Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE11-28-2023

    Nursing protocol in chronic kidney disease prevention in older adults in primary care

    Revista Brasileira de Enfermagem. 2023;76(1):e20220052

    Abstract

    ORIGINAL ARTICLE

    Nursing protocol in chronic kidney disease prevention in older adults in primary care

    Revista Brasileira de Enfermagem. 2023;76(1):e20220052

    DOI 10.1590/0034-7167-2022-0052

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    ASBTRACT

    Objectives:

    to develop a protocol for Nursing Process operationalization in approaching older adults with vulnerability to chronic kidney disease in Primary Health Care, based on Neuman’s stressors.

    Methods:

    a methodological study, carried out in two stages: 1) synthesis of evidence using an inductive strategy (mixed method study) and 2) protocol development to support the nursing process operationalization with older adults enrolled in a Basic Health Unit, using a deductive strategy (Neuman’s stressor concepts, NANDA, NIC, and NOC taxonomies, Risner’s line of reasoning, and cross-mapping), described according to A Step-by-Step Guide to Developing Protocols.

    Results:

    102 older adults participated, and 17 diagnoses, 34 interventions and 26 nursing outcomes were identified.

    Conclusions:

    the protocol developed is a technology that makes it possible to operationalize the Nursing Process, based on Neuman’s stressors and on taxonomy, conceptual and care frameworks, guiding care and nursing records.

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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 protocol in chronic kidney disease prevention in older adults in primary care
  • ORIGINAL ARTICLE11-28-2023

    The Chronic Care Model and its implications for Specialized Outpatient Care

    Revista Brasileira de Enfermagem. 2023;76(1):e20210315

    Abstract

    ORIGINAL ARTICLE

    The Chronic Care Model and its implications for Specialized Outpatient Care

    Revista Brasileira de Enfermagem. 2023;76(1):e20210315

    DOI 10.1590/0034-7167-2021-0315

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    ABSTRACT

    Objective:

    to assess the Chronic Care Model implementation in Specialized Outpatient Care and its repercussions for health care.

    Methods:

    qualitative evaluative research, conducted by the Chronic Care Model. We used observation techniques, document analysis and interviews with 21 health professionals from specialized care. Analysis was conducted by triangulation, with the aid of MAXQDA software for initial and focused coding. All ethical aspects were respected.

    Results:

    professionals recognized that the model reorganized service care and administrative practices, presenting positive repercussions for the health of people assisted. The absence of continuing education for service professionals compromised the complete model implementation.

    Final considerations:

    the implementation, even if partial, of the model brings contributions to service improvement. The weaknesses that are still present are compatible with professionals’ difficulty in distancing themselves from the biomedical 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.
    The Chronic Care Model and its implications for Specialized Outpatient Care
  • ORIGINAL ARTICLE11-28-2023

    Effects of the COVID-19 pandemic on nurses’ psychological well being in an emergency room

    Revista Brasileira de Enfermagem. 2023;76:e20220171

    Abstract

    ORIGINAL ARTICLE

    Effects of the COVID-19 pandemic on nurses’ psychological well being in an emergency room

    Revista Brasileira de Enfermagem. 2023;76:e20220171

    DOI 10.1590/0034-7167-2022-0171

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    ABSTRACT

    Objectives:

    to assess the level of anxiety of nurses in an emergency room in view of the new Coronavirus and describe the relationship between the degrees of anxiety and their sociodemographic variables.

    Methods:

    quantitative descriptive-correlational study with a sample of 60 nurses. A questionnaire was used as a data collection instrument based on the Hamilton Anxiety Assessment Scale.

    Results:

    the nurses’ average anxiety is mild. A statistically significant relationship was found between anxiety and the variables “sex” and “children”, with women having higher levels of anxiety than men, and nurses who do not have children showing mild, moderate, or severe anxiety.

    Conclusions:

    COVID-19 triggers anxiety in nurses, sometimes at pathological levels. Being female and not having children increase the anxiety experienced. Sex can be considered the determining factor for the level of anxiety experienced.

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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 ARTICLE11-28-2023

    Construction and validation of an algorithm for disinfection of ambulances transporting patients with contagious infectious diseases

    Revista Brasileira de Enfermagem. 2023;76:e20220081

    Abstract

    ORIGINAL ARTICLE

    Construction and validation of an algorithm for disinfection of ambulances transporting patients with contagious infectious diseases

    Revista Brasileira de Enfermagem. 2023;76:e20220081

    DOI 10.1590/0034-7167-2022-0081

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    ABSTRACT

    Objectives:

    to develop and validate an algorithm to guide professionals in cleaning and disinfecting ambulances after transferring patients with contagious infectious diseases.

    Methods:

    the study was conducted between September and November 2021. The developed algorithm was validated by 104 judges, including nurses, physical therapists, and physicians who care for patients with contagious infectious diseases. It used the Delphi technique and content validity index.

    Results:

    in the first evaluation, the judges considered the algorithm “unsuitable” and “fully suitable”. The algorithm reviewed according to the judges’ suggestions was rated between “suitable” and “fully suitable” in the second evaluation. The overall content validity index was 0.960 and 0.998 in the first and second evaluations.

    Conclusions:

    the algorithm to guide the cleaning and disinfection of ambulances after transferring patients with contagious infectious diseases was developed and validated by specialists in the field, with consensus among the judges in the second evaluation.

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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.
    Construction and validation of an algorithm for disinfection of ambulances transporting patients with contagious infectious diseases
  • ORIGINAL ARTICLE11-28-2023

    Geospatialization of tuberculosis and income transfer programs among Indigenous peoples in an endemic territory

    Revista Brasileira de Enfermagem. 2023;76:e20220216

    Abstract

    ORIGINAL ARTICLE

    Geospatialization of tuberculosis and income transfer programs among Indigenous peoples in an endemic territory

    Revista Brasileira de Enfermagem. 2023;76:e20220216

    DOI 10.1590/0034-7167-2022-0216

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    ABSTRACT

    Objective:

    To analyze the spatial pattern of tuberculosis in Indigenous peoples from the State of Pará and its correlation with income transfer.

    Methods:

    Ecological study, with 340 cases reported in Indigenous peoples in the State of Pará, Brazil, in the period 2016-2020. The study performed a descriptive analysis and calculation of incidence rates with smoothing by the local empirical Bayesian method. The Global Moran index assessed the autocorrelation of the rates with income transfer data, p<0,05.

    Results:

    The Marajó and metropolitan mesoregions of Belém had the highest tuberculosis rates, and a reduced number of people benefited from income transfer (high-low correlation). The study identified high rates, and a significant number of people benefited from financial aid (high correlation high), I=0.399, p=0.027 in the Southwest.

    Conclusions:

    The spatial autocorrelation between tuberculosis and access to income transfer programs constitutes a relevant subsidy for the formulation of social protection policies and may impact the disease control actions in Indigenous territories, valuing the epidemiological heterogeneity identified in the mesoregions.

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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.
    Geospatialization of tuberculosis and income transfer programs among Indigenous peoples in an endemic territory
  • ORIGINAL ARTICLE11-28-2023

    Remote consultation with people with eating disorders during the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76:e20220197

    Abstract

    ORIGINAL ARTICLE

    Remote consultation with people with eating disorders during the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76:e20220197

    DOI 10.1590/0034-7167-2022-0197

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    ABSTRACT

    Objectives:

    to analyze subjective experiences related to adaptation to remote care by users with eating disorders during the COVID-19 pandemic.

    Methods:

    a descriptive study with a qualitative approach conducted with users of an eating disorders outpatient clinic. A semi-structured remote interview was applied using the Google Meet application. The data were submitted to lexical analysis using ALCESTE software and discussed in the light of scientific evidence.

    Results:

    the remote appointment is a positive strategy but not a substitute for the face-to-face modality. The research cited financial savings, closer contact with professionals, and flexibility of service schedules as advantages. It pointed out the difficulty in clinical evaluation concerning weight, vital signs, and poor mastery of technology as limitations.

    Final Considerations:

    the study induces discussion about the systematization of remote care, which, during the COVID-19 pandemic, were responsible for providing a greater sense of support to people with eating disorders.

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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.
  • 11-28-2023

    Efeitos da pandemia de COVID-19 no bem-estar psicológico dos enfermeiros de um serviço de urgência

    Revista Brasileira de Enfermagem. 2023;76:e20220171

    Abstract

    Efeitos da pandemia de COVID-19 no bem-estar psicológico dos enfermeiros de um serviço de urgência

    Revista Brasileira de Enfermagem. 2023;76:e20220171

    DOI 10.1590/0034-7167-2022-0171

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    RESUMEN

    Objetivos:

    evaluar nivel de ansiedad de enfermeros de un servicio de urgencia frente al nuevo coronavirus y describir la relación entre niveles de ansiedad y variables sociodemográficas.

    Métodos:

    estudio cuantitativo descriptivo-correlacional con una muestra de 60 enfermeros. Recorrido a la aplicación de una encuesta como instrumento de recolecta de datos basándose en la Escala de Evaluación de Ansiedad de Hamilton.

    Resultados:

    el escore mediano de ansiedad de los enfermeros es leve. Verificado que hay una relación estadísticamente significante entre la ansiedad y la variable “sexo” e “hijos”, con mujeres presentando niveles de ansiedad superiores a los hombres y los enfermeros sin hijos presentando niveles de ansiedad leve, moderada o severa.

    Conclusiones:

    la COVID-19 desencadena ansiedad en los enfermeros, por veces a niveles patológicos; y ser del sexo femenino y no tener hijos la aumenta. Es posible afirmar que el sexo fue el factor determinante para el nivel de ansiedad experimentado.

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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 ARTICLE11-27-2023

    Mental suffering in family daily life: a temporal journey according to Merleau-Ponty

    Revista Brasileira de Enfermagem. 2023;76(5):e20230258

    Abstract

    ORIGINAL ARTICLE

    Mental suffering in family daily life: a temporal journey according to Merleau-Ponty

    Revista Brasileira de Enfermagem. 2023;76(5):e20230258

    DOI 10.1590/0034-7167-2023-0258

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    ABSTRACT

    Objectives:

    to describe the family’s experience in relation to daily life with a family member experiencing mental suffering.

    Methods:

    a qualitative, descriptive, phenomenological study grounded in Merleau-Ponty’s ontology of experience was conducted in ten households in a city in the state of Bahia, Brazil, where 24 participants of the Intersubjectivity Wheels reside. The descriptions produced were subjected to the Ambiguity Analytics technique.

    Results:

    the descriptions were categorized into: absence as a creative power of the sense of “being” and “not being a family”; and exclusion and acceptance as expressions of mental suffering in the family context.

    Final Considerations:

    the experience of mental suffering in the family’s daily life is marked by ambiguous feelings, such as joy and sadness, disappointment and satisfaction, lack of love and love. However, experiencing these feelings can mobilize the desire to “become” a family, increase the sense of autonomy and independence, and drive the formation of new family configurations.

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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 ARTICLE09-21-2020

    Family management ofchildren who experience sickle cell disease: a qualitative study

    Revista Brasileira de Enfermagem. 2020;73:e20190521

    Abstract

    ORIGINAL ARTICLE

    Family management ofchildren who experience sickle cell disease: a qualitative study

    Revista Brasileira de Enfermagem. 2020;73:e20190521

    DOI 10.1590/0034-7167-2019-0521

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    ABSTRACT

    Objective:

    to know the family management experience of children with sickle cell disease in the light of the Family Management Style Framework.

    Methods:

    a qualitative case study carried out between September/2015 and July/2016 with 12 members of eight families registered in a blood center in Minas Gerais. The semi-structured interviews were recorded, and the data were analyzed and interpreted by the hybrid model thematic analysis.

    Results:

    three management styles were identified: five families in the accommodating style; two families in the struggling style; and only one family in the enduring style.It was noted that empowerment was paramount in the acquisition of skills and abilities to care for these children.

    Final considerations:

    family management knowledge of children with sickle cell disease provided a reflection on nurses’ role in supporting, orienting and encouraging the empowerment of these families aiming at the search for comprehensive 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 ARTICLE09-16-2019

    Spatial analysis on tuberculosis and the network of primary health care

    Revista Brasileira de Enfermagem. 2019;72(5):1197-1202

    Abstract

    ORIGINAL ARTICLE

    Spatial analysis on tuberculosis and the network of primary health care

    Revista Brasileira de Enfermagem. 2019;72(5):1197-1202

    DOI 10.1590/0034-7167-2017-0897

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    ABSTRACT

    Objective:

    to analyze the spatial distribution of new cases of tuberculosis compared to the location of the Primary Healthcare Units that performed the compulsory notification.

    Method:

    ecological study conducted in Belém, Pará, with 5,294 new cases of tuberculosis notified to Sistema de Informação de Agravos de Notificação for the period from 2010 to 2014. The cases were georeferenced using the software applications ArcGis 10.2 and TerraView 4.2.2. The techniques of Kernel density and global Moran geostatistics were used.

    Results:

    the incidence of tuberculosis cases did not vary significantly between the years studied, however there was a variation in incidence between neighborhoods. Health units that exhibited higher number of notifications can suffer great influence of migration from nearby neighborhoods.

    Conclusion:

    the spatial dynamics of tuberculosis associated with health services allows to know the areas with increased risk of tuberculosis and the density of notifications of health units.

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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.
    Spatial analysis on tuberculosis and the network of primary health care
  • 04-16-2021

    Questionnaire for assessing patient safety culture in emergency services: an integrative review

    Revista Brasileira de Enfermagem. 2021;74(2):e20190693

    Abstract

    Questionnaire for assessing patient safety culture in emergency services: an integrative review

    Revista Brasileira de Enfermagem. 2021;74(2):e20190693

    DOI 10.1590/0034-7167-2019-0693

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    ABSTRACT

    Objective:

    to identify the instruments used to assess patient safety culture in emergency settings.

    Method:

    an integrative literature review conducted from 2000 to 2018.

    Results:

    13 instruments were identified to assess patient safety culture in hospital and pre-hospital emergencies, comprising 12 to 50 questions, grouped from three to 12 dimensions, with dimensions related to teamwork, support, and management actions for patient safety and for continuous process improvement and continuing education. The Emergency Medical Service Safety Attitude Questionnaire, which is exclusive for pre-hospital care, stands out.

    Conclusions:

    the choice and the best decision regarding the instrument are linked to the objectives, the environment and the population to be investigated, as well as the instrument’s reliability.

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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.
    Questionnaire for assessing patient safety culture in emergency services: an integrative review
  • 05-21-2021

    Pleasure and suffering in the work of nurses at the oncopediatric hospital unit: qualitative research

    Revista Brasileira de Enfermagem. 2021;74:e20200735

    Abstract

    Pleasure and suffering in the work of nurses at the oncopediatric hospital unit: qualitative research

    Revista Brasileira de Enfermagem. 2021;74:e20200735

    DOI 10.1590/0034-7167-2020-0735

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    ABSTRACT

    Objective:

    To analyze the experiences that generate pleasure and suffering in the work of nurses in an oncopediatric inpatient unit.

    Methods:

    Qualitative, exploratory, descriptive study. Data collection took place from March to May 2018, through interviews with eight nurses in an oncopediatric inpatient unit.

    Results:

    The verbalized experiences of pleasure were the work developed with children, participation in the treatment and cure of patients and the recognition of family members in relation to the work performed. The suffering experiences were palliative care and death of patients, performing invasive procedures and organizing work.

    Final considerations:

    It was possible to analyze the experiences of pleasure and suffering of nurses in an oncopediatric unit through the psychodynamics of work, allowing to reinvent prevention and intervention measures by managers in health/mental illness processes at work.

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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.
  • REVIEW09-21-2020

    Postnatal care of newborns in the family context: an integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190454

    Abstract

    REVIEW

    Postnatal care of newborns in the family context: an integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190454

    DOI 10.1590/0034-7167-2019-0454

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    ABSTRACT

    Objective:

    to analyze the postnatal care practices of newborns in the family context from the scientific literature.

    Methods:

    the searches of the integrative literature review were carried out in the Latin American and Caribbean Literature in Health Sciences (LILACS), Nursing Database (BDENF), Scientific Electronic Library Online (SciELO), and U.S. National Library of Medicine (PubMed) databases.

    Results:

    sixteen studies composed the final sample and, from these, two analytical categories emerged: Practices and doubts of families in postnatal care of newborns; and Best practices in postnatal care of newborns.

    Final considerations:

    several cultural practices of families differ from scientific recommendations, which can generate risks to the health of newborns. Therefore, it is essential to consolidate educational programs with family members, to improve the quality of care offered and to reduce preventable neonatal deaths in different socio-family contexts.

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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.
    Postnatal care of newborns in the family context: an integrative review
  • ORIGINAL ARTICLE03-07-2022

    Predictors of frailty in older people users of Primary Health Care

    Revista Brasileira de Enfermagem. 2022;75:e20201292

    Abstract

    ORIGINAL ARTICLE

    Predictors of frailty in older people users of Primary Health Care

    Revista Brasileira de Enfermagem. 2022;75:e20201292

    DOI 10.1590/0034-7167-2020-1292

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    ABSTRACT

    Objective:

    to identify the prevalence and predictors of frailty in older people in Primary Health Care.

    Method:

    this is a descriptive and correlational study, carried out in a convenience sample of 136 older people in the community. Data were collected through a sociodemographic and clinical questionnaire and frailty phenotype. Student’s t test or U-Mann-Whitney test, chi-square and binary logistic regression were used for data analysis.

    Results:

    the prevalence of frailty was 26.5% (n=36). Frail individuals had older age (p=0.011), worse self-rated health (p=0.001) and lower physical capacity (p<0.001). In the multivariable regression, it was observed that frail individuals had older age (Odds Ratio=1.111; 95% confidence interval=1.026-1.203) and worse physical capacity (Odds Ratio=0.673; 95% confidence interval=0.508-0.893).

    Conclusions:

    the prevalence of frailty in older people in Primary Health Care was considerable. Advanced age and worse physical capacity were the most relevant predictors of frailty in the elderly.

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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.
  • REFLECTION03-24-2021

    Workplace violence: legislation, public policies and possibility of advances for health workers

    Revista Brasileira de Enfermagem. 2021;74(1):e20200335

    Abstract

    REFLECTION

    Workplace violence: legislation, public policies and possibility of advances for health workers

    Revista Brasileira de Enfermagem. 2021;74(1):e20200335

    DOI 10.1590/0034-7167-2020-0335

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    ABSTRACT

    Objectives:

    to discuss specific laws and public policies for workplace violence in the health sector, highlighting possibilities for the collective confrontation of this phenomenon in Brazil.

    Methods:

    this is a reflective and argumentative study that refers to some previous experiences regarding the implementation of legal aspects to curb workplace violence directed at health professionals.

    Results:

    there are experiences regarding the existence of legislation or public policies to specifically contain workplace violence in the health sector, but these are still restricted to some places or countries. The literature provides resources for developing specific strategies for managing this phenomenon, highlighting prevention programs and conducts for case management.

    Final Considerations:

    implementation of legal aspects or public policies at the municipal, regional, state and/or national level is a strategy with potential to confront workplace violence in health services in a collective and sustainable way.

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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.
  • 09-16-2019

    Tuberculosis: knowledge among nursing undergraduate students

    Revista Brasileira de Enfermagem. 2019;72(5):1279-1287

    Abstract

    Tuberculosis: knowledge among nursing undergraduate students

    Revista Brasileira de Enfermagem. 2019;72(5):1279-1287

    DOI 10.1590/0034-7167-2018-0384

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    ABSTRACT

    Objective:

    To analyze the knowledge about tuberculosis among nursing undergraduate students of a Federal Higher Education Institution.

    Method:

    Descriptive cross-sectional study, with quantitative approach. Data were collected through a questionnaire based on the WHO’s guide to developing evaluation instruments on knowledge, attitudes and practices related to TB. Students were classified as “with knowledge” and “with little knowledge” based on the mean percentage of correct responses to the variables analyzed. Descriptive statistics techniques were used.

    Results:

    60 nursing students were interviewed. “with little knowledge” was observed among students who were studying at the university for less time and who had no previous contact with the subject, and “with knowledge” was observed among those whose knowledge about tuberculosis was acquired in the health services.

    Conclusion:

    Knowledge gaps among undergraduate nursing students were identified, suggesting the need to rethink teaching-learning strategies on the subject.

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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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