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ORIGINAL ARTICLE10-21-2022
“EMPODEREENF”: construction of an application for nurses’ continuing education on psychological violence against women
Revista Brasileira de Enfermagem. 2022;75(5):e20200391
Abstract
ORIGINAL ARTICLE“EMPODEREENF”: construction of an application for nurses’ continuing education on psychological violence against women
Revista Brasileira de Enfermagem. 2022;75(5):e20200391
DOI 10.1590/0034-7167-2020-0391
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Objective:
to construct a prototype of a mobile application on psychological violence against women to facilitate nurses’ continuing education.
Method:
an applied methodological research of technological development, based on the Contextualized Instructional Design method.
Results:
the prototype content was based on the learning objectives developed through a narrative review, which guided an integrative review to compile the information. The prototype is called “EmpodereEnf”, and is composed of an initial screen, bringing nurses as a target audience, and, soon after, offering nine general moblets for access to information such as: concepts, causes, manifestations and consequences of psychological violence; means for identification and approach in nursing consultation and health education; compulsory notification and referral; examples of cases of psychological violence and references.
Final considerations:
the prototype is a possibility for future coping interventions and a work tool for nurses in the face of psychological violence against women.
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ORIGINAL ARTICLE10-21-2022
Management in the Family Health Strategy: workloads and structured institutional violence
Revista Brasileira de Enfermagem. 2022;75(3):e20220071
Abstract
ORIGINAL ARTICLEManagement in the Family Health Strategy: workloads and structured institutional violence
Revista Brasileira de Enfermagem. 2022;75(3):e20220071
DOI 10.1590/0034-7167-2022-0071
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Objectives:
to understand the relationship between workloads and institutional violence in Family Health Strategy managers’ practice.
Methods:
qualitative research using theoretical triangulation and data from semi-structured interviews. Participants were 35 managers of Basic Health Units in the five Regions of Brazil, who worked in the Family Health Strategy. We used thematic analysis and ATLAS.ti for data analysis.
Results:
workloads were analyzed, showing relationships with institutional violence. Thematic categories emerged: “related to the management work itself”; “related to other instances of health system management”; “related to users and community”. There was an interrelationship between increased managers’ workloads and institutional violence.
Final Considerations:
the Family Health Strategy is relevant for universal access to health and requires favorable institutional conditions for its effectiveness. Adverse scenarios lead to increased workloads, approaching institutional violence.
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ORIGINAL ARTICLE10-21-2022
Self-care deficit among older men in the COVID-19 pandemic: implications for nursing
Revista Brasileira de Enfermagem. 2022;75:e20210933
Abstract
ORIGINAL ARTICLESelf-care deficit among older men in the COVID-19 pandemic: implications for nursing
Revista Brasileira de Enfermagem. 2022;75:e20210933
DOI 10.1590/0034-7167-2021-0933
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Objectives:
to analyze self-care deficit among older men in the COVID-19 pandemic in Brazil and to discuss the implications for nursing practice.
Methods:
web survey, multicentric, qualitative. A total of 120 older men participated, applying a form from April to June 2020 and April to August 2021. Reflective Thematic Analysis, interpreted by Orem’s Self-Care Deficit Theory, was used.
Results:
temporally, the self-care of older men was manifested in the self-care requirements – affective bonds, self-care for development – meditation and self-care with health deviations – remote consultations. Fully, partially compensatory, educational/support systems mobilized self-care.
Final Considerations:
as care managers, nurses can strengthen the support network for older men by activating professionals from the multidisciplinary team, family members, caregivers and the community to promote self-care and correct health deviations in times of crisis.
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ORIGINAL ARTICLE10-21-2022
Circle dance: integrative and complementary practice in the daily health promotion for older adults
Revista Brasileira de Enfermagem. 2022;75:e20210003
Abstract
ORIGINAL ARTICLECircle dance: integrative and complementary practice in the daily health promotion for older adults
Revista Brasileira de Enfermagem. 2022;75:e20210003
DOI 10.1590/0034-7167-2021-0003
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Objectives:
to understand circle dance as an integrative and complementary practice for health promotion in older adults’ daily lives.
Methods:
an interpretive, qualitative study, based on Michel Maffesoli’s Comprehensive Sociology of Everyday Life. There were 20 participants, 17 older adults and three focalizers in circles held in Basic Health Units in a municipality in southern Brazil. Data were collected through interviews and observation, between September 2016 and March 2017, and analyzed through preliminary analysis, ordering, key links, coding and categorization.
Results:
three categories emerged that express the daily life of circle dance with older adults: circles that spin; challenges for new circles to spin; entering, being and staying in the circle.
Final Considerations:
circle dance provided older adults with a feeling of belonging to a group, combined with pleasure and well-being, contributing to promotion of older adults’ health.
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ORIGINAL ARTICLE10-18-2022
Knowledge about antineoplastic drugs: implications for the health of nursing workers in a general hospital
Revista Brasileira de Enfermagem. 2022;75(3):e20210025
Abstract
ORIGINAL ARTICLEKnowledge about antineoplastic drugs: implications for the health of nursing workers in a general hospital
Revista Brasileira de Enfermagem. 2022;75(3):e20210025
DOI 10.1590/0034-7167-2021-0025
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Objectives:
to understand, from a worker’s health perspective, the knowledge of nursing professionals about the use of antineoplastic drugs in a general hospital.
Methods:
a descriptive and exploratory study with a qualitative approach. It was conducted at a university hospital, between April and August 2018, with 35 nursing professionals who responded to a semi-structured interview. Thematic analysis was used for data treatment.
Results:
from the data, three thematic categories emerged, related to the nursing professionals’ knowledge about antineoplastic drugs and their effects on workers’ health; situations in which exposure to these drugs occurs; and protection mechanisms for the patient, the environment, and the worker.
Final Considerations:
the nursing professionals had little knowledge about antineoplastic drugs. The practices related to handling and the necessary protective measures to deal with these drugs were empirically determined and relatively subsidized the knowledge acquired by the professionals.
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ORIGINAL ARTICLE10-18-2022
Opinions of healthcare students on organ and tissue donation for transplantation
Revista Brasileira de Enfermagem. 2022;75(3):e20210001
Abstract
ORIGINAL ARTICLEOpinions of healthcare students on organ and tissue donation for transplantation
Revista Brasileira de Enfermagem. 2022;75(3):e20210001
DOI 10.1590/0034-7167-2021-0001
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Objectives:
to analyze the opinions of healthcare students on organ and tissue donation for transplantation.
Methods:
qualitative document analysis study, using the records of a database and analyzing data from two perspectives: 1) Lexical analysis, with the IRAMUTEQ software, and 2) Thematic content analysis.
Results:
from the analysis, 3 main categories were generated: 1) Organ and tissue donation as an act of love for others and an opportunity of a new beginning; 2) Clarification and awareness on organ and tissue donation; and 3) Importance of communicating the family and promoting organ and tissue donation.
Final Considerations:
despite being in favor of donation, students also recognize the presence of social taboos; the discussion in the family nucleus, promoting the theme and raising awareness in society are considered important. Additionally, the education of students is one of the possibilities of intervention for the issue.
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ORIGINAL ARTICLE10-18-2022
Being ethical and bioethical in daily life of primary health care: nurses’ perceptions
Revista Brasileira de Enfermagem. 2022;75(3):e20210093
Abstract
ORIGINAL ARTICLEBeing ethical and bioethical in daily life of primary health care: nurses’ perceptions
Revista Brasileira de Enfermagem. 2022;75(3):e20210093
DOI 10.1590/0034-7167-2021-0093
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Objectives:
to understand the perceptions of ethics and bioethics and how to be ethical and bioethical in daily life of Primary Health Care, from the perspective of nurses.
Methods:
this is a Holistic-qualitative Multiple Case Study, based on Comprehensive Everyday Sociology, with 54 participants.
Results:
two subcategories and the category Being ethical and bioethical in daily life of PHC: nurses’ perceptions emerged. The ethical and bioethical being permeates a subjective and abstract self, whose fears, anxieties and concerns are intertwined with the human and professional dimensions in daily work and in personal-professional relationship. Ethics and bioethics perceptions emerge from subjectivity, established relationships, lived experiences and daily actions of nurses essential to the profession, professionals and individuals to be cared for.
Final Considerations:
ethical and bioethical perceptions and attitudes are essential to care, management and organizational actions, health care, and the safety of users and professionals.
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ORIGINAL ARTICLE10-18-2022
Breast cancer screening program for risk groups: facts and perspectives
Revista Brasileira de Enfermagem. 2022;75(3):e20210050
Abstract
ORIGINAL ARTICLEBreast cancer screening program for risk groups: facts and perspectives
Revista Brasileira de Enfermagem. 2022;75(3):e20210050
DOI 10.1590/0034-7167-2021-0050
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Objectives:
to measure the frequency and compliance of breast cancer screening, according to the risk for this disease.
Methods:
a cross-sectional study with 950 female users of 38 public Primary Health Care services in São Paulo, between October and December 2013. According to UHS criteria, participants were grouped into high risk and standard risk, and frequency, association (p≤0.05), and screening compliance were measured.
Results:
6.7% had high risk and 93.3% standard risk, respectively; in these groups, the frequency and compliance of clinical breast examination were 40.3% and 37.1%, and 43.5% and 43.0% (frequency p=0.631, compliance p=0.290). Mammograms were 67.7% and 35.5% for participants at high risk, and 57.4% and 25.4% for those at standard risk (frequency p=0.090, compliance p=0.000).
Conclusions:
in the groups, attendance and conformity of the clinical breast exam were similar; for mammography, it was higher in those at high risk, with assertiveness lower than the 70% set in UHS.
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ORIGINAL ARTICLE10-21-2019
Religious/spiritual coping and spiritual distress in people with cancer
Revista Brasileira de Enfermagem. 2019;72(6):1534-1540
Abstract
ORIGINAL ARTICLEReligious/spiritual coping and spiritual distress in people with cancer
Revista Brasileira de Enfermagem. 2019;72(6):1534-1540
DOI 10.1590/0034-7167-2018-0585
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Objective:
To investigate the relation between the presence of spiritual distress and use of RSC and sociodemographic, clinical and religious/spiritual variables in people with cancer.
Method:
Cross-sectional study conducted in an association for support to people with cancer. The data obtained with the tools were analyzed using the Spearman‘s correlation coefficient and the Mann-Whitney Test.
Results:
129 volunteers participated in the study, of which 57% showed moderate spiritual distress, 96% used medium and high positive religious/spiritual coping. Spiritual distress showed positive correlation with negative religious/spiritual coping (P<0.001) and inverse correlation with age (p 0.002). The use of positive religious coping was statistically significant in people who have religious practices (p 0.001).
Conclusão:
Spiritual distress is a phenomenon that is present in the lives of people with cancer and has significant relation with the use, in a negative manner, of religion/spirituality as a way of coping with the disease.
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ORIGINAL ARTICLE09-16-2019
Social incentives for adherence to tuberculosis treatment
Revista Brasileira de Enfermagem. 2019;72(5):1182-1188
Abstract
ORIGINAL ARTICLESocial incentives for adherence to tuberculosis treatment
Revista Brasileira de Enfermagem. 2019;72(5):1182-1188
DOI 10.1590/0034-7167-2017-0654
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Objective:
To analyze the influence of social incentives for adherence to tuberculosis (TB) treatment.
Method:
Qualitative study, in which 26 primary health care professionals of São Paulo were interviewed in 2015.Their testimonies were submitted to the speech analysis technique. The theoretical reference was the social determination of the health-disease process. Ethical procedures were observed.
Results:
TB is related to precarious living conditions. Incentives such as the basic food basket and transportation stipends are relevant for patients’ adherence to treatment, as well as to the create bonds between the patient and the health team.
Final considerations:
The incentives strengthened adherence to TB treatment. However, interventions in the context of public measures must transcend the remedial dimension and be guided towards the transformation of the TB situation, which means supporting processes that modify living conditions.
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ORIGINAL ARTICLE07-01-2020
Homeless population: characterization and contextualization by census research
Revista Brasileira de Enfermagem. 2020;73(5):e20190236
Abstract
ORIGINAL ARTICLEHomeless population: characterization and contextualization by census research
Revista Brasileira de Enfermagem. 2020;73(5):e20190236
DOI 10.1590/0034-7167-2019-0236
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Objectives:
to analyze characteristics of homeless people and factors associated with living on the streets.
Methods:
a census-type sectional survey carried out between 2015 and 2018, in the municipality of Maringá-Paraná. A total of 701 homeless answered a structured questionnaire with sociodemographic data, living conditions, and drug use. We used Pearson’s correlation test for the association analysis of the variables at a 95% confidence level.
Results:
men (90.7%) the average age of 37.7 years had been homeless for an average of 5.39 years. Most had little education (54.2%), and homelessness was due to drug use (47.2%) and family disagreements (38.9%).
Conclusions:
drug use and family disagreements were the main reasons for homelessness. Time on the street, gender, and drugs were associated with a negative correlation to be homeless; and age, mean daily income, the number of daily meals, having been in prison, and having an income source were associated with positive correlation.
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REFLECTION05-03-2021
Florence Nightingale’s theory and her contributions to holistic critical thinking in nursing
Revista Brasileira de Enfermagem. 2021;74(2):e20200139
Abstract
REFLECTIONFlorence Nightingale’s theory and her contributions to holistic critical thinking in nursing
Revista Brasileira de Enfermagem. 2021;74(2):e20200139
DOI 10.1590/0034-7167-2020-0139
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Objective:
to reflect on Florence Nightingale’s legacy and describe her contributions to critical holistic thinking in nursing.
Methods:
this is a theoretical reflection, for which scientific productions on Florence Nightingale’s environmental theory, as published in national and international journals, were based.
Results:
Florence Nightingale’s philosophy and teachings emphasize that the nurse must use her brain, heart and hands to create healing environments to care for the patient’s body, mind and spirit. Nursing, since the time of Nightingale, has been building the holistic paradigm, in all schools of thought, with a view to a humanistic approach to the human being in their indivisible relationship with the environment.
Final considerations:
Florence’s contributions to holistic critical thinking in nursing are evident, constituting nurses’ differential in clinical practice.
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REVIEW06-26-2023
Barriers to Pre-Exposure Prophylaxis (PrEP) use for HIV: an integrative review
Revista Brasileira de Enfermagem. 2023;76(3):e20210963
Abstract
REVIEWBarriers to Pre-Exposure Prophylaxis (PrEP) use for HIV: an integrative review
Revista Brasileira de Enfermagem. 2023;76(3):e20210963
DOI 10.1590/0034-7167-2021-0963
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Objectives:
to identify and synthesize scientific evidence on the barriers and difficulties for Pre-exposure Prophylaxis (PrEP) use and compliance for HIV.
Methods:
an integrative literature review, using the MEDLINE/PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Academic Search Premier and Scopus (Elsevier) databases.
Results:
all (100%) the articles included identified that PrEP users experience some type of structural barrier related to health services such as long distance from the units, suboptimal logistics for taking pills and professional resistance to prescribing PrEP. Furthermore, 63.21% identified social barriers, such as stigma about sexuality and HIV, in addition to individual barriers such as alcohol use, adverse effects, and concerns about long-term toxicity.
Conclusions:
the barriers to PrEP use are multifactorial. Effective interventions are needed to support PrEP users in accessing, complying with, and retaining health services.
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11-13-2020
Fear of childbirth in time of the new coronavirus pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200551
Abstract
Fear of childbirth in time of the new coronavirus pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200551
DOI 10.1590/0034-7167-2020-0551
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Objective:
Reflect on how the new coronavirus pandemic triggered or accentuated the fear of childbirth in pregnant women and affected childbirth care practices.
Methods:
Reflective analysis of women’s pregnancy and childbirth experiences during the current pandemic, supported by the latest scientific evidence and recommendations on the topic.
Results:
Pregnancy and childbirth are life-changing events for women, but during the new coronavirus pandemic, fear and uncertainty have taken on an unprecedented dimension in the negative way that many pregnant women have anticipated and experienced childbirth.
Final considerations:
The current period has accentuated a chronic problem: a paternalistic system of health institutions in the approach to childbirth, dense with additional levels of fear in pregnant women. In this context, addressing the fear of childbirth means not giving up the promotion of safe and positive birth experiences for women.
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EXPERIENCE REPORT10-26-2020
Brazilian Nursing Process Research Network contributions for assistance in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200798
Abstract
EXPERIENCE REPORTBrazilian Nursing Process Research Network contributions for assistance in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200798
DOI 10.1590/0034-7167-2020-0798
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Objective:
to describe the theoretical construction process of nursing process support documents in COVID-19 care scenarios.
Methods:
an experience report of the joint activity of the Brazilian Nursing Process Research Network (Rede de Pesquisa em Processo de Enfermagem) composed of Higher Education and Health Institution researchers in Brazil.
Results:
five instruments were organized collectively, involving the elements of nursing practice (nursing diagnoses, outcomes and interventions) in assistance for community; for patients (with suspected or mild, moderate, and critical COVID-19 and residents in Nursing Homes); for nursing workers’ health support, also subsidizing registration and documentation during the COVID-19 pandemic.
Final considerations:
valuing the phenomena manifested by families/communities, patients and health professionals is essential for early detection, intervention, and prevention of diseases.
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01-29-2021
Domestic violence against women amidst the pandemic: coping strategies disseminated by digital media
Revista Brasileira de Enfermagem. 2021;74:e20200631
Abstract
Domestic violence against women amidst the pandemic: coping strategies disseminated by digital media
Revista Brasileira de Enfermagem. 2021;74:e20200631
DOI 10.1590/0034-7167-2020-0631
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Objective:
to know the strategies to cope with domestic violence against women disseminated by digital media at the beginning of the COVID-19 pandemic.
Methods:
a documentary study with a qualitative approach. The search took place from March 11 to April 30, 2020, from four sources: newspapers and online portals, social network, official government pages and third sector portals. Thematic content analysis of the findings was performed.
Results:
seventy-seven strategies were identified in the journalistic press, 93 in the social network, 45 in government portals and 40 in third sector organizations. From analysis, three empirical categories emerged: Strategies for communication with women; Strategies adopted by customer service; Strategies to inform the population.
Final considerations:
most of strategies were adaptations of existing services, centered on the reporting of violence by women
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