Aline Lara de Carvalho ,
- Ezequiel Kleber Carpes Menezes ,
- Deisi Cristine Forlin Benedet ,
- Juliane Dias Aldrighi ,
- Hérica de Lara Cardoso ,
- Marcus Vinicius da Rocha Santos da Silva ,
- Tatiane Herreira Trigueiro ,
- Marilene Loewen Wall
Views0See moreABSTRACT
Objectives:
to describe the process of implementing an adapted protocol for pediatric nursing care in a health unit located in a municipality in the Amazon Region.
Methods:
methodological research conducted in a basic health unit with four family health teams in the state of Rondônia, involving seven nursing professionals. Data collection occurred between October 2020 and April 2022, following the research phases: situational diagnosis, exploratory phase, protocol definition, implementation, and evaluation.
Results:
the outcome was the adaptation and implementation of a nursing care protocol for children.
Final Considerations:
the adaptation and implementation process can be an effective approach to improving care, strengthening nursing as a profession with a solid foundation in scientific and clinical evidence. This facilitates early problem identification and appropriate guidance, leading to better health outcomes for children.
- Aline Lara de Carvalho
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ERRATUM04-22-2020
ERRATUM
Revista Brasileira de Enfermagem. 2020;73(3):202073n3e05
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2020;73(3):202073n3e05
DOI 10.1590/0034-7167.202073n3e05
Views0Article “Concept formation of ambience for labor and normal institutionalized delivery”, with number of DOI: , published in the journal Revista Brasileira de Enfermagem, 72(Suppl 3):348-59, on page 357:Include after Final Considerations the information:[…]See more -
ORIGINAL ARTICLE04-09-2020
Health promotion in schools: speeches, representations, and approaches
Revista Brasileira de Enfermagem. 2020;73(3):e20180774
Abstract
ORIGINAL ARTICLEHealth promotion in schools: speeches, representations, and approaches
Revista Brasileira de Enfermagem. 2020;73(3):e20180774
DOI 10.1590/0034-7167-2018-0774
Views0See moreABSTRACT
Objectives:
to analyze speeches, representations, and approaches on health and health promotion in schools, materialized in the speech of teachers.
Methods:
a qualitative study, of the case study type, carried out with 17 teachers from the municipal and state educational network. The data were obtained from interviews and analyzed by the Content-Oriented Discourse Analysis.
Results:
medical-sanitary and clinical-biological discourses predominated. Health is represented as the absence of disease, reflecting approaches that prioritize healthy habits and changes in behavior. Problematization of social determinants occurs in projects, in an intersectorial partnership.
Final Considerations:
carrying out projects of health promotion in schools ignores the solidification of partnerships and the construction of new speeches that represent it as quality of life conditioned by social, economic, and cultural factors as well as strategies for the ideological repositioning of those actors who act in this setting.
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ORIGINAL ARTICLE04-09-2020
Nursing work and competence in hemotherapy services: an ergological approach
- Sonia Rejane de Senna Frantz ,
- Mara Ambrosina de Oliveira Vargas ,
- Denise Elvira Pires de Pires ,
- Maria José Menezes Brito ,
- Júlia Valéria de Oliveira Vargas Bitencourt , [ … ],
- Gerusa Ribeiro
Abstract
ORIGINAL ARTICLENursing work and competence in hemotherapy services: an ergological approach
Revista Brasileira de Enfermagem. 2020;73(3):e20180775
DOI 10.1590/0034-7167-2018-0775
- Sonia Rejane de Senna Frantz ,
- Mara Ambrosina de Oliveira Vargas ,
- Denise Elvira Pires de Pires ,
- Maria José Menezes Brito ,
- Júlia Valéria de Oliveira Vargas Bitencourt ,
- Gerusa Ribeiro
Views0See moreABSTRACT
Objetives:
to analyze the ingredients of the competence that the nurses use in the performance of their work in hemotherapy.
Methods:
qualitative study with 22 nurses, accomplished through documentary study, observation and semi-structured interview, with resources of Atlas.ti software based on the foundations of Historical Materialism Dialectic and Ergology. Performed Content Analysis.
Results:
the domain of specific knowledge of hemotherapy and the time of experience in the area, allied to the motivation of the worker and the ability to work in a team favor the competent action in the work activities. On the other hand, the lack of adequate work conditions, especially in relation to adequate materials, equipment and structure, impairs the work of the nurse in hemotherapy.
Final Considerations:
experience gained is critical to successful decision making. In addition, adequate working conditions, updating of knowledge and ability in teamwork favor a scenario of safe practices.
- Sonia Rejane de Senna Frantz
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ORIGINAL ARTICLE04-22-2020
Happiness as a strength in the promotion of adolescent and adult young health
- Henriqueta Ilda Verganista Martins Fernandes ,
- Luísa Maria Costa Andrade ,
- Maria Manuela Martins ,
- Karla Maria Carneiro Rolim ,
- Rejane Medeiros Millions , [ … ],
- Firmina Hermelinda Saldanha Albuquerque
Abstract
ORIGINAL ARTICLEHappiness as a strength in the promotion of adolescent and adult young health
Revista Brasileira de Enfermagem. 2020;73(3):e20190064
DOI 10.1590/0034-7167-2019-0064
- Henriqueta Ilda Verganista Martins Fernandes ,
- Luísa Maria Costa Andrade ,
- Maria Manuela Martins ,
- Karla Maria Carneiro Rolim ,
- Rejane Medeiros Millions ,
- Mirna Albuquerque Frota ,
- Firmina Hermelinda Saldanha Albuquerque
Views0See moreABSTRACT
Objectives:
to assess the relation between sociodemographic characteristics of young people associated with the subjectivity of being happy; to evaluate the relationship between the subjectivity of being happy and the perception of health status; to evaluate the relationship between the subjectivity of being happy and the school and family environments and peer groups at school.
Methods:
this is an observational study, with an intentional sample of 1,069 young Portuguese people, with ages varying from 14 to 24, most of them women, attending secondary education. The self-filling questionnaire was used.
Results:
there are statistically significant associations between the subjectivity of being happy and schooling, perception of health status, family APGAR, school and family involvement, absence of problems or teasing by peers at school.
Conclusions:
a positive and holistic care coupled with the potential of obtaining and consolidating healthy lifestyles for young people will enable health professionals to perceive them as agents of individual and social change.
- Henriqueta Ilda Verganista Martins Fernandes
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ORIGINAL ARTICLE04-22-2020
Preventing vertical HIV virus transmission: hospital care assessment
- Ana Paula Ferreira Holzmann ,
- Carla Silvana de Oliveira e Silva ,
- Janer Aparecida Silveira Soares ,
- Sibylle Emilie Vogt ,
- Carolina dos Reis Alves , [ … ],
- Dulce Aparecida Barbosa
Abstract
ORIGINAL ARTICLEPreventing vertical HIV virus transmission: hospital care assessment
Revista Brasileira de Enfermagem. 2020;73(3):e20190491
DOI 10.1590/0034-7167-2019-0491
- Ana Paula Ferreira Holzmann ,
- Carla Silvana de Oliveira e Silva ,
- Janer Aparecida Silveira Soares ,
- Sibylle Emilie Vogt ,
- Carolina dos Reis Alves ,
- Mônica Taminato ,
- Dulce Aparecida Barbosa
Views0See moreABSTRACT
Objectives:
assess the implementation of actions to prevent vertical transmission of HIV.
Methods:
a retrospective cohort study conducted in two maternity hospitals in the city of Montes Claros, State of Minas Gerais. All women admitted for childbirth diagnosed with HIV and their respective newborns were included from 2014 to 2017. Data were collected from medical records and analyzed descriptively.
Results:
population consisted of 46 pairs of mothers and newborns. Management was considered inadequate in 30 cases of parturient/postpartum women (65.2%) and 14 cases of newborns (30.4%). The main reasons for inadequate maternal management were lack of pharmacological inhibition of lactation (53.3%) and counseling/consent for HIV testing (43.3%). For newborns, late onsetoffirst dose ofZidovudine (50.0%) and no prescriptionofNevirapine (28.6%).
Conclusions:
important prevention opportunities were missed, pointing to the need for improved care.
- Ana Paula Ferreira Holzmann
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ORIGINAL ARTICLE06-08-2020
Maternal-child nursing care for adolescent mothers: health education
- Raquel Dully Andrade ,
- Jeniffer Stephanie Marques Hilário ,
- Jaqueline Silva Santos ,
- José de Paula Silva ,
- Luciana Mara Monti Fonseca , [ … ],
- Débora Falleiros de Mello
Abstract
ORIGINAL ARTICLEMaternal-child nursing care for adolescent mothers: health education
Revista Brasileira de Enfermagem. 2020;73(4):e20180769
DOI 10.1590/0034-7167-2018-0769
- Raquel Dully Andrade ,
- Jeniffer Stephanie Marques Hilário ,
- Jaqueline Silva Santos ,
- José de Paula Silva ,
- Luciana Mara Monti Fonseca ,
- Débora Falleiros de Mello
Views0See moreABSTRACT
Objectives:
to develop an educational intervention through a game that addresses aspects related to adolescent motherhood and child care.
Methods:
this is an action research based on diagnosis, intervention and apprehension stages.
Results:
the situational diagnosis was based on a literature review on adolescent motherhood and child care. In the intervention stage, the educational game’s first version was elaborated. In the third stage constituted by apprehension, the game was submitted to assessment of interdisciplinary experts. Suggestions of experts were adopted and the game had its second version.
Final Considerations:
the educational intervention in the present study appears a care technology that adds knowledge and practices to the work of nurses in Primary Health Care, focusing on adolescent women and children health care.
- Raquel Dully Andrade
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REVIEW06-01-2020
Access of the black population to health services: integrative review
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces , [ … ],
- Márcia Aparecida Ferreira de Oliveira
Abstract
REVIEWAccess of the black population to health services: integrative review
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
DOI 10.1590/0034-7167-2018-0834
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces ,
- Márcia Aparecida Ferreira de Oliveira
Views1See moreABSTRACT
Objectives:
demonstrate and discuss how the black population’s access to health services occurs
Methods:
integrative literature review with the following question: How does the black population’s access to health services occur? The search was carried out in the Scholar, LILACS and SciELO databases and used the descriptor “access to health services” and the term “population,” resulting in a sample with twelve articles.
Results:
studies show that the difficulty of access is a fundamental factor for the quality of life of people, directly compromising preventive services, especially for women’s health and, in addition, it has significant impact on the illness process of the black population within its particularities.
Final Considerations:
several limiting factors compromise the black population’s access to health services, including institutional and structural factors
- Nelma Nunes da Silva
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ORIGINAL ARTICLE05-18-2020
Militancy of nurses in the institutionality field: printed media versions
- Aline Di Carla Laitano ,
- Gilberto Tadeu Reis da Silva ,
- Deybson Borba de Almeida ,
- Maria Itayra Padilha ,
- Maria Angélica de Almeida Peres , [ … ],
- Victor Porfírio Ferreira Almeida Santos
Abstract
ORIGINAL ARTICLEMilitancy of nurses in the institutionality field: printed media versions
Revista Brasileira de Enfermagem. 2020;73(4):e20180835
DOI 10.1590/0034-7167-2018-0835
- Aline Di Carla Laitano ,
- Gilberto Tadeu Reis da Silva ,
- Deybson Borba de Almeida ,
- Maria Itayra Padilha ,
- Maria Angélica de Almeida Peres ,
- Victor Porfírio Ferreira Almeida Santos
Views0See moreABSTRACT
Objectives:
to analyze nurses’ professional militancy in the institutionality field, presented by the printed media from Bahia State in the 1970s and 1980s.
Methods:
a historical and qualitative research under Social History’s perspective, whose data source was the newspaper A Tarde. The temporal cut-off encompasses milestones such as professional body restructuring and creation.
Results:
the Associação Brasileira de Enfermagem democratization movement was reported in a superficial way, highlighting the struggle for power spaces. With respect to Conselhos Federal e Regional de Enfermagem daBahia, the newspaper notified creation and function of bodies, however, there was no visibility to the newspaper’s performance. Concerning the union, there was political fragility of nurses against the creation and union participation in the fight for labor rights.
Final Considerations:
organization of political action occurred from isolated groups mobilization of professionals who were already traveling in political spaces, not the large mass of professionals.
- Aline Di Carla Laitano
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ORIGINAL ARTICLE09-30-2020
Caring for cancer patients facing death: nurse’s perception and experience
- Marina Macedo Funes ,
- Marcia Wanderley de Moraes ,
- Mariana Lucas da Rocha Cunha ,
- Fabiane de Amorim Almeida
Abstract
ORIGINAL ARTICLECaring for cancer patients facing death: nurse’s perception and experience
Revista Brasileira de Enfermagem. 2020;73:e20190686
DOI 10.1590/0034-7167-2019-0686
- Marina Macedo Funes ,
- Marcia Wanderley de Moraes ,
- Mariana Lucas da Rocha Cunha ,
- Fabiane de Amorim Almeida
Views0See moreABSTRACT
Objective:
To know the experiences and perceptions of nurses who care for dying cancer patients.
Method:
A descriptive, qualitative study, developed in a private hospital in Sao Paulo, with a total of nine nurses, aged between 24 and 46 years old, who participated in a semi-structured interview.
Results:
Through Bardin’s Content Analysis, three categories were highlighted: Death as a natural process and the final stage of the life cycle; Although it is difficult, it is important to get emotionally involved with dying patients and their family; and Reflecting on their experiences in the care of dying patients and their family.
Final Considerations:
The nurses’ experiences and perceptions of the death of cancer patients showed the professional’s involvement and feelings of anxiety and anguish. Adopting effective strategies to address people who are suffering, in the context of the study, can provide subsidies that will guide clinical practice in health.
- Marina Macedo Funes
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ORIGINAL ARTICLE10-05-2020
Mobile application development structured in self-care for occupational post-exposure prophylaxis to biological material
Revista Brasileira de Enfermagem. 2020;73:e20190721
Abstract
ORIGINAL ARTICLEMobile application development structured in self-care for occupational post-exposure prophylaxis to biological material
Revista Brasileira de Enfermagem. 2020;73:e20190721
DOI 10.1590/0034-7167-2019-0721
Views0See moreABSTRACT
Objective:
to develop and validate an application for cellphones structured in self-care to encourage adherence to antiretroviral prophylaxis after occupational exposure to biological material.
Methods:
phase 1 – descriptive study to identify characteristics of occupational exposure; phase 2 – methodological study to construct and validate an application content aiming to increase adherence to antiretrovirals.
Results:
phase 1 – 55 occupational exposures were recorded; 32 (58.2%) antiretroviral indication. Blood was present in 96.9% of exposures; most professionals have insufficient knowledge about exposure risks. A statistical relationship was identified between self-care and adherence (p<0.001). Phase 2 - application was constructed, validated by 11 experts, and considered appropriate to encourage health professionals for self-care and adherence to antiretrovirals.
Conclusion:
the application “Exposição Ocupacional ao HIV” was considered adequate to expand self-care and adherence of professionals to prophylactic treatment to occupational infections arising from biological risks.
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ORIGINAL ARTICLE06-17-2020
Nursing process for a patient with needle phobia: a case study
- Angelo Braga Mendonça ,
- Eliane Ramos Pereira ,
- Carinne Magnago ,
- Rose Mary Costa Rosa Andrade Silva ,
- Adriana de Oliveira Martins
Abstract
ORIGINAL ARTICLENursing process for a patient with needle phobia: a case study
Revista Brasileira de Enfermagem. 2020;73(4):e20190095
DOI 10.1590/0034-7167-2019-0095
- Angelo Braga Mendonça ,
- Eliane Ramos Pereira ,
- Carinne Magnago ,
- Rose Mary Costa Rosa Andrade Silva ,
- Adriana de Oliveira Martins
Views0See moreABSTRACT
Objectives:
to report a clinical case of needle phobia which culminated in cardiac arrest and describe the outcome of a care plan based on fear and anxiety diagnoses, using the Roy adaptation model as the framework.
Methods:
case study conducted in a chemotherapy outpatient unit in Rio de Janeiro. Care was guided by the nursing process and the use of instruments to assess the venous network, anxiety and fear.
Results:
the Roy adaptation model enabled proposing nursing interventions that allowed the study subject to adapt to the external and internal stimuli triggered by vasovagal syndrome. The instruments indicated the choice of an adequate semi-implanted venous access device and led to improved levels of anxiety and fear.
Final Considerations:
after carrying out the nursing activities, anxiety was reduced, and the patient achieved greater control over fear.
- Angelo Braga Mendonça
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ORIGINAL ARTICLE12-13-2019
Cross-cultural adaptation of the Preterm Parenting & Self-efficacy Checklist
- Carolina Queiroz de Souza Mendes ,
- Myriam Aparecida Mandetta ,
- Miriam Harumi Tsunemi ,
- Maria Magda Ferreira Gomes Balieiro
Abstract
ORIGINAL ARTICLECross-cultural adaptation of the Preterm Parenting & Self-efficacy Checklist
Revista Brasileira de Enfermagem. 2019;72:274-281
DOI 10.1590/0034-7167-2018-0658
- Carolina Queiroz de Souza Mendes ,
- Myriam Aparecida Mandetta ,
- Miriam Harumi Tsunemi ,
- Maria Magda Ferreira Gomes Balieiro
Views0See moreABSTRACT
Objective:
To conduct a cross-cultural adaptation of the Preterm Parenting & Self-Efficacy Checklist to the Brazilian Portuguese.
Method:
A methodological study was carried out with 51 parents of premature infants. Data analysis was based on psychometric and inferential statistical analyses.
Results:
The instrument content validation by experts obtained excellent agreement (97%) and the semantic analysis by the target population showed good understanding of the terms and ease of use. In test-retest, most participants were female (64.7%); and parents with higher education (47.1%). The instrument showed stability over time, with good internal consistency (α = 0.84). Four factors were generated in the subscales parenting self-efficacy, importance of tasks and self-perceived parental competence (67.0% to 74.2% of the variance).
Conclusion:
The properties of the Preterm Parenting & Self-Efficacy Checklist – Brazilian Version were maintained, which is a reliable indicator to evaluate the hospital discharge of premature infants.
- Carolina Queiroz de Souza Mendes
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ORIGINAL ARTICLE12-13-2019
Social support of families with tracheostomized children
Revista Brasileira de Enfermagem. 2019;72:282-289
Abstract
ORIGINAL ARTICLESocial support of families with tracheostomized children
Revista Brasileira de Enfermagem. 2019;72:282-289
DOI 10.1590/0034-7167-2018-0708
Views0See moreABSTRACT
Objective:
To understand the social support of families with tracheostomized children.
Method:
Qualitative study using the Model of Dimensions of Social Support together with the Family System-Illness model as theoretical frameworks, based on the hybrid model of thematic analysis. Nine families with tracheostomized children were interviewed in an outpatient pediatric otorhinolaryngology department of a public hospital in the inner state of São Paulo.
Results:
The experience of social support to each phase of the family experience was presented in three themes: “Knowing the need for a tracheostomy”, “Performing a tracheostomy” and “Living with a tracheostomy”.
Final considerations:
Understanding how the experience of social support occurs can support assessment and intervention strategies, aiming to meet the demands of the family at each phase of its trajectory, collaborating for a continuous and integral nursing care.
-
ORIGINAL ARTICLE06-17-2020
Implementation of improvement cycle in health records of mobile emergency prehospital care
- Maria do Socorro Telma Batista Araújo Timóteo ,
- Rodrigo Assis Neves Dantas ,
- Ilanne Caroline Santos Costa ,
- Tâmara Taynah Medeiros da Silva ,
- Kauanny Vitoria Gurgel dos Santos , [ … ],
- Daniele Vieira Dantas
Abstract
ORIGINAL ARTICLEImplementation of improvement cycle in health records of mobile emergency prehospital care
Revista Brasileira de Enfermagem. 2020;73(4):e20190049
DOI 10.1590/0034-7167-2019-0049
- Maria do Socorro Telma Batista Araújo Timóteo ,
- Rodrigo Assis Neves Dantas ,
- Ilanne Caroline Santos Costa ,
- Tâmara Taynah Medeiros da Silva ,
- Kauanny Vitoria Gurgel dos Santos ,
- Eloysa dos Santos Oliveira ,
- Daniele Vieira Dantas
Views0See moreABSTRACT
Objective:
to evaluate the effect of the implementation of a quality improvement cycle in the completion of occurrence forms of a Mobile Emergency Service.
Methods:
this is a time series, quantitative, quasi-experimental study without control group, with three quality assessments in which was used an improvement cycle for adequacy of health records in Mobile Emergency Service Patos.
Results:
in 100% of the seven criteria, there was improvement between evaluations. Noncompliance with criteria reduced from 95 cases in the first evaluation to eight cases in the third evaluation.
Conclusions:
the representation of joint results between the three evaluations highlighted progressive improvement in the compliance with each criterion.
- Maria do Socorro Telma Batista Araújo Timóteo
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ORIGINAL ARTICLE12-13-2019
Harm reduction: trends being disputed in health policies
- Carla Regina Moreira ,
- Cassia Baldini Soares ,
- Celia Maria Sivalli Campos ,
- Thais Helena Mourão Laranjo
Abstract
ORIGINAL ARTICLEHarm reduction: trends being disputed in health policies
Revista Brasileira de Enfermagem. 2019;72:312-320
DOI 10.1590/0034-7167-2017-0671
- Carla Regina Moreira ,
- Cassia Baldini Soares ,
- Celia Maria Sivalli Campos ,
- Thais Helena Mourão Laranjo
Views0See moreABSTRACT
Objective:
to identify the underlying harm reduction trends in Brazilian drug policies.
Method:
The research, qualitative in nature, used in-depth interviews with experts in the field. The recorded and transcribed material was analyzed via the content analysis method.
Results:
The analysis exposed the following conceptions: drug use is a disease, and its associated health practices should be treatment, rehabilitation and social reintegration. These conceptions deviate to some extent from the war on drugs approach, and support the adoption of harm-reduction practices, proposed by public health. Less expressively, critical conceptions which clearly distance themselves from the prohibitionist approach and from public health may be seen, in line with the perspective of collective health, for the implementation of emancipatory harm-reduction practices.
Final considerations:
Harm-reduction conceptions and practices reveal the underlying conservative, liberal, and critical tendencies in Brazilian drug policies.
- Carla Regina Moreira
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ORIGINAL ARTICLE10-21-2019
Knowledge of the care of wounded patients: evidence of validity of an instrument
- Eurides Araújo Bezerra de Macedo ,
- Camylla Cavalcante Soares de Freitas ,
- Alessandra Justino Dionisio ,
- Gilson de Vasconcelos Torres
Abstract
ORIGINAL ARTICLEKnowledge of the care of wounded patients: evidence of validity of an instrument
Revista Brasileira de Enfermagem. 2019;72(6):1562-1570
DOI 10.1590/0034-7167-2018-0643
- Eurides Araújo Bezerra de Macedo ,
- Camylla Cavalcante Soares de Freitas ,
- Alessandra Justino Dionisio ,
- Gilson de Vasconcelos Torres
Views0See moreABSTRACT
Objective:
to present evidence of validity of an instrument aimed at evaluating the knowledge of nursing students about the care of the wounded patient, according to the difficulty and discrimination indexes of the items.
Method:
methodological study conducted in a nursing higher education institution with 117 undergraduate students and 38 professionals from a research group with experience in the area of wounds. For data collection, a questionnaire with 10 multiple choice questions was applied before and after classes on wounds.
Results:
most of the questions presented low level of difficulty and inefficient discrimination index, requiring a revision of the instrument. After two review stages, the difficulty and discrimination indexes of the instruments improved.
Conclusion:
an instrument with better evidence of validity was obtained. However, it still requires refinement for later revalidation in the same population.
- Eurides Araújo Bezerra de Macedo
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