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ORIGINAL ARTICLE09-23-2022
Social entrepreneurship in the professional training in Nursing
Revista Brasileira de Enfermagem. 2022;75(3):e20220391
Abstract
ORIGINAL ARTICLESocial entrepreneurship in the professional training in Nursing
Revista Brasileira de Enfermagem. 2022;75(3):e20220391
DOI 10.1590/0034-7167-2021-0391
Views0See moreABSTRACT
Objectives:
to assess the knowledge and practices that stimulate social entrepreneurship in the professional training of Nursing students.
Methods:
qualitative exploratory-descriptive study carried out with 44 Nursing students from a University in the South Region of Brazil. Data were collected between May and August 2021, through individual online interviews. The participants were students of nursing course in the 6th semester or above, who had previously participated in teaching, research, or university outreach activities on entrepreneurship.
Results:
the data was organized and analyzed according to the thematic analysis technique and resulted in three thematic categories: Meanings of social entrepreneurship, Factors that sparked social entrepreneurship, and Recognizing oneself as an entrepreneurial nurse.
Final Considerations:
the knowledge and practices that stimulate social entrepreneurship in the professional training of Nursing students are associated with teaching, research and university outreach activities that allow concrete experiences in the living and dynamic world of communities.
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ORIGINAL ARTICLE09-23-2022
Almanac for preventing the use of alcohol and other drugs among adolescents: construction and validity
Revista Brasileira de Enfermagem. 2022;75(3):e20220118
Abstract
ORIGINAL ARTICLEAlmanac for preventing the use of alcohol and other drugs among adolescents: construction and validity
Revista Brasileira de Enfermagem. 2022;75(3):e20220118
DOI 10.1590/0034-7167-2022-0118
Views0See moreABSTRACT
Objectives:
to build and validate an almanac to prevent the use of alcohol and other drugs among adolescents.
Methods:
a methodological study, based on the adaptation of Echer’s stages and on Culture Circles. The Content Validity Index and the Concordance Index were used for validity.
Results:
problematization in Culture Circles and literature review supported the elaboration of an almanac. In validity with eleven health judges, the material obtained a global Content Validity Index of 0.73 in the first version and 0.84 in the second version, with validation with five judges. In terms of concordance, the 95% value was obtained with four technical judges and 86.2% with nine participants from the target audience.
Conclusions:
the constructed and validated almanac has playful, dialogic and problematizing potential.
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ORIGINAL ARTICLE09-23-2022
Brain death communication with parents of children and adolescents: care strategies
Revista Brasileira de Enfermagem. 2022;75(3):e20210943
Abstract
ORIGINAL ARTICLEBrain death communication with parents of children and adolescents: care strategies
Revista Brasileira de Enfermagem. 2022;75(3):e20210943
DOI 10.1590/0034-7167-2021-0943
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Objectives:
to identify care strategies developed by professionals from critically ill patients’ units in communicating BD with parents of children and adolescents.
Methods:
an exploratory and descriptive research with a qualitative approach, carried out in two health institutions between October and December 2019, through semi-structured interviews. Data analysis took place through content analysis.
Results:
twenty-one professionals participated. Three care strategies were identified: actual clinical situation in suspected brain death; sensitizing families to the real clinical situation after brain death diagnosis; and time to assimilate the death information.
Final Considerations:
the care strategies for communicating brain death to families identified in this study present the possibility of subsidizing health managers in training and support promotion for professionals in care practice. Moreover, they can be incorporated and validated in the care practice of the studied context.
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ORIGINAL ARTICLE09-23-2022
Effects of multidisciplinary rounds and checklist in an Intensive Care Unit: a mixed methods study
Revista Brasileira de Enfermagem. 2022;75(3):e20210934
Abstract
ORIGINAL ARTICLEEffects of multidisciplinary rounds and checklist in an Intensive Care Unit: a mixed methods study
Revista Brasileira de Enfermagem. 2022;75(3):e20210934
DOI 10.1590/0034-7167-2021-0934
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Objectives:
to analyze the implementation of multidisciplinary checklist-directed rounds before health indicators and multidisciplinary team perception of an Intensive Care Unit.
Methods:
a mixed methods study, with an explanatory sequential design, carried out at a hospital in southern Brazil, from September 2020 to August 2021. The integration of quantitative and qualitative data was combined by connection.
Results:
after the implementation of checklist-directed rounds, there was a significant reduction in hospital stay from ventilator-associated pneumonia, urinary tract infection and daily invasive device use. The investigated practice is essential for comprehensive care, harm reduction, effective work and critical patient safety.
Conclusions:
the multidisciplinary rounds with checklist use reduced data on health indicators of critically ill patients and was considered a vital practice in the intensive care setting.
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REFLECTION09-23-2022
Legislation and quality of nursing education in the context of the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75(3):e20210825
Abstract
REFLECTIONLegislation and quality of nursing education in the context of the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75(3):e20210825
DOI 10.1590/0034-7167-2021-0825
Views0See moreABSTRACT
Objectives:
to reflect on the governmental normative acts issued for higher education during the COVID-19 pandemic and on the repercussions of these acts on the quality of nursing education in Brazil.
Methods:
this is a reflection on the repercussions for the quality of nursing education, based on the normative acts applied to higher education, enacted from March to December 2020, available on the Ministry of Education website and in the current literature on the subject anchored in the National Curriculum Guidelines for the Undergraduate Nursing Course.
Results:
educational legislation, in the context of the pandemic, distanced education from the world of work, as well as from the quality of training established in the guidelines.
Final Considerations:
remote teaching in nursing makes it difficult to train professionals with the capacity to effectively teach and learn in the real world of care and health promotion in the Unified Health System.
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09-19-2022
Subjetivação dos profissionais de saúde no fim da vida e morte no serviço domiciliar
Revista Brasileira de Enfermagem. 2022;75(2):e20210684
Abstract
Subjetivação dos profissionais de saúde no fim da vida e morte no serviço domiciliar
Revista Brasileira de Enfermagem. 2022;75(2):e20210684
DOI 10.1590/0034-7167-2021-0684
Views0See moreRESUMEN
Objetivos:
analizar los modos de subjetivación de los profesionales de la salud hacia el final de la vida y la muerte en un servicio de atención domiciliaria.
Métodos:
investigación cualitativa realizada en un servicio de atención domiciliaria en un hospital escuela en el sur de Brasil, con 12 profesionales de la salud. Para la recolección de datos se utilizó la observación participante y entrevistas semiestructuradas, de abril a septiembre de 2018. Los datos fueron analizados a partir del concepto de poder y subjetivación de Foucault.
Resultados:
los profesionales son sensibilizados por discursos morales, espirituales y de cuidados paliativos, así como por vivencias que los constituyen sujetos que modifican sus modos de vida y ejercicio profesional a partir de la relación con la muerte.
Consideraciones Finales:
la red discursiva de los cuidados paliativos es interiorizada por los profesionales, que realizan sus prácticas con conductas encaminadas a promover “una buena muerte”.
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ORIGINAL ARTICLE09-19-2022
Colorectal cancer mortality in women: trend analysis in Brazil and its regions and states
Revista Brasileira de Enfermagem. 2022;75(2):e20210751
Abstract
ORIGINAL ARTICLEColorectal cancer mortality in women: trend analysis in Brazil and its regions and states
Revista Brasileira de Enfermagem. 2022;75(2):e20210751
DOI 10.1590/0034-7167-2021-0751
Views0See moreABSTRACT
Objectives:
to analyze colorectal cancer mortality trends in women in Brazil and its regions and states.
Methods:
ecological, time-series study with trend analysis of deaths caused by colorectal cancer in women in Brazil and its regions and states between 2008 and 2019. Polynomial regression was used to treat the data.
Results:
48,225 deaths of women caused by colorectal cancer were examined. There was an increasing mortality trend in Brazilian women, with regional differences that resulted from socioeconomic, political, and cultural inequalities. The South Region stood out with the highest rate (7.32) in 2008, which increased to 8.65 in 2019, followed by the Southeast Region, whose rates were 6.72 and 9.05 in 2008 and 2019, respectively.
Conclusions:
colorectal cancer mortality increased, which indicates the need to expand public policies oriented toward screening and early diagnosis of colorectal cancer in women.
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ORIGINAL ARTICLE09-19-2022
Health professionals’ subjectivation towards end of life and death in home care service
Revista Brasileira de Enfermagem. 2022;75(2):e20210684
Abstract
ORIGINAL ARTICLEHealth professionals’ subjectivation towards end of life and death in home care service
Revista Brasileira de Enfermagem. 2022;75(2):e20210684
DOI 10.1590/0034-7167-2021-0684
Views0See moreABSTRACT
Objectives:
to analyze the modes of subjectification of health professionals towards end of life and death in a home care service.
Methods:
this is qualitative research carried out in a home care service at a teaching hospital in southern Brazil, with 12 health professionals. Participant observation and semi-structured interviews were used for data collection, from April to September 2018. Data were analyzed based on Foucault’s concept of power and subjectivation.
Results:
professionals are sensitized by moral, spiritual and palliative care discourses, as well as experiences that constitute them subjects who modify their ways of life and professional practice based on the relation with death.
Final Considerations:
the discursive network of palliative care is internalized by professionals, who carry out their practices with behaviors aimed at promoting “a good death”.
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ORIGINAL ARTICLE12-13-2019
Hammock and nesting in preterm infants: randomized controlled trial
Revista Brasileira de Enfermagem. 2019;72:96-102
Abstract
ORIGINAL ARTICLEHammock and nesting in preterm infants: randomized controlled trial
Revista Brasileira de Enfermagem. 2019;72:96-102
DOI 10.1590/0034-7167-2018-0099
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Objective:
To compare the physiological variables and the sleep-wake pattern presented by preterm in nesting and hammock positions after diaper change.
Method:
This is a crossover randomized controlled trial. It was conducted with 20 preterm infants who, after diaper change, were placed in nests or hammocks. These preterm infants were evaluated for physiological variables (heart rate and oxygen saturation) and behavioral variables (sleep and wakefulness).
Results:
There was no statistically significant difference in the studied variables between nesting and hammock positions. However, regarding the categorical variable sleep, the comparison between the research phases for the hammock position showed differences between the baseline phase and the immediate recovery (p=0.00), baseline and late recovery (p=0.00), response and immediate recovery (p=0.00), response and late recovery (p=0.00).
Conclusion:
No differences were identified between the nest and the hammock; however, the use of the hammock favored the sleep of preterm infants compared to its non-use.
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REFLECTION02-15-2021
Pre-hospital assistance by ambulance in the context of coronavirus infections
Revista Brasileira de Enfermagem. 2021;74:e20200657
Abstract
REFLECTIONPre-hospital assistance by ambulance in the context of coronavirus infections
Revista Brasileira de Enfermagem. 2021;74:e20200657
DOI 10.1590/0034-7167-2020-0657
Views0See moreABSTRACT
Objective:
To reflect on the safe care exercised by the pre-hospital care team by emergency ambulance in times of coronavirus infection.
Method:
A reflection and description of how to provide safe care to the patient and the professional during pre-hospital care in times of coronavirus infection.
Results:
To ensure the health of all those involved in the care, health professionals who work in pre-hospital care by emergency ambulance should use the recommended Personal Protective Equipment (PPE), such as the use of surgical masks and N95, N99, N100, PFF2 or PFF3, the use of an apron or overall, goggles and face shield, gloves and a hat. The entire team must receive training and demonstrate the ability to use PPE correctly and safely.
Final considerations:
The professional working in the pre-hospital care by ambulance is exposed to a series of occupational risks that need to be discussed and minimized through professional training.
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07-05-2021
Selenium concentrations in elderly people with Alzheimer’s disease: a cross-sectional study with control group
Revista Brasileira de Enfermagem. 2021;74:e20200984
Abstract
Selenium concentrations in elderly people with Alzheimer’s disease: a cross-sectional study with control group
Revista Brasileira de Enfermagem. 2021;74:e20200984
DOI 10.1590/0034-7167-2020-0984
Views0See moreABSTRACT
Objective:
To investigate possible differences in plasma and erythrocyte concentrations of selenium among elderly with and without a diagnosis of Alzheimer’s disease (AD).
Methods:
Cross-sectional study, performed with an elderly group with Alzheimer’s disease, diagnosed by a geriatric doctor, and compared to an elderly group without the disease, equaling gender, education, and age. Atomic absorption spectrophotometry determined plasma and erythrocyte concentrations of total selenium (Set).
Results:
The mean age was 74.41±7.1 years in the Alzheimer’s disease group and 71.46±5.1 years among the control group. The Alzheimer’s disease group presented lower plasma concentrations (mean of 45.29±14.51 µg/dL vs. 55.14±14.01 µg/dL; p=0.004), and erythrocyte Set (median of 56.36 µg/L vs. 76.96 µg/L; p<0.001). The logistic regression model indicated an association between erythrocyte Set concentrations and diagnosis of Alzheimer’s disease (p=0.028).
Conclusion:
Elderly with Alzheimer’s disease present lower selenium concentrations in the evaluated organic compartments.
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REVIEW09-29-2022
Nursing students’ learning from involvement in research projects: an integrative literature review
Revista Brasileira de Enfermagem. 2022;75(1):e20210053
Abstract
REVIEWNursing students’ learning from involvement in research projects: an integrative literature review
Revista Brasileira de Enfermagem. 2022;75(1):e20210053
DOI 10.1590/0034-7167-2021-0053
Views0See moreABSTRACT
Objective:
To identify the learning outcomes and skills obtained of undergraduate nursing students involved in research projects.
Methods:
This was an integrative literature review, based on a research protocol in the CINAHL Complete databases; Cochrane Central Register of Controlled Trials; Cochrane Database of Systematic Reviews; Cochrane Methodology Register; MedicLatina; MEDLINE, Scopus and JBI, including primary and secondary studies, published between 2015 and 2020.
Results:
A total of five heterogeneous articles were included, which were categorized using Kirkpatrick’s (adapted) model. Seventeen learning outcomes acquired through participation in research projects were identified, from the learning of new knowledge and skills to the development of new attitudes and behaviors.
Final considerations:
The involvement of nursing students in research projects is important to their professional development. Future investment in research on this topic can help cement the potential of this type of student involvement.
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REFLECTION07-10-2020
Psychosocial risks and the health of health workers: reflections on Brazilian labor reform
Revista Brasileira de Enfermagem. 2020;73:e20190092
Abstract
REFLECTIONPsychosocial risks and the health of health workers: reflections on Brazilian labor reform
Revista Brasileira de Enfermagem. 2020;73:e20190092
DOI 10.1590/0034-7167-2019-0092
Views0See moreABSTRACT
Objective:
to reflect on the psychosocial risks and their impacts on the health of health workers in light of the Brazilian economic context and Labor Reform.
Method:
reflective study on the Brazilian Labor Reform and its impacts on health of health workers.
Results:
although the changes observed in the labor sphere have contributed to improvements in health and safety policies for, these changes have also contributed to the emergence of new risks arising from work activities, including psychosocial risks, which affect all occupational categories.
Final considerations:
we understand that the Brazilian Labor Reform carried out in 2017 leads to the weakening of labor relations, increases workers’ exposure to risks in the workplace, increases the risk of illness, and opposes the global movement of international organizations aimed at the prevention of aggravation in workers’ health and also at preserving their health.
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REVIEW03-30-2020
Internet influence on the biopsychosocial health of adolescents: an integratitive review
Revista Brasileira de Enfermagem. 2020;73(2):e20180766
Abstract
REVIEWInternet influence on the biopsychosocial health of adolescents: an integratitive review
Revista Brasileira de Enfermagem. 2020;73(2):e20180766
DOI 10.1590/0034-7167-2018-0766
Views0See moreABSTRACT
Objectives:
To identify scientific evidence on the influence of internet use on adolescents’ biopsychosocial health.
Methods:
Integrative review, with database search, using the descriptors “internet”, “adolescent health” and “adolescent behavior”. After applying the inclusion and exclusion criteria, 16 articles were selected.
Results:
Knowledge convergence produced for three main themes was demonstrated: “Internet exposure time and possible damages to adolescent health”; “Internet, adolescent and cyberbullying”; and “Internet as a source of information for adolescent health”.
Final considerations:
The network involves an intricate network of interactions, providing varied behaviors and attitudes that reflect on adolescent health. Therefore, it is important to articulate nursing actions with the school community and the family, in order to carry out health education.
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ORIGINAL ARTICLE06-16-2021
Patient participation in care safety: Primary Health Care professionals’ perception
Revista Brasileira de Enfermagem. 2021;74(2):e20200773
Abstract
ORIGINAL ARTICLEPatient participation in care safety: Primary Health Care professionals’ perception
Revista Brasileira de Enfermagem. 2021;74(2):e20200773
DOI 10.1590/0034-7167-2020-0773
Views0See moreABSTRACT
Objectives:
to analyze health professionals’ perception about the meaning and practice of patient involvement in care safety in Primary Health Care.
Methods:
this is an exploratory, qualitative study, developed with 22 professionals in the Federal District, Brazil. A semi-structured interview was conducted between October and November/2018. Content analysis was carried out according to Bardin.
Results:
nurses, physicians, dentists, among others, participated. The following categories emerged: Meaning of patient involvement in care safety; Factors intervening in patient involvement in care safety; Strategies for patient involvement in care safety; Qualification for patient involvement in care safety.
Final Considerations:
the meaning of patient involvement for care safety was associated with co-responsibility and patient-centered care. Professionals’ practice revealed intervening factors and the use of involvement strategies. A gap was identified in training on patient involvement in care safety.
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ORIGINAL ARTICLE10-19-2020
Comfort needs as perceived by hospitalized elders: an analysis under the light of Kolcaba’s theory
Revista Brasileira de Enfermagem. 2020;73:e20190501
Abstract
ORIGINAL ARTICLEComfort needs as perceived by hospitalized elders: an analysis under the light of Kolcaba’s theory
Revista Brasileira de Enfermagem. 2020;73:e20190501
DOI 10.1590/0034-7167-2019-0501
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Objective:
To reveal the Comfort needs as perceived by hospitalized elders, using Kolcaba’s theory.
Methods:
Descriptive and qualitative study, with 11 elders hospitalized in a university hospital, aiming to identify their needs for Comfort.
Results:
Discourses were categorized in four thematic units: Physical, Environmental, Sociocultural, and Psychospiritual. In the Physical context, several subcategories were found, namely, Symptom Relief; Daily Life Activities; Hygiene and personal care; Diet; Sleep and rest. In the Environmental context, the Comfort was considered to be superior than in the elders’ home; in the Sociocultural one, family bonds were found to become more distant, triggering feelings of missing one’s family and isolation, in the Psychospiritual context, spirituality and religiosity stood out.
Final considerations:
The Comfort needs of the hospitalized elders enable one to reflect on nursing care, offering information to improve the quality of assistance and to attend to the real needs of the elderly.
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