Articles - Revista Brasileira de Enfermagem

  • 03-26-2021

    Professional competency for elder care: perception among professors, nursing students, and nurses

    Revista Brasileira de Enfermagem. 2021;74:e20200446

    Abstract

    Professional competency for elder care: perception among professors, nursing students, and nurses

    Revista Brasileira de Enfermagem. 2021;74:e20200446

    DOI 10.1590/0034-7167-2020-0446

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    ABSTRACT

    Objective:

    to know the perception of nurses, undergraduate students, and professors about the competencies for professional nurses in elder care.

    Methods:

    this is a qualitative analytical study developed with six professors, four nurses, and 12 nursing students. Data were collected through semi-structured interviews and analyzed using Fiorin’s Discourse technique, with support from the MAXQDA software.

    Results:

    the competencies identified included knowledge of theories and general concepts of gerontology, communication, listening, leadership, teamwork, proactivity, respect, and empathy.

    Final considerations:

    knowing the competencies contributes to understanding the aging process and qualifying nurses for elder 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.
  • ORIGINAL ARTICLE05-03-2021

    Nursing care for patient in postoperatory heart surgery in the Intensive Care Unit

    Revista Brasileira de Enfermagem. 2021;74(2):e20200163

    Abstract

    ORIGINAL ARTICLE

    Nursing care for patient in postoperatory heart surgery in the Intensive Care Unit

    Revista Brasileira de Enfermagem. 2021;74(2):e20200163

    DOI 10.1590/0034-7167-2020-0163

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    ABSTRACT

    Objective:

    To investigate the critical nodes related to nursing care for patients in the postoperative period of cardiac surgery.

    Methods:

    Exploratory study with a qualitative approach. Data collected through semi-structured interviews with 27 members of the nursing team working in the Intensive Care Unit. Material submitted to thematic analysis.

    Results:

    Three categories emerged: Flaws in the professional qualification for patient care in the postoperative period of cardiac surgery; Team challenges concerning specific patient care in the postoperative period of cardiac surgery; and (dis) organization of work in the Intensive Care Unit and its impact on nursing care for patients in the postoperative period of cardiac surgery.

    Final considerations:

    Given the identification of the critical nodes, the professionals presented suggestions to overcome daily difficulties: investments in strategies for Permanent Education in Health; creation of tools to guide patient assistance in the postoperative of cardiac surgery; and provision of adequate human resources.

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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 ARTICLE10-21-2019

    Social determinants of health and vulnerabilities to sexually transmitted infections in adolescents

    Revista Brasileira de Enfermagem. 2019;72(6):1595-1601

    Abstract

    ORIGINAL ARTICLE

    Social determinants of health and vulnerabilities to sexually transmitted infections in adolescents

    Revista Brasileira de Enfermagem. 2019;72(6):1595-1601

    DOI 10.1590/0034-7167-2018-0726

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    ABSTRACT

    Objective:

    To verify the association between social determinants of health and the vulnerability of adolescents to Sexually Transmitted Infections (STIs).

    Method:

    Cross-sectional study, performed with 287 students aged 11 to 17 years, in the outskirts of Fortaleza, Ceará, Brazil, from August do September 2016. Two instruments were used, one destined to social determinants of health and another to investigating the vulnerability to STIs. The magnitude of associations was expressed through odds ratio and interval of confidence, considering a 5% significance level. This research was approved by the Research Ethics Committee of the Federal University of Ceará.

    Results:

    212 (73.9%) adolescents were considered more vulnerable, with a score ≥ 4. The intermediate social determinant “housing (home ownership)” obtained significant association with with the vulnerability to STIs (p of 0.022; CI 1.1 to 3.3; OR 1.9).

    Conclusion:

    The intermediate social determinant “type of housing” influences the vulnerability to STAs.

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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.
  • REFLECTION10-19-2020

    Contributions of Florence Nightingale as a social entrepreneur: from modern to contemporary nursing

    Revista Brasileira de Enfermagem. 2020;73:e20200064

    Abstract

    REFLECTION

    Contributions of Florence Nightingale as a social entrepreneur: from modern to contemporary nursing

    Revista Brasileira de Enfermagem. 2020;73:e20200064

    DOI 10.1590/0034-7167-2020-0064

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    ABSTRACT

    Objective:

    To reflect on the transformations of modern and contemporary nursing as well as on Florence Nightingale’s social entrepreneurship.

    Method:

    This is a logical-reflective exhibition, with an emphasis on the theoretical assumptions of social entrepreneurship and the legacy of Florence Nightingale, from modern to contemporary nursing, based on readings of texts extracted from electronic databases, especially periodicals, books and theses.

    Results:

    The logical-reflective exhibition focuses on two fundamental aspects: 1) Florence Nightingale’s legacy as a social entrepreneur; 2) The evolution of Brazilian nursing: from modernity to contemporaneity.

    Final considerations:

    Florence Nightingale’s legacy is undeniable with regard to the evolution of modern and contemporary nursing and transcends different areas of knowledge. In addition to being a precursor to modern nursing, it is distinguished by its visionary attitude, humanitarian social value and potential for transforming the paths and realities present in the Contemporary Era.

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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.
  • 07-26-2021

    Impact of clinical supervision on job satisfaction and emotional competence of nurses

    Revista Brasileira de Enfermagem. 2021;74(6):e20210125

    Abstract

    Impact of clinical supervision on job satisfaction and emotional competence of nurses

    Revista Brasileira de Enfermagem. 2021;74(6):e20210125

    DOI 10.1590/0034-7167-2021-0125

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    ABSTRACT

    Objective:

    To evaluate the impact of implementing the SafeCare clinical supervision model on nurses’ job satisfaction and emotional competence profile.

    Methods:

    This is a quasi-experimental study, with a sample of 28 nurses from a hospital in northern Portugal. A self-administered questionnaire was applied, used as pre and post-test, which included: sociodemographic and professional characterization; “Job Satisfaction Scale”; and “Veiga Emotional Competence Scale”. We conducted descriptive statistical analysis and the Wilcoxon Test.

    Results:

    A significant decrease in the nurses’ satisfaction with hierarchical superior was observed in the post-test. No significant differences were found in the nurses’ job satisfaction and emotional competence after the implementation of the SafeCare Model.

    Conclusion:

    The SafeCare Model needs improvement, suggesting increasing the amount of training time administered to nurses and strengthening the healthcare institution’s link to the Model.

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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 ARTICLE07-31-2020

    Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study

    Revista Brasileira de Enfermagem. 2020;73:e20180996

    Abstract

    ORIGINAL ARTICLE

    Factors associated with normal and cesarean delivery in public and private maternity hospitals: a cross-sectional study

    Revista Brasileira de Enfermagem. 2020;73:e20180996

    DOI 10.1590/0034-7167-2018-0996

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    ABSTRACT

    Objectives:

    to investigate the factors associated with the mode of delivery in pregnant women in the city of Belo Horizonte.

    Methods:

    cross-sectional study developed with data from the study “Being born in Belo Horizonte: survey on childbirth and birth” carried out in seven maternity hospitals in Belo Horizonte – Minas Gerais. The final sample consisted of 1088 pregnant/postpartum women. In this study, to verify the magnitude of the association between the outcome variable and its possible determinants (exposure variables) logistic regression models were constructed to estimate the Odds Ratio.

    Results:

    increasing age, the lack of companionship, the hospital’s private financing for performing delivery and being a first-time pregnant woman increased the chance of delivery by cesarean section.

    Final Considerations:

    the knowledge of factors associated with the prevalence of cesarean sections can support reflections among health professionals about this surgical procedure in certain situations, especially when there are no precise clinical indications.

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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.
  • REVIEW07-06-2020

    Middle-Range Theory for the Nursing Diagnosis of Low Self-Efficacy in Health

    Revista Brasileira de Enfermagem. 2020;73(5):e20190370

    Abstract

    REVIEW

    Middle-Range Theory for the Nursing Diagnosis of Low Self-Efficacy in Health

    Revista Brasileira de Enfermagem. 2020;73(5):e20190370

    DOI 10.1590/0034-7167-2019-0370

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    ABSTRACT

    Objectives:

    theoretical validation of the concept of low self-efficacy in health as a nursing diagnosis construct.

    Methods:

    construction of a middle-range theory for validating diagnoses, comprised of five stages: definition of the approach for building the theory; definition of the main concepts; creation of a pictorial diagram; formulation of proposals; establishment of causal relationships and evidence for clinical practice. The main concepts were identified through a literature review and the studies were taken from the LILACS, SCOPUS, CINAHL and PubMed/MEDLINE databases. The final sample was comprised of 92 articles.

    Results:

    eighteen etiological factors and 16 clinical indicators were identified; characterized as antecedents and manifestations for inferring a diagnosis of low self-efficacy in health.

    Conclusions:

    the related concepts of the new nursing diagnosis of low self-efficacy in health, to be applied in clinical nursing practice, were identified and defined.

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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.
    Middle-Range Theory for the Nursing Diagnosis of Low Self-Efficacy in Health
  • ORIGINAL ARTICLE03-09-2020

    Assessment of premature mortality for noncommunicable diseases

    Revista Brasileira de Enfermagem. 2020;73(2):e20180440

    Abstract

    ORIGINAL ARTICLE

    Assessment of premature mortality for noncommunicable diseases

    Revista Brasileira de Enfermagem. 2020;73(2):e20180440

    DOI 10.1590/0034-7167-2018-0440

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    ABSTRACT

    Objectives:

    to analyze premature mortality and Potential Years of Life Lost by noncommunicable diseases in a city in the countryside of São Paulo from 2010 to 2014.

    Methods:

    ecological study of temporal tendency, using secondary source. For analysis, the premature mortality coefficient and the Potential Years of Life Lost indicator were used.

    Results:

    males had the highest premature mortality rate due to cardiovascular disease, with 213.04 deaths per 100 thousand inhabitants, followed by neoplasms, with 188.44. In women, there was an inversion with 134.22 deaths from cancer and 110.71 deaths from cardiovascular disease. Regarding Potential Years of Life Lost, males had an average of 12.19 years lost by death and females of 13.45 years lost.

    Conclusions:

    the results reinforce the need to increase public health prevention and promotion policies to reduce premature deaths, especially among men.

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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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