Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE04-09-2020

    High-risk areas of leprosy in Brazil between 2001-2015

    Revista Brasileira de Enfermagem. 2020;73(3):e20180583

    Abstract

    ORIGINAL ARTICLE

    High-risk areas of leprosy in Brazil between 2001-2015

    Revista Brasileira de Enfermagem. 2020;73(3):e20180583

    DOI 10.1590/0034-7167-2018-0583

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    ABSTRACT

    Objectives:

    to identify high-risk areas of leprosy in Brazil from 2001 to 2015.

    Methods:

    this is an ecological study of spatial analysis based on Brazilian municipalities. Spatial scan statistics were used to identify spatial clustering and measure the relative risk from the annual detection rate of new cases of leprosy. By criterion based on the Gini index, only secondary clusters were considered.

    Results:

    spatial scan statistics detected 26 clusters, in which the detection rate was 59.19 cases per 100 thousand inhabitants, while in the remainder of the country it was 11.76. Large part of the cluster area is located in the Legal Amazon. These groups included only 21.34% of the total population, but 60.40% of the new cases of the disease.

    Conclusions:

    Leprosy remains concentrated in some areas, showing the need for control programs to intensify actions in these municipalities.

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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.
    High-risk areas of leprosy in Brazil between 2001-2015
  • REVIEW08-14-2020

    Nursing practice environment in Primary Health Care: a scoping review

    Revista Brasileira de Enfermagem. 2020;73(6):e20190479

    Abstract

    REVIEW

    Nursing practice environment in Primary Health Care: a scoping review

    Revista Brasileira de Enfermagem. 2020;73(6):e20190479

    DOI 10.1590/0034-7167-2019-0479

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    INTRODUCTIONKnowledge and scientific evidence about nursing practice environments (NPE) in the context of Primary Health Care (PHC) is scarce.Policy makers, health and professional organizations have proposed to redesign the health system in PHC with the aim of increasing citizens’ accessibility, improving customer outcomes and maximizing efficiency. […]
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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 practice environment in Primary Health Care: a scoping review
  • ORIGINAL ARTICLE12-13-2019

    Perceptions and expectations of pregnant women about the type of birth

    Revista Brasileira de Enfermagem. 2019;72:41-49

    Abstract

    ORIGINAL ARTICLE

    Perceptions and expectations of pregnant women about the type of birth

    Revista Brasileira de Enfermagem. 2019;72:41-49

    DOI 10.1590/0034-7167-2017-0731

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    ABSTRACT

    Objective:

    to understand the perceptions and expectations of pregnant women about the type of birth.

    Method:

    this is a qualitative research, based on the assumptions of the Humanization of Obstetric Care. 15 pregnant women were interviewed twice at the beginning and the end of gestation between October 2015 and May 2016. Data were analyzed according to the method of the Discourse of the Collective Subject.

    Results:

    the discourses were associated with four themes: Advantages of vaginal birth over cesarean section; Fear and unpredictability of vaginal birth; Importance of the doctor in the definition of the type of birth; and Influence of family and friends in choosing the type of birth.

    Final considerations:

    according to pregnant women, vaginal birth has more benefit compared to cesarean section. However, during gestation and birth, fear of pain and the unexpected, and medical opinions of friends and family against vaginal birth strongly influence the choice of cesarean section.

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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.
  • REVIEW09-30-2020

    Telenursing in care, education and management in Latin America and the Caribbean: an integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190317

    Abstract

    REVIEW

    Telenursing in care, education and management in Latin America and the Caribbean: an integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190317

    DOI 10.1590/0034-7167-2019-0317

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    ABSTRACT

    Objective:

    Analyze the knowledge generated about telenursing related to the roles of nurses (care, education and management) in Latin America and the Caribbean, based on scientific evidence.

    Methods:

    Integrative review, for the years 2009 to 2019, in scientific databases from Latin America and the Caribbean. Twelve articles were selected.

    Results:

    Nine studies focused on care and three on education. The information and communication technology used in the studies was telephony directed toward non-communicable diseases. There were concerns about the remote communication process. With respect to education, two focused on educating health teams and one on educating patients.

    Conclusion:

    It is necessary to conduct studies on telenursing that generate changes in care practices, explore information and communication technology resources and provide communication training focused on this new care 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.
    Telenursing in care, education and management in Latin America and the Caribbean: an integrative review
  • REVIEW04-16-2021

    Clinical outcomes of patient navigation performed by nurses in the oncology setting: an integrative review

    Revista Brasileira de Enfermagem. 2021;74(2):e20190804

    Abstract

    REVIEW

    Clinical outcomes of patient navigation performed by nurses in the oncology setting: an integrative review

    Revista Brasileira de Enfermagem. 2021;74(2):e20190804

    DOI 10.1590/0034-7167-2019-0804

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    ABSTRACT

    Objective:

    to evidence the clinical outcomes of navigation performed by nurses in cancer patients.

    Methods:

    this is an integrative literature review with collection in MEDLINE via PUBMED, LILACS, Web of Science, Scopus, and CINAHL databases. The final sample consisted of seven studies. The data were analyzed and presented descriptively. Data related to clinical outcomes were compiled and described in full. The Agency for Healthcare Research and Quality categorization was used to assess the level of evidence.

    Results:

    the clinical outcomes demonstrated were decreased distress, anxiety and depression, improved control and management of symptoms, improved physical conditioning, improved quality and continuity of care, improved quality of life, reduced time to start treatment.

    Final considerations:

    there is research that shows better clinical outcomes in cancer patients through navigation by nurses across the continuum of health 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.
    Clinical outcomes of patient navigation performed by nurses in the oncology setting: an integrative review
  • ORIGINAL ARTICLE06-29-2020

    Personal Protective Equipment in the coronavirus pandemic: training with Rapid Cycle Deliberate Practice

    Revista Brasileira de Enfermagem. 2020;73:e20200303

    Abstract

    ORIGINAL ARTICLE

    Personal Protective Equipment in the coronavirus pandemic: training with Rapid Cycle Deliberate Practice

    Revista Brasileira de Enfermagem. 2020;73:e20200303

    DOI 10.1590/0034-7167-2020-0303

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    ABSTRACT

    Objective:

    to discuss the application of Rapid Cycle Deliberate Practice for attire and unattire training in the context of COVID-19 and structure a practical guide to the application at this juncture.

    Methods:

    this methodological study described theoretical and practical aspects of the application of a simulation strategy as a technological training tool. An application guide was constructed from the search for evidence from the main health authority bodies in Brazil.

    Results:

    maximizing time in Deliberate Practice, feedback with evidence and psychological security are the principles of this strategy. The dynamic involves repetition and feedback. The application guide presents the sequence of actions for attire and unattire.

    Final considerations:

    coping with this pandemic requires appropriate use of personal protective equipment. The authors suggest the Rapid Cycle Deliberate Practice as a technological educational tool for attire/unattire, since it encourages mastery performance.

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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.
    Personal Protective Equipment in the coronavirus pandemic: training with Rapid Cycle Deliberate Practice
  • ORIGINAL ARTICLE08-19-2019

    Interruptions and nursing workload during medication administration process

    Revista Brasileira de Enfermagem. 2019;72(4):1001-1006

    Abstract

    ORIGINAL ARTICLE

    Interruptions and nursing workload during medication administration process

    Revista Brasileira de Enfermagem. 2019;72(4):1001-1006

    DOI 10.1590/0034-7167-2018-0680

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    ABSTRACT

    Objective:

    To investigate the sources and causes of interruptions during the medication administration process performed by a nursing team and measure its frequency, duration and impact on the team’s workload.

    Métodos:

    This is an observational study that timed 121 medication rounds (preparation, administration and documentation) performed by 15 nurses and nine nursing technicians in a Neonatal Intensive Care Unit in the countryside of the state of São Paulo.

    Resultados:

    63 (52.1%) interruptions were observed. In each round, the number of interruptions that happened ranged from 1-7, for 127 in total; these occurred mainly during the preparation phase, 97 (76.4%). The main interruption sources were: nursing staff – 48 (37.8%) − and self-interruptions – 29 (22.8%). The main causes were: information exchanges – 54 (42.5%) − and parallel conversations – 28 (22%). The increase in the mean time ranged from 53.7 to 64.3% (preparation) and from 18.3 to 19.2% (administration) – p≤0.05.

    Conclusão:

    Interruptions in the medication process are frequent, interfere in the workload of the nursing team and may reflect on the safety of 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 ARTICLE12-21-2020

    Construction and validation of a mobile application for development of nursing history and diagnosis

    Revista Brasileira de Enfermagem. 2020;73:e20190674

    Abstract

    ORIGINAL ARTICLE

    Construction and validation of a mobile application for development of nursing history and diagnosis

    Revista Brasileira de Enfermagem. 2020;73:e20190674

    DOI 10.1590/0034-7167-2019-0674

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    ABSTRACT

    Objectives:

    to describe the construction and validation process for a mobile application for development of the nursing history and diagnosis.

    Methods:

    methodological study conducted in 2018 in three stages: content creation, based on the Basic Human Needs categories and nursing diagnoses; content assessment by nine nursing judges, with calculation of the content validity index; and construction of the application, which included definition of the requirements, a conceptual map, implementation and prototyping options, tests and implementation.

    Results:

    the application was organized by sections: Grouped Basic Human Needs, Cranial pair tests, Clinical assessment scales and Additional tests. Two section were adjusted according to the judges’ suggestions.

    Final Considerations:

    it is the first application produced in Brazil based on the Basic Human Need categories, which enables quick access to information, concepts and typical nomenclatures of semiology, recording of clinical data and definition of nursing diagnoses.

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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 a mobile application for development of nursing history and diagnosis

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