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ORIGINAL ARTICLE08-26-2024
Factors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units
- Milena Ricioli Ribeiro
, - Marcela de Andrade Pereira Silva ,
- Leticia Furlan de Lima Prates ,
- Rosana Rosseto de Oliveira ,
- Maria Dalva de Barros Carvalho , [ … ],
- Sandra Marisa Pelloso
Abstract
ORIGINAL ARTICLEFactors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(5):e20230172
DOI 10.1590/0034-7167-2023-0172
- Milena Ricioli Ribeiro ,
- Marcela de Andrade Pereira Silva ,
- Leticia Furlan de Lima Prates ,
- Rosana Rosseto de Oliveira ,
- Maria Dalva de Barros Carvalho ,
- Sandra Marisa Pelloso
Views0See moreABSTRACT
Objectives:
to evaluate the factors associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units in Brazil.
Methods:
this ecological study was conducted using secondary data from Brazilian pregnant women with COVID-19 hospitalized in Intensive Care Units between March 2020 and March 2022. Univariate analysis and logistic regression were employed.
Results:
out of 3,547 pregnant women with COVID-19 hospitalized in Intensive Care Units, 811 died (22.8%). It was found that lack of COVID-19 vaccination (OR: 2.73; 95% CI: 1.83; 4.04), dyspnea (OR: 1.73; 95% CI: 1.17; 2.56), obesity (OR: 1.51; 95% CI: 1.05; 2.17), chronic cardiovascular disease (OR: 1.65; 95% CI: 1.14; 2.38), and non-white race/color (OR: 1.29; 95% CI: 1.00; 1.66) were independently and significantly associated with death.
Conclusions:
it is concluded that vaccination status, presence of comorbidities, and clinical and ethnic-racial characteristics are associated with COVID-19 death in pregnant women hospitalized in Intensive Care Units in Brazil.
- Milena Ricioli Ribeiro
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ORIGINAL ARTICLE08-26-2024
Influence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
- Natasha Dejigov Monteiro da Silva ,
- Ana Catharina Herbst ,
- Milena Raquel André ,
- Lilia de Souza Nogueira
Abstract
ORIGINAL ARTICLEInfluence of the leukoreduction moment of blood components on the clinical outcomes of transfused patients in the emergency department
Revista Brasileira de Enfermagem. 2024;77(5):e20230293
DOI 10.1590/0034-7167-2023-0293
- Natasha Dejigov Monteiro da Silva ,
- Ana Catharina Herbst ,
- Milena Raquel André ,
- Lilia de Souza Nogueira
Views0See moreABSTRACT
Objectives:
to investigate the influence of the leukoreduction moment (preor post-storage) of blood components on the clinical outcomes of patients transfused in the emergency department.
Methods:
retrospective cohort study of patients aged 18 years or older who received preor post-storage leukoreduced red blood cell or platelet concentrate in the emergency department and remained in the institution for more than 24 hours. A generalized mixed-effects model was applied in the analyses.
Results:
in a sample of 373 patients (63.27% male, mean age 54.83) and 643 transfusions (69.98% red blood cell), it was identified that the leukoreduction moment influenced the length of hospital stay (p<0.009), but was not dependent on the transfused blood component (p=0.124). The leukoreduction moment had no effect (p>0.050) on transfusion reactions, healthcare-associated infections, or mortality.
Conclusions:
patients who received pre-storage leukoreduced blood components in the emergency department had a shorter length of hospital stay.
- Natasha Dejigov Monteiro da Silva
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ORIGINAL ARTICLE08-26-2024
Leadership styles and personal values of professors at a school of nursing
- Chennyfer Dobbins Abi Rached ,
- Bianca Batista de Siqueira ,
- Bruna Franco Massa ,
- Caroline da Silva Fonseca Paulo ,
- Sofia de Souza Cruz
Abstract
ORIGINAL ARTICLELeadership styles and personal values of professors at a school of nursing
Revista Brasileira de Enfermagem. 2024;77(5):e20230333
DOI 10.1590/0034-7167-2023-0333
- Chennyfer Dobbins Abi Rached ,
- Bianca Batista de Siqueira ,
- Bruna Franco Massa ,
- Caroline da Silva Fonseca Paulo ,
- Sofia de Souza Cruz
Views0See moreABSTRACT
Objectives:
to identify professors’ leadership styles and personal values.
Methods:
a quantitative, descriptive-exploratory study. Population was made up of professors in doctoral category 1 at a public university in the state of São Paulo. Data collection took place from June to August 2021. Sociodemographic characterization was extracted, and the Leadership Team Values Assessment was applied. Data were analyzed using measures of central tendency.
Results:
population included 13 professors. The level that represents authentic leadership was the most prevalent. The commitment, positive attitude and trust values stood out. The level portrayed by visionary leadership was the least identified.
Conclusions:
professors’ personal values provide a theoretical basis for guiding and analyzing professors’ leadership styles. Leadership in the educational context must be recognized and studied to promote a more comprehensive and effective approach to developing and improving educational leaders.
- Chennyfer Dobbins Abi Rached
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EDITORIAL08-19-2024
Sexual abuse, abortion and public health in Brazil: when moral judgment accentuates inequities
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Abstract
EDITORIALSexual abuse, abortion and public health in Brazil: when moral judgment accentuates inequities
Revista Brasileira de Enfermagem. 2024;77:e77suppl0401
DOI 10.1590/0034-7167.202477suppl0401
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Views0Here is an academic-political editorial that aims to call on the scientific field to reflect on the dangers of decisions regarding the right to abortion under moral rules, since there is no evidence that such a perspective translates into practices of care, protection of childhood and gender equity – elements that are so urgent and […]See more - Ricardo de Mattos Russo Rafael
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ORIGINAL ARTICLE08-19-2024
Bioethical issues in the family health strategy: Considerations for nursing care management
- Ieda Carla Almeida dos Santos de Souza Pastana ,
- Gabriela Arantes Wagner ,
- Geisa Colebrusco de Souza Gonçalves ,
- Mariana Cabral Schveitzer
Abstract
ORIGINAL ARTICLEBioethical issues in the family health strategy: Considerations for nursing care management
Revista Brasileira de Enfermagem. 2024;77:e20220818
DOI 10.1590/0034-7167-2022-0818
- Ieda Carla Almeida dos Santos de Souza Pastana ,
- Gabriela Arantes Wagner ,
- Geisa Colebrusco de Souza Gonçalves ,
- Mariana Cabral Schveitzer
Views0See moreABSTRACT
Objective:
To understand the bioethical issues involved in the care management of nurses working in the Family Health Strategy.
Method:
A qualitative study was conducted through five focus groups with 36 nurses selected in the sample. Thematic content analysis was performed based on the bioethical framework, and the synthesis was presented in a conceptual map.
Results:
Bioethical issues were identified in the nursing care practice, related to both specific bioethical themes and the peculiarities of the work. Additionally, challenges and facilitators that interfere with addressing these issues were identified.
Final considerations:
Understanding the bioethical issues involved in the care management of nurses was possible with the theoretical support of different bioethical perspectives. The identified issues relate to persistent and current themes in the field of bioethics. However, some aspects intrinsic to daily practice are still imperceptible to professionals, contributing to the difficulty of discussing bioethics in this care model.
- Ieda Carla Almeida dos Santos de Souza Pastana
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ORIGINAL ARTICLE08-19-2024
The use of individual tracking programs in public health: a bioethics dilemma
- Ricardo Jardim Neiva ,
- João Felício Rodrigues Neto ,
- Ana Paula Oliveira Nascimento Alves ,
- Patrícia de Sousa Fernandes Queiroz ,
- Leila das Graças Siqueira , [ … ],
- Renê Ferreira da Silva-Júnior
Abstract
ORIGINAL ARTICLEThe use of individual tracking programs in public health: a bioethics dilemma
Revista Brasileira de Enfermagem. 2024;77:e20230041
DOI 10.1590/0034-7167-2023-0041
- Ricardo Jardim Neiva ,
- João Felício Rodrigues Neto ,
- Ana Paula Oliveira Nascimento Alves ,
- Patrícia de Sousa Fernandes Queiroz ,
- Leila das Graças Siqueira ,
- Clara Cynthia Melo e Lima ,
- Francisca Souza Santos Dias ,
- Renê Ferreira da Silva-Júnior
Views0See moreABSTRACT
Objective:
to understand the bioethical perspectives on mobile tracking device use.
Methods:
theoretical study based on action research, carried out with eight graduate students from a public university. A focus group was used, with a thematic content analysis methodology with a codebook structure, approved by the Research Ethics Committee.
Results:
from the analysis, there was a concern about using devices after the pandemic ended. Using or not the device, rights inherent to humans, legislation and effectiveness of methods deepen interpretations, moving participants from a personalistic conception of the topic to a vision focused on professional implications about the methods.
Final considerations:
the debate on the impact of using technological devices on health, especially those that imply restriction of rights that refer to individuals’ private life, involves a discussion of a professional nature, in addition to requirement for clear rules on the topic.
- Ricardo Jardim Neiva
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08-19-2024
Abuso sexual, aborto y salud pública en Brasil: cuando el juicio moral acentúa las inequidades
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Abstract
Abuso sexual, aborto y salud pública en Brasil: cuando el juicio moral acentúa las inequidades
Revista Brasileira de Enfermagem. 2024;77:e77suppl0401
DOI 10.1590/0034-7167.202477suppl0401es
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Views0He aquí un editorial académico-político que pretende convocar al campo científico a reflexionar sobre los peligros de decisiones sobre el derecho al aborto bajo reglas morales, ya que no hay evidencia de que tal perspectiva se traduzca en prácticas de cuidado, protección infantil y equidad de género, elementos tan urgentes y necesarios para la enfermería. […]See more - Ricardo de Mattos Russo Rafael
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08-19-2024
Abuso sexual, aborto e saúde pública no brasil: quando o julgamento moral acentua as iniquidades
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Abstract
Abuso sexual, aborto e saúde pública no brasil: quando o julgamento moral acentua as iniquidades
Revista Brasileira de Enfermagem. 2024;77:e77suppl0401
DOI 10.1590/0034-7167.202477suppl0401pt
- Ricardo de Mattos Russo Rafael ,
- Livia Angeli-Silva ,
- Ivone Evangelista Cabral ,
- Roberta Georgia Sousa dos Santos
Views0Eis aqui um editorial acadêmico-político que tem como objetivo convocar o campo científico a refletir sobre os perigos das decisões relativas ao direito ao aborto sob réguas morais, uma vez que não há evidências de que tal perspectiva se traduza em práticas de cuidado, proteção à infância e equidade de gênero – elementos tão urgentes […]See more - Ricardo de Mattos Russo Rafael
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ORIGINAL ARTICLE12-05-2019
ICNP ® nursing diagnoses, outcomes and interventions for community elderly
- Jorge Wilker Bezerra Clares ,
- Maria Miriam Lima da Nóbrega ,
- Maria Vilaní Cavalcante Guedes ,
- Lúcia de Fátima da Silva ,
- Maria Célia de Freitas
Abstract
ORIGINAL ARTICLEICNP ® nursing diagnoses, outcomes and interventions for community elderly
Revista Brasileira de Enfermagem. 2019;72:191-198
DOI 10.1590/0034-7167-2018-0540
- Jorge Wilker Bezerra Clares ,
- Maria Miriam Lima da Nóbrega ,
- Maria Vilaní Cavalcante Guedes ,
- Lúcia de Fátima da Silva ,
- Maria Célia de Freitas
Views0See moreABSTRACT
Objective:
To construct a nomenclature of nursing diagnoses, outcomes and interventions for elderly people under follow-up in the Family Health Strategy by using the International Classification for Nursing Practice and the theoretical reference of Virginia Henderson.
Method:
Methodological study developed according to guidelines of the International Council of Nurses.
Results:
A total of 127 concepts of nursing diagnoses/outcomes were constructed and distributed according to nursing care components in the subcategories of Biological/Physiological, Psychological, Social and Spiritual/Moral components. For these diagnoses, were proposed 551 nursing interventions.
Conclusion:
The concepts constructed may favor integral care for the elderly in the Family Health Strategy and the structuring of a terminological subset for this clientele.
- Jorge Wilker Bezerra Clares
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ORIGINAL ARTICLE12-13-2019
Health behaviors in sexual experiences of women in prison
- Karlayne Reynaux Vieira de Oliveira ,
- Amuzza Aylla Pereira dos Santos ,
- Jovânia Marques de Oliveira e Silva ,
- Maria Elisângela Torres de Lima Sanches ,
- Jessica de Melo Albuquerque , [ … ],
- Marianny Medeiros de Moraes
Abstract
ORIGINAL ARTICLEHealth behaviors in sexual experiences of women in prison
Revista Brasileira de Enfermagem. 2019;72:88-95
DOI 10.1590/0034-7167-2018-0092
- Karlayne Reynaux Vieira de Oliveira ,
- Amuzza Aylla Pereira dos Santos ,
- Jovânia Marques de Oliveira e Silva ,
- Maria Elisângela Torres de Lima Sanches ,
- Jessica de Melo Albuquerque ,
- Marianny Medeiros de Moraes
Views0See moreABSTRACT
Objective:
to describe the health behaviors related to the sexual experiences of women in the female prison system from January to March, 2017.
Method:
descriptive study with a qualitative approach. A semi-structured questionnaire containing mixed questions and patient records was used. The data analysis was performed through the Bardin’s content analysis and adopted as reference the Theory of Basic Human Needs.
Results:
18 women, young, single, brown, with a complete fundamental level participated in the study. After this characterization, two categories were evidenced: Health behaviors in sexual experiences and Health care in the face of sexual experiences. 33.3% reported on health behaviors such as Sexually Transmitted Infections (STIs), 27.7% associated with male condom use, 16.6% on prevention of unwanted pregnancies, 11.1% on health care and hygiene.
Final considerations:
it was evidenced that the health behaviors reported by women in sexual experiences are associated with actions to prevent STIs, use of condoms, unwanted pregnancies, and health and hygiene care. However, it is possible to infer that they understand and possess superficial knowledge about health behaviors and that there is no adoption of regular practice in their sexual experiences.
- Karlayne Reynaux Vieira de Oliveira
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ORIGINAL ARTICLE08-05-2020
Maternal nutritional status in diabetes mellitus and neonatal characteristics at birth
Revista Brasileira de Enfermagem. 2020;73:e20181000
Abstract
ORIGINAL ARTICLEMaternal nutritional status in diabetes mellitus and neonatal characteristics at birth
Revista Brasileira de Enfermagem. 2020;73:e20181000
DOI 10.1590/0034-7167-2018-1000
Views0See moreABSTRACT
Objectives:
to analyze the nutritional status of women with diagnosis of Diabetes mellitus in pregnancy and the newborns’ characteristics in relation to health conditions at birth.
Methods:
transversal study with data from 394 electronic medical charts (197 newborn and 197 mothers), between 2017 and 2018. Descriptive and analytical statistics.
Results:
there was prevalence of women with Gestational Diabetes (78.2%), followed by Type II Diabetes (13.7%) and Type I Diabetes (8.1%), and of term births (85.3%) and cesarean deliveries (54.8%). Type I Diabetes was associated to earlier gestational age at birth (p>0.001) and obesity during pregnancy was associated to higher birth weight of newborns (p=0.024). Clinical complications occurred in 37.6% of newborns. Among complications, Type I Diabetes was associated with respiratory disorder (p=0.005), and prematurity was associated with mother’s overweight/obesity (p=0.010).
Conclusions:
we strongly advise about the need of metabolic and nutritional control during gestations that course with Diabetes mellitus, due occurrence of negative consequences to the newborn´s health at birth.
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ORIGINAL ARTICLE08-14-2020
Social attributes of the male that incite the violence by intimate partner
- Andrey Ferreira da Silva ,
- Nadirlene Pereira Gomes ,
- Álvaro Pereira ,
- Júlia Renata Fernandes de Magalhães ,
- Fernanda Matheus Estrela , [ … ],
- Jordana Brock Carneiro
Abstract
ORIGINAL ARTICLESocial attributes of the male that incite the violence by intimate partner
Revista Brasileira de Enfermagem. 2020;73(6):e20190470
DOI 10.1590/0034-7167-2019-0470
- Andrey Ferreira da Silva ,
- Nadirlene Pereira Gomes ,
- Álvaro Pereira ,
- Júlia Renata Fernandes de Magalhães ,
- Fernanda Matheus Estrela ,
- Anderson Reis de Sousa ,
- Jordana Brock Carneiro
Views0INTRODUCTIONMasculinity can be understood as a set of symbols that structures the ideal identity model for being a man, represented by attributes, functions, values and culturally determined and expected behaviors for people of the male gender. Such attributes have been part of the social construction of male identity since childhood, outlining expected and socially legitimate […]See more - Andrey Ferreira da Silva
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ORIGINAL ARTICLE12-13-2019
The meaning of the care of hospitalized children: experiences of nursing professionals
Revista Brasileira de Enfermagem. 2019;72:251-258
Abstract
ORIGINAL ARTICLEThe meaning of the care of hospitalized children: experiences of nursing professionals
Revista Brasileira de Enfermagem. 2019;72:251-258
DOI 10.1590/0034-7167-2018-0597
Views0See moreABSTRACT
Objective:
to understand the meaning of the care of hospitalized children for the nursing professionals of a pediatric unit.
Method:
phenomenological study, based on the existential phenomenology of Martin Heidegger. Ten nursing professionals were interviewed with the guiding question: “What is the care of hospitalized children for you? Tell me, in detail, your experience with taking care of hospitalized children.”
Results:
the meaning of the care of hospitalized children materializes between the profession and the various ways of preoccupation. By engaging in/worrying about the ways of being of everyday life, the professionals tend to improperness when trying to mediate and level all possibilities of being. However, when they extrapolate reassurance and do not get caught up in themselves, they achieve empathy, respect, and indulgence.
Final Considerations:
it is necessary to reassess the teaching and practice of care, so that authentic care is offered to children and their families in the context of hospitalization.
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REVIEW11-06-2020
Suicide in the elderly: approach to social determinants of health in the Dahlgren and Whitehead model
- Mariana Lustosa de Carvalho ,
- Ana Paula Cardoso Costa ,
- Claudete Ferreira de Souza Monteiro ,
- Maria do Livramento Fortes Figueiredo ,
- Fernanda Valéria Silva Dantas Avelino , [ … ],
- Silvana Santiago da Rocha
Abstract
REVIEWSuicide in the elderly: approach to social determinants of health in the Dahlgren and Whitehead model
Revista Brasileira de Enfermagem. 2020;73:e20200332
DOI 10.1590/0034-7167-2020-0332
- Mariana Lustosa de Carvalho ,
- Ana Paula Cardoso Costa ,
- Claudete Ferreira de Souza Monteiro ,
- Maria do Livramento Fortes Figueiredo ,
- Fernanda Valéria Silva Dantas Avelino ,
- Silvana Santiago da Rocha
Views0See moreABSTRACT
Objective:
Identify in literature the social determinants of health related to suicide in the elderly, according to the model proposed by Dahlgren and Whitehead.
Method:
Integrative review of articles indexed in the databases BDENF, CINAHL, LILACS, and MEDLINE, with the following main descriptors: aged, suicide, social determinants of health, and risk factors. Primary studies were included which addressed social determinants of health and suicide in the elderly.
Results:
From the 19 articles analyzed, three categories emerged: proximal social determinants of health (male gender, mental disorders, physical illnesses, white race, 70-74 years old); intermediate social determinants of health (substance abuse, use of alcohol or psychotropic drugs, marital status, marital, social, and family problems, violence, previous suicide attempt, history of admission to psychiatric service); and distal social determinants of health (schooling, economic issues, sanitation, stressful events).
Conclusion:
Proximal determinants have more effects on suicide. Intermediate determinants are composed mainly of changeable factors. Distal determinants showed lesser associations.
- Mariana Lustosa de Carvalho
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ORIGINAL ARTICLE04-22-2020
Geospatial analysis of births with congenital disorders, Paraná, 2008-2015: ecological study
- Márcia Helena de Souza Freire ,
- Ana Paula de Morais Maia Barros ,
- Luciano de Andrade ,
- Oscar Kenji Nihei ,
- Kátia Biagio Fontes
Abstract
ORIGINAL ARTICLEGeospatial analysis of births with congenital disorders, Paraná, 2008-2015: ecological study
Revista Brasileira de Enfermagem. 2020;73(3):e20180741
DOI 10.1590/0034-7167-2018-0741
- Márcia Helena de Souza Freire ,
- Ana Paula de Morais Maia Barros ,
- Luciano de Andrade ,
- Oscar Kenji Nihei ,
- Kátia Biagio Fontes
Views0See moreABSTRACT
Objective:
analyze the pattern of spatial distribution of the prevalence rate of births with congenital disorders and its relationship with social, economic, health care and environmental indicators in Paraná, Brazil, from 2008 to 2015.
Method:
ecological study with variables extracted from secondary banks, related to the births of children of mothers residing in Paraná, in two quadrennial (2008-2011 and 2012-2015). The analysis of the rates was performed with univariate spatial (Moran) and multivariate approach (Ordinary Least Squares and Geographically Weighted Regression).
Results:
the occurrence of congenital disorders presented a significant association (p<0.05) with: registration in primary care of pregnant women over 20 years of age; urbanization degree; consumption of pesticides; and balance of female formal employment.
Conclusion/Final considerations:
social, health care and environmental variables showed a non-stationary spatial pattern in the analyzed period and influenced positively and negatively the rates.
- Márcia Helena de Souza Freire
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ORIGINAL ARTICLE03-09-2020
Embracement of the person with mental illness at an emergency hospital service: a qualitative research
Revista Brasileira de Enfermagem. 2020;73(2):e20180671
Abstract
ORIGINAL ARTICLEEmbracement of the person with mental illness at an emergency hospital service: a qualitative research
Revista Brasileira de Enfermagem. 2020;73(2):e20180671
DOI 10.1590/0034-7167-2018-0671
Views0See moreABSTRACT
Objectives:
to understand actions of nurses who care for people person with mental illness at a Referenced Emergency Unit in a university hospital.
Methods:
a qualitative research based on Alfred Schütz’s social phenomenology. Data collection was performed between December 2015 and January 2016 through phenomenological interviews with 13 nurses from an Emergency Unit.
Results:
nurses embrace according to their previous experiences. They easily identify biological complaints and, when they recognize psychiatric signs and symptoms, refer them to the psychiatrist. They raise doubts about what to do, so they expect to be qualified for such action, believing that a protocol could help as well as they need more time.
Final considerations:
the understanding of the lived type of nurse who embraces people with mental distress made possible in this study need recognition for research and interventions that focus on biological, psychic and social dimension articulation at embracement.
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