Articles - Revista Brasileira de Enfermagem

  • 08-26-2022

    Repercussions of the labor reform on nursing work in the context of the covid-19 pandemic

    Revista Brasileira de Enfermagem. 2022;75:e20220058

    Abstract

    Repercussions of the labor reform on nursing work in the context of the covid-19 pandemic

    Revista Brasileira de Enfermagem. 2022;75:e20220058

    DOI 10.1590/0034-7167-2022-0058

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    ABSTRACT

    Objective:

    To reflect on the repercussions of the Labor Reform on nursing work during the COVID-19 pandemic.

    Methods:

    This is a reflective study based on the legal aspects of the Labor Reform in dialog with scientific productions pertaining to nursing work.

    Results:

    With the rise of the COVID-19 pandemic, the flexibilization of labor is being intensified, legally backed up by the Labor Reform. For nursing workers, the repercussions are felt in the work relationship, during the workday, in the salary, in union action, and in job protection.

    Final considerations:

    It is evident that, after the legislative changes, there’s no certainty that the flexibilization of labor and social security laws will bring favorable results in terms of economic growth, reduction of inequalities, and lower unemployment rates for the nursing workers. Therefore, the political organization of the professional categories is the way to overcome this scenario.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • REVIEW08-26-2022

    Health literacy of adolescents in the COVID-19 pandemic: an integrative review

    Revista Brasileira de Enfermagem. 2022;75:e20210956

    Abstract

    REVIEW

    Health literacy of adolescents in the COVID-19 pandemic: an integrative review

    Revista Brasileira de Enfermagem. 2022;75:e20210956

    DOI 10.1590/0034-7167-2021-0956

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    ABSTRACT

    Objective:

    to analyze the scientific production on health literacy (HL) of adolescents during the COVID-19 pandemic.

    Method:

    an integrative review, in the MEDLINE, LILACS, CINAHL and Web of Science databases, between March 2020 and August 2021. Original articles in English, Spanish and Portuguese were included.

    Results:

    of the 65 studies found in the search, eight were included for analysis, with no publication in Brazil, with five publications in 2021, predominantly in English (n=7) and all classified with level of evidence VI. Of the instruments used, eHealth literacy was the most applied instrument (n=2). Television, family and the internet were identified as the main sources of health information during the pandemic.

    Final considerations:

    the literature has indicated that HL can interfere with adolescents’ decision making and that a low HL can lead to decisions and physical and mental exposure actions of adolescents.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Health literacy of adolescents in the COVID-19 pandemic: an integrative review
  • ORIGINAL ARTICLE08-26-2022

    Sickness absenteeism of Primary Health Care professionals before and during the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2022;75:e20220028

    Abstract

    ORIGINAL ARTICLE

    Sickness absenteeism of Primary Health Care professionals before and during the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2022;75:e20220028

    DOI 10.1590/0034-7167-2022-0028

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    ABSTRACT

    Objective:

    to identify the frequency of occurrence of sickness absenteeism, according to the profile of Primary Health Care (PHC) professionals, and verify if there was an impact of the pandemic on absence duration and reason.

    Methods:

    a cross-sectional study, from January/2019 to December/2020, with PHC professionals from a municipality in northeastern São Paulo. Descriptive statistics were performed, with frequency calculation.

    Results:

    of the 977 PHC professionals, 633 (64.79%) used a medical certificate to justify their absence from work in 2019, and 837 (85.67%) in 2020. The main reason for leave was diseases of the musculoskeletal system and connective tissue in the two years. The mean duration of leave was 7.33 days (SD=17.33) in 2019 and 9.88 days (SD=16.05) in 2020. Nursing assistants were the ones who took the most leave in both years.

    Conclusions:

    there was an impact of the pandemic on absence duration and reason.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE08-22-2022

    Nursing staff’s instrument for change-of-shift reporting – SBAR (Situation-Background-Assessment-Recommendation): validation and application

    Revista Brasileira de Enfermagem. 2022;75(6):e20210608

    Abstract

    ORIGINAL ARTICLE

    Nursing staff’s instrument for change-of-shift reporting – SBAR (Situation-Background-Assessment-Recommendation): validation and application

    Revista Brasileira de Enfermagem. 2022;75(6):e20210608

    DOI 10.1590/0034-7167-2021-0608

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    ABSTRACT

    Objectives:

    to validate and apply a change-of-shift instrument using the SBAR (Situation-Background-Assessment-Recommendation) tool.

    Methods:

    methodological study for the validation of an instrument. It was validated by ten judges from the area of nursing teaching and care and applied in a surgical gastroenterology ward by 11 nursing technicians in February 2019. The analyses considered descriptive statistics.

    Results:

    the judges analyzed the instrument with a content validity index of 91.7% and made suggestions, which led to the second version of the instrument. The participants reported that the predominant modality of shift handover is oral, in the nursing room, lasting six to ten minutes. Most pay attention during shift change, mention that delays and early departures interfere in the activity and believe that the instrument provides the necessary information and is viable.

    Conclusions:

    the instrument built was validated, and its application proved relevant, as it was considered necessary and feasible.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Nursing staff’s instrument for change-of-shift reporting – SBAR (Situation-Background-Assessment-Recommendation): validation and application
  • ORIGINAL ARTICLE08-22-2022

    Women who live in mining on the French-Brazilian border: daily challenges

    Revista Brasileira de Enfermagem. 2022;75(6):e20210688

    Abstract

    ORIGINAL ARTICLE

    Women who live in mining on the French-Brazilian border: daily challenges

    Revista Brasileira de Enfermagem. 2022;75(6):e20210688

    DOI 10.1590/0034-7167-2021-0688

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    ABSTRACT

    Objectives:

    to describe the daily life of Brazilian women who work in mining.

    Methods:

    a descriptive, qualitative study, with analysis based on the theory of Symbolic Interactionism. Non-participant observations, field diary writing, sociodemographic form, non-directive interviews, recorded and transcribed in full, were carried out with 19 women who work in mining areas on the French-Brazilian Amazon border.

    Results:

    two categories emerged: Life trajectories: women’s work in mining; Woman, mother and prospector: the multiple facets of gender inequality on the Amazon border.

    Final Considerations:

    assessing the daily experiences of women in the Amazonian mines allowed identifying their health needs, evidencing the need to direct and implement public and social policies and health practices for comprehensive care of these women’s health.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE08-22-2022

    Knowledge scale of Nursing students about sexuality of people with spinal cord injury

    Revista Brasileira de Enfermagem. 2022;75(6):e20210288

    Abstract

    ORIGINAL ARTICLE

    Knowledge scale of Nursing students about sexuality of people with spinal cord injury

    Revista Brasileira de Enfermagem. 2022;75(6):e20210288

    DOI 10.1590/0034-7167-2021-0288

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    ABSTRACT

    Objectives:

    to build, validate and verify the reliability of the Scale of knowledge about sexuality of people with spinal cord injury for nursing students.

    Methods:

    a methodological study, following the steps: 1) Construction based on literature review; 2) Validation of the content with calculation of the Content Validity Index and the Modified Kappa Coefficient; 3) Pre-test with Nursing students; and 4) Measurement of reliability by internal consistency (Cronbach’s alpha).

    Results:

    the first version of the instrument presented 13 items. After validation, the items received values above 0.80 and 0.76 for the Content Validity Index and Modified Kappa Coefficient, and it was suggested to separate three items to contemplate gender-specific aspects. After pre-testing, it was recommended that the writing of two items be revised. The final scale, with 16 items, showed Cronbach’s alpha equal to 0.93.

    Conclusions:

    the constructed scale presented valid content and proved to be reliable for application with nursing students.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE08-22-2022

    Temporal trend of accidents due to percutaneous exposure in a public hospital in Brazil, 2007-2019

    Revista Brasileira de Enfermagem. 2022;75(6):e20220046

    Abstract

    ORIGINAL ARTICLE

    Temporal trend of accidents due to percutaneous exposure in a public hospital in Brazil, 2007-2019

    Revista Brasileira de Enfermagem. 2022;75(6):e20220046

    DOI 10.1590/0034-7167-2022-0046

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    ABSTRACT

    Objectives:

    to analyze the temporal trend of accidents due to percutaneous exposure in a public hospital in Brazil, between 2007 and 2019, according to sociodemographic and professional characteristics.

    Methods:

    analysis of time series of accidents due to percutaneous exposure that occurred in health workers. Sociodemographic and professional variables, accident profile, post-accident behavior and accident incidence rates were evaluated. The Prais Winsten regression was used for trend analysis and calculation of the annual percentage change, with a significance level of 5%.

    Results:

    761 occupational accidents were recorded. There was a downward trend in the rate of percutaneous injuries among female workers (-0.012%; p=0.009), who had secondary education (-0.011%; p=0.035) and among all health professional categories (-0.010%; p =0.019). There was an increasing trend (0.018%; p= 0.050) among workers with ≥ 61 months of professional experience.

    Conclusions:

    the analysis showed a decreasing incidence of percutaneous accidents, which can be explained by multiple factors.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Temporal trend of accidents due to percutaneous exposure in a public hospital in Brazil, 2007-2019
  • ORIGINAL ARTICLE08-20-2022

    Religious/spiritual experiences, quality of life and satisfaction with life of hospitalized octogenarians

    Revista Brasileira de Enfermagem. 2022;75(1):e20201099

    Abstract

    ORIGINAL ARTICLE

    Religious/spiritual experiences, quality of life and satisfaction with life of hospitalized octogenarians

    Revista Brasileira de Enfermagem. 2022;75(1):e20201099

    DOI 10.1590/0034-7167-2020-1099

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    ABSTRACT

    Objectives:

    to assess quality of life (QoL) and satisfaction with life (SWL) indices and verify whether the frequency of religious and spiritual experiences is associated with QoL and SWL in hospitalized octogenarians.

    Method:

    this is a cross-sectional study, with 128 octogenarians. World Health Organization QoL instruments and Scales applied: Daily Spiritual Experience (DSES) and Satisfaction With Life (SWLS).

    Results:

    more committed domains related to QoL and SWL: autonomy and physical capacity. The higher the score in DSES, the higher the scores in the psychological domains and past, present, and future QoL activities. The higher the score in DSES, the higher the score in the social involvement aspect.

    Conclusion:

    the results of this study showed that the higher frequency of religious and spiritual experiences of hospitalized elderly people was associated with better QoL and SWL. It is emphasized that religious and spiritual experiences should be explored in the hospital therapeutic context.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • ORIGINAL ARTICLE10-28-2020

    Conflict management strategies used by Portuguese nurse managers

    Revista Brasileira de Enfermagem. 2020;73:e20190336

    Abstract

    ORIGINAL ARTICLE

    Conflict management strategies used by Portuguese nurse managers

    Revista Brasileira de Enfermagem. 2020;73:e20190336

    DOI 10.1590/0034-7167-2019-0336

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    ABSTRACT

    Objectives:

    to analyze the perception and conflict management strategies used by nurses in the management of people in Portuguese health services.

    Methods:

    descriptive, correlational study, carried out in Portuguese health services, with an intentional non-probabilistic sample, totaling 95 nurse managers. A questionnaire and Conflict Management Scale were used, analyzing the variables of managerial activities and conflict management, with the aid of software.

    Results:

    it was identified that 60% of the managers, report having to mediate conflicts daily, and the majority report adopting dialogue in conduct. However, through the Kruskal-Wallis test, it was shown that enforcement strategies in conflict management prevail (p = 0.008), with collaborative ones being more restricted to monthly intervals (p = 0.049).

    Conclusions:

    managers perceive the importance of collaboration in the mediation of conflicts, however, in their daily lives; they tend to maintain imposing behaviors, signaling for a little transformational leadership style.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Conflict management strategies used by Portuguese nurse managers
  • ORIGINAL ARTICLE10-01-2022

    Frailty in the elderly: screening possibilities in Primary Health Care

    Revista Brasileira de Enfermagem. 2022;75(2):e20200973

    Abstract

    ORIGINAL ARTICLE

    Frailty in the elderly: screening possibilities in Primary Health Care

    Revista Brasileira de Enfermagem. 2022;75(2):e20200973

    DOI 10.1590/0034-7167-2020-0973

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    ABSTRACT

    Objectives:

    to evaluate two instruments for screening frailty in the elderly in Primary Health Care.

    Methods:

    this is an observational, cross-sectional study, with a quantitative approach, with 396 elderly people. SPSS software helped to perform the statistical analyses. The study used the kappa coefficient and Spearman’s correlation.

    Results:

    the kappa coefficient between the Clinical-Functional Vulnerability Index 20 and the Edmonton Frailty Scale was 0.496, considered moderate. There was a positive and significant correlation (r = 0.77; p < 0.001) between the frailty conditions and the total score of the two instruments.

    Conclusions:

    when this article assessed fragility through the kappa coefficient, both instruments presented positive correlation and agreement. However, the identification of frailty was higher when it used the Edmonton Frailty Scale.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE09-16-2019

    Knowledge of nursing student on the prevention of sexually transmitted infections

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

    Abstract

    ORIGINAL ARTICLE

    Knowledge of nursing student on the prevention of sexually transmitted infections

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

    DOI 10.1590/0034-7167-2017-0801

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    ABSTRACT

    Objective:

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

    Method:

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

    Results:

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

    Final considerations:

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

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE03-30-2020

    Meanings assigned by families about children’s chronic disease diagnosis

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

    Abstract

    ORIGINAL ARTICLE

    Meanings assigned by families about children’s chronic disease diagnosis

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

    DOI 10.1590/0034-7167-2018-0742

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    ABSTRACT

    Objectives:

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

    Methods:

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

    Results:

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

    Conclusions:

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

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Meanings assigned by families about children’s chronic disease diagnosis
  • 03-09-2020

    Psychiatric nursing and mental health teaching in relation to Brazilian curriculum

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

    Abstract

    Psychiatric nursing and mental health teaching in relation to Brazilian curriculum

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

    DOI 10.1590/0034-7167-2018-0200

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    ABSTRACT

    Objectives:

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

    Methods:

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

    Results:

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

    Final considerations:

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

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • 08-19-2019

    Professional education on dementias in Primary Health Care: an integrative review

    Revista Brasileira de Enfermagem. 2019;72(4):1086-1093

    Abstract

    Professional education on dementias in Primary Health Care: an integrative review

    Revista Brasileira de Enfermagem. 2019;72(4):1086-1093

    DOI 10.1590/0034-7167-2018-0652

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    ABSTRACT

    Objective:

    To investigate the most commonly used educational approaches in dementia training for primary health care professionals.

    Method:

    Integrative literature review, conducted between April and June of 2018, in PubMed, LILACS and IBECS databases. The descriptors used were: Training, Health Personnel, Dementia, Primary Health Care for PubMed; and the MeSH terms, Training Programs, Health Personnel, Dementia, and Primary Health Care for LILACS and IBECS.

    Results:

    The sample consisted of 13 articles; eight were published in the last five years (62%); seven articles with a quantitative approach (54%); seven articles produced on the European continent (54%), followed by five published on the North American continent (38%). All journals were from the health area (100%).

    Conclusion:

    Educational strategies were combined and used for education. Significant improvements in knowledge, skills, and attitudes of the teams with regard to professional management of dementias were evidenced.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Professional education on dementias in Primary Health Care: an integrative review
  • 05-21-2021

    Quality of life and falls in elderly people: a mixed methods study

    Revista Brasileira de Enfermagem. 2021;74:e20200400

    Abstract

    Quality of life and falls in elderly people: a mixed methods study

    Revista Brasileira de Enfermagem. 2021;74:e20200400

    DOI 10.1590/0034-7167-2020-0400

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    ABSTRACT

    Objective:

    to assess elderly people’s quality of life, understanding the social representations of falls.

    Methods:

    a convergent mixed methods research carried out at homes, with a sample of 134 elderly people. A structured questionnaire was used, covering sociodemographic variables and factors that indicated frailty and risk of falling. For quality of life assessment, Medical Outcomes Study Short-Form 36 and Theory of Social Representations, Abric’s structural approach were used, with data treated by dictionary of equivalent terms, processed in Evoc 2000, converging analytically according to Neuman.

    Results:

    quality of life impairment was identified in terms of physical, emotional and functional capacity. The elements of the possible central nucleus were fall, fear, and bruised-broken-bone.

    Final considerations:

    quality of life impairment can contribute to increase the number of falls, which has been shown to be an event present in elderly people’s lives through evocations. Understanding elderly people’s individual demands allows planning actions.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Quality of life and falls in elderly people: a mixed methods study
  • ORIGINAL ARTICLE07-08-2020

    Patient safety: perception of family members of hospitalized children

    Revista Brasileira de Enfermagem. 2020;73(5):e20190525

    Abstract

    ORIGINAL ARTICLE

    Patient safety: perception of family members of hospitalized children

    Revista Brasileira de Enfermagem. 2020;73(5):e20190525

    DOI 10.1590/0034-7167-2019-0525

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    ABSTRACT

    Objectives:

    to know the meaning attributed by family members to the health safety of pediatric patients, with attention to the possibilities of their collaboration.

    Methods:

    this qualitative study was conducted with eighteen family members of children hospitalized in a pediatric unit, from January to July 2018. Symbolic Interactionism was used as a theoretical framework, and Inductive Content Analysis as method.

    Results:

    child hospitalization poses risks to possible incidents and adverse events. Participants and professionals are responsible for patient safety. Thus, their actions focus on error prevention. Therefore, they seek information and observe in a vigil way professional care in classic aspects of safety. They conceive essential and favoring safety the approach centered on children and family members.

    Final Considerations:

    family members recognized the chances of errors and care damage, identified themselves as support in minimizing damage and were in partnership with the professional, increasing chances of effecting safety.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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