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ORIGINAL ARTICLE07-29-2024
Contribution of informal caregivers to self-care in individuals with heart failure
- Mailson Marques de Sousa
, - Adriana Meira Tiburtino Nepomuceno ,
- Rayana Pereira Feitosa ,
- Lara de Sá Neves Loureiro ,
- Renan Alves Silva , [ … ],
- Simone Helena dos Santos Oliveira
Abstract
ORIGINAL ARTICLEContribution of informal caregivers to self-care in individuals with heart failure
Revista Brasileira de Enfermagem. 2024;77(3):e20230492
DOI 10.1590/0034-7167-2023-0492
- Mailson Marques de Sousa ,
- Adriana Meira Tiburtino Nepomuceno ,
- Rayana Pereira Feitosa ,
- Lara de Sá Neves Loureiro ,
- Renan Alves Silva ,
- Maria das Graças Melo Fernandes ,
- Simone Helena dos Santos Oliveira
Views0See moreABSTRACT
Objectives:
to evaluate the contribution of informal caregivers to the self-care of individuals with heart failure.
Methods:
a cross-sectional study was conducted with 87 caregivers from March to October 2022 in the city of João Pessoa/PB. The caregivers’ contribution was assessed using the Caregiver Contribution to Self-Care of Heart Failure Index instrument. Scores ≥ 70 points indicate adequate contribution. Data were analyzed using descriptive statistics and Spearman’s correlation.
Results:
the sample consisted of 81.6% female caregivers. Median scores obtained for the self-care contribution scales were: 63.3 for maintenance; 55.5 for management; and 66.6 for confidence. Caregivers never or rarely recommended monitoring body weight, regular physical exercise, extra use of diuretics, and fluid restriction.
Conclusions:
informal caregivers showed inadequate contribution in the areas of maintenance, management, and confidence in self-care of individuals with heart failure.
- Mailson Marques de Sousa
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ORIGINAL ARTICLE07-29-2024
Mental health of parents of children and adolescents who require special health care
- Eliana Roldão dos Santos Nonose ,
- Rosane Meire Munhak da Silva ,
- Eliane Tatsch Neves ,
- Débora Falleiros de Mello ,
- Adriana Zilly , [ … ],
- Regina Aparecida Garcia de Lima
Abstract
ORIGINAL ARTICLEMental health of parents of children and adolescents who require special health care
Revista Brasileira de Enfermagem. 2024;77(3):e20230457
DOI 10.1590/0034-7167-2023-0457
- Eliana Roldão dos Santos Nonose ,
- Rosane Meire Munhak da Silva ,
- Eliane Tatsch Neves ,
- Débora Falleiros de Mello ,
- Adriana Zilly ,
- Aline Cristiane Cavicchioli Okido ,
- Regina Aparecida Garcia de Lima
Views0See moreABSTRACT
Objective:
To identify the manifestations presented by parents of children and adolescents who require special health attention that can impact their mental health.
Methods:
exploratory, qualitative research, based on the concept of vulnerability, with data collection carried out through interviews with 18 parents of children and adolescents with special health care needs, hospitalized in the pediatric ward of a hospital in Paraná, between May/2017 and May/ 2018. Data analyzed by inductive thematic analysis.
Results:
parents experienced situations of vulnerability when providing care at home, with repercussions on their mental health, expressed by manifestations of lack of protection, anxiety and depression.
Final considerations:
It is important that health professionals seek to expand actions to promote care and reduce situations that generate threats, insecurities, concerns and damage to the health of parents, which can impact and further weaken care for children and adolescents who need attention especially health.
- Eliana Roldão dos Santos Nonose
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07-29-2024
Reflections on theoretical framework use in nursing research
- Maria Ribeiro Lacerda ,
- Rudval Souza da Silva ,
- Nadirlene Pereira Gomes ,
- Silvana Regina Rossi Kissula Souza
Abstract
Reflections on theoretical framework use in nursing research
Revista Brasileira de Enfermagem. 2024;77(3):e20230486
DOI 10.1590/0034-7167-2024-0486
- Maria Ribeiro Lacerda ,
- Rudval Souza da Silva ,
- Nadirlene Pereira Gomes ,
- Silvana Regina Rossi Kissula Souza
Views0See moreABSTRACT
Objectives:
to reflect on theoretical framework use in nursing research.
Methods:
a theoretical-reflexive study, based on concepts and constructs pertinent to using nursing theories and other sciences, considering issues of epistemology or philosophy of science.
Results:
we presented what it is and why to do nursing research and what a theoretical framework is and why to use it, in addition to some considerations regarding theoretical framework use in nursing research, essential for constructing disciplinary knowledge, which enables the materialization of researchers’ work and the presentation of propositions resulting from investigations in and for nursing as a discipline and science.
Final Considerations:
based on a reflection based on epistemological conceptions, it is possible to affirm that a theoretical framework is the core of researchers’ thinking, delimiting a problem to be investigated and, based on it, outlining methodological strategies to be followed, supporting nursing action and thinking as discipline and science.
- Maria Ribeiro Lacerda
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REVIEW07-29-2024
Nursing diagnoses for people hospitalized with heart failure: an integrative review
- Ana Paula Dias de Oliveira ,
- Lucas Garcia Lima ,
- Vinicius Batista Santos ,
- Larissa Maiara da Silva Alves Souza ,
- Juliana de Lima Lopes , [ … ],
- Alba Lucia Bottura Leite de Barros
Abstract
REVIEWNursing diagnoses for people hospitalized with heart failure: an integrative review
Revista Brasileira de Enfermagem. 2024;77(3):e20230471
DOI 10.1590/0034-7167-2023-0471
- Ana Paula Dias de Oliveira ,
- Lucas Garcia Lima ,
- Vinicius Batista Santos ,
- Larissa Maiara da Silva Alves Souza ,
- Juliana de Lima Lopes ,
- Alba Lucia Bottura Leite de Barros
Views0See moreABSTRACT
Objectives:
to identify in the literature the main nursing diagnoses according to the NANDA-I diagnostic classification for people hospitalized with heart failure.
Methods:
an integrative literature review, carried out in February 2019 and updated in July 2023, in the MEDLINE via PubMed, LILACS, SciELO and CINAHL databases. Given the use of acronym PEO, studies without a time cut in Portuguese, English and Spanish were included. Descriptive analysis was carried out to present the identified information.
Results:
analysis of 27 articles identified 24 nursing diagnoses, with emphasis on Decreased Cardiac Output, Excessive Fluid Volume, Decreased Activity Tolerance and Fatigue.
Final Considerations:
evidence can contribute to better diagnostic decisions centered on people with heart failure in search of more assertive health results and have the potential to support future studies on a possible syndromic pattern in this population.
- Ana Paula Dias de Oliveira
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ORIGINAL ARTICLE07-29-2024
Disrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory
- Ryanne Carolynne Marques Gomes Mendes ,
- Gabrielle Pessôa da Silva ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Cleide Maria Pontes ,
- Lívia Maia Pascoal , [ … ],
- Francisca Márcia Pereira Linhares
Abstract
ORIGINAL ARTICLEDisrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230464
DOI 10.1590/0034-7167-2023-0464
- Ryanne Carolynne Marques Gomes Mendes ,
- Gabrielle Pessôa da Silva ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Cleide Maria Pontes ,
- Lívia Maia Pascoal ,
- Ana Luisa Brandão de Carvalho Lira ,
- Marcos Venícios de Oliveira Lopes ,
- Suzana de Oliveira Mangueira ,
- Francisca Márcia Pereira Linhares
Views0See moreABSTRACT
Objectives:
to develop and evaluate a Middle-Range Theory for the nursing diagnosis “Disrupted Mother-Fetus Dyad Risk” in high-risk pregnancies.
Methods:
this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem’s General Nursing Model was used as the theoretical-conceptual foundation. Evaluation was conducted using the Delphi method with seven judges, and consensus was achieved when the Content Validity Index of the evaluated items was ≥ 0.80.
Results:
the theory identified 20 elements of the nursing diagnosis “Disrupted Mother-Fetus Dyad Risk” (10 risk factors, 4 at-risk populations, and 6 associated conditions), 14 propositions, and 1 pictogram. After two rounds of evaluation, the theory was considered consistent, with consensus reached for all items, each achieving a Content Validity Index ≥ 0.80.
Conclusions:
the Middle-Range Theory included biopsychosocial factors explaining the nursing phenomenon “Disrupted Mother-Fetus Dyad Risk,” which aids in nurses’ diagnostic reasoning.
- Ryanne Carolynne Marques Gomes Mendes
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ORIGINAL ARTICLE07-29-2024
Family refusal of skin donation for transplantation: trends and associated factors
- Karoline de Oliveira Lins Souto ,
- Rafael Rodrigo da Silva Pimentel ,
- Ágata Nunes Brito ,
- Edvaldo Leal de Moraes ,
- Marcelo José dos Santos
Abstract
ORIGINAL ARTICLEFamily refusal of skin donation for transplantation: trends and associated factors
Revista Brasileira de Enfermagem. 2024;77(3):e20230209
DOI 10.1590/0034-7167-2023-0209
- Karoline de Oliveira Lins Souto ,
- Rafael Rodrigo da Silva Pimentel ,
- Ágata Nunes Brito ,
- Edvaldo Leal de Moraes ,
- Marcelo José dos Santos
Views0See moreABSTRACT
Objectives:
to analyze the trends and factors associated with family refusal of skin donation for transplantation.
Methods:
this cross-sectional study was conducted in the State of São Paulo, with family authorization terms collected from 2001 to 2020. The variables analyzed included year, age, gender, cause of death, and type of institution. Data were analyzed using linear and multiple logistic regression, with the Odds Ratio estimated at p<0.05 for statistical significance.
Results:
1,355 individuals refused skin donation. The trend of refusals decreased between 2001 and 2009 in the age groups of 0-11 years and 12-19 years, but increased in the group aged ≥60 years. This trend continued to decrease in the 0-11 years group from 2010 to 2020, and increased in the 20-40 years group. Males and the age groups of 20-40 years, 41-59 years, and ≥60 years exhibited 27%, 34%, 47%, and 53% lower chances of refusal, respectively.
Conclusions:
there is an urgent need for measures to mitigate the high number of refusals associated with skin donation.
- Karoline de Oliveira Lins Souto
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ORIGINAL ARTICLE07-29-2024
Primary Health Care in transitional care of people with stroke
- Adriana Bitencourt Magagnin ,
- Kenia Lara da Silva ,
- Giane Zupellari dos Santos Melo ,
- Ivonete Teresinha Schulter Buss Heidemann
Abstract
ORIGINAL ARTICLEPrimary Health Care in transitional care of people with stroke
Revista Brasileira de Enfermagem. 2024;77(3):e20230468
DOI 10.1590/0034-7167-2024-0468
- Adriana Bitencourt Magagnin ,
- Kenia Lara da Silva ,
- Giane Zupellari dos Santos Melo ,
- Ivonete Teresinha Schulter Buss Heidemann
Views0See moreABSTRACT
Objectives:
to understand the role of Primary Health Care teams in caring for people with stroke after hospital discharge.
Methods:
single case study, with integrated units of analysis, with a qualitative approach. Data triangulation occurred through interviews with professionals and family caregivers involved in transition of care, in addition to direct observations in rounds and document analysis. For the analyses, the analytical strategies of theoretical propositions and construction of explanations were used, with the help of ATLAS.ti®.
Results:
the importance of counter-referral, the role of community health workers and the multidisciplinary team, health promotion, secondary prevention, home visits as a visceral attribute and nurses as care managers are evident.
Final Considerations:
the high demand on teams and the Social Determinants of Health interfere with adequate continuity of care. Transitional care programs that enable continuity of care are recommended.
- Adriana Bitencourt Magagnin
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ORIGINAL ARTICLE07-29-2024
Completeness of variables in Hospital-Based Cancer Registries for prostatic malignant neoplasm
- Wesley Rocha Grippa ,
- Raphael Manhães Pessanha ,
- Larissa Soares Dell’Antonio ,
- Cristiano Soares da Silva Dell’Antonio ,
- Luciane Bresciani Salaroli , [ … ],
- Luís Carlos Lopes-Júnior
Abstract
ORIGINAL ARTICLECompleteness of variables in Hospital-Based Cancer Registries for prostatic malignant neoplasm
Revista Brasileira de Enfermagem. 2024;77(3):e20230467
DOI 10.1590/0034-7167-2023-0467
- Wesley Rocha Grippa ,
- Raphael Manhães Pessanha ,
- Larissa Soares Dell’Antonio ,
- Cristiano Soares da Silva Dell’Antonio ,
- Luciane Bresciani Salaroli ,
- Luís Carlos Lopes-Júnior
Views0See moreABSTRACT
Objectives:
to analyze the completeness of variables from Hospital-Based Cancer Registries of cases of prostate neoplasm in the Oncology Care Network of a Brazilian state between 2000 and 2020.
Methods:
an ecological time series study, based on secondary data on prostate cancer Hospital-Based Cancer Registries prostate. Data incompleteness was classified as excellent (<5%), good (between 5%-10%), fair (10%-20%), poor (20%-50%) and very poor (>50%), according to the percentage of lack of information.
Results:
there were 13,519 cases of prostate cancer in the Hospital-Based Cancer Registries analyzed. The variables “family history of cancer” (p<0.001), “alcoholism” (p<0.001), “smoking” (p<0.001), “TNM staging” (p<0.001) had a decreasing trend, while “clinical start of treatment” (p<0.001), “origin” (p=0.008) and “occupation” (p<0.001) indicated an increasing trend.
Conclusions:
most Hospital-Based Cancer Registries variables showed excellent completeness, but important variables had high percentages of incompleteness, such as TNM and clinical staging, in addition to alcoholism and smoking.
- Wesley Rocha Grippa
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REVIEW08-26-2022
Health literacy of adolescents in the COVID-19 pandemic: an integrative review
- Rafaela Aparecida Prata ,
- Tamara Barros Bicudo ,
- Juliana Bastoni da Silva ,
- Marla Andréia Garcia de Avila
Abstract
REVIEWHealth literacy of adolescents in the COVID-19 pandemic: an integrative review
Revista Brasileira de Enfermagem. 2022;75:e20210956
DOI 10.1590/0034-7167-2021-0956
- Rafaela Aparecida Prata ,
- Tamara Barros Bicudo ,
- Juliana Bastoni da Silva ,
- Marla Andréia Garcia de Avila
Views0See moreABSTRACT
Objective:
to analyze the scientific production on health literacy (HL) of adolescents during the COVID-19 pandemic.
Method:
an integrative review, in the MEDLINE, LILACS, CINAHL and Web of Science databases, between March 2020 and August 2021. Original articles in English, Spanish and Portuguese were included.
Results:
of the 65 studies found in the search, eight were included for analysis, with no publication in Brazil, with five publications in 2021, predominantly in English (n=7) and all classified with level of evidence VI. Of the instruments used, eHealth literacy was the most applied instrument (n=2). Television, family and the internet were identified as the main sources of health information during the pandemic.
Final considerations:
the literature has indicated that HL can interfere with adolescents’ decision making and that a low HL can lead to decisions and physical and mental exposure actions of adolescents.
- Rafaela Aparecida Prata
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REVIEW10-18-2022
Decision making by health professionals during COVID-19: an integrative review
- Camila Oliveira Valente ,
- Fernanda Rios da Silva ,
- Fernanda Carneiro Mussi ,
- Maria Ribeiro Lacerda ,
- Kátia Santana Freitas , [ … ],
- Darci de Oliveira Santa Rosa
Abstract
REVIEWDecision making by health professionals during COVID-19: an integrative review
Revista Brasileira de Enfermagem. 2022;75:e20210067
DOI 10.1590/0034-7167-2021-0067
- Camila Oliveira Valente ,
- Fernanda Rios da Silva ,
- Fernanda Carneiro Mussi ,
- Maria Ribeiro Lacerda ,
- Kátia Santana Freitas ,
- Darci de Oliveira Santa Rosa
Views1See moreABSTRACT
Objective:
To analyze the scientific production on the decision making of health workers during the COVID-19 pandemic.
Methods:
Integrative review in the databases CINAHL, MEDLINE, Scopus, ScienceDirect, WoS, and BVS. Inclusion criteria: original articles available in full, in any language, related to the object investigated.
Results:
During this pandemic, health workers have been making decisions based on ethical/bioethical principles (utility, beneficence, non-maleficence, autonomy, justice, proportionality, flexibility, clinical prognosis, duration of the need, and fair health attention), values (solidarity, equality, equity, utilitarianism, relational autonomy, reliability, reciprocity, maximization of the benefits and resources, and prioritization of those in worse conditions), beliefs and personal motivation, protocols, directives, tools, algorithms, recommendations, and criteria.
Final considerations:
Decision making has never been so necessary as in this pandemic. This article is not a recipe for the professionals, since decision making is based on numerous factors. However, it provides them with a foundation that can be helpful in this difficult process.
- Camila Oliveira Valente
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ORIGINAL ARTICLE10-21-2019
Time series of hospitalizations of adolescents due to mental and behavioral disorders
- Ellen Vanuza Martins Bertelli ,
- Rosana Rosseto de Oliveira ,
- Marcia Lorena Alves dos Santos ,
- Eniuce Menezes Souza ,
- Carlos Alexandre Molena Fernandes , [ … ],
- Ieda Harumi Higarashi
Abstract
ORIGINAL ARTICLETime series of hospitalizations of adolescents due to mental and behavioral disorders
Revista Brasileira de Enfermagem. 2019;72(6):1662-1670
DOI 10.1590/0034-7167-2018-0800
- Ellen Vanuza Martins Bertelli ,
- Rosana Rosseto de Oliveira ,
- Marcia Lorena Alves dos Santos ,
- Eniuce Menezes Souza ,
- Carlos Alexandre Molena Fernandes ,
- Ieda Harumi Higarashi
Views0See moreABSTRACT
Objective:
to analyze the trend of hospitalizations of adolescents due to mental and behavioral disorders in Paraná, from 1998 to 2015.
Method:
ecological study of time series. Data were analyzed by means of segmented linear regression modeling for time series, estimated for each of the four health macro-regions.
Results:
the East macro-region showed a greater trend to increase hospitalizations from January 1998 to November 2003 (β1=0.006, p<0.001). In other macro-regions, there were similar trends with a sudden increase in February 2010, but with a further gradual decrease until December 2015. In the quadrennium 2012-2015, 38.06% of the hospitalizations lasted 29 or more days, and in the Northwest macro-region, hospitalizations lasted for up to seven days. The main cause of hospitalization was the use of alcohol and other drugs.
Conclusion:
there is a need to strengthen health actions to prevent drug use and improvements in the care network.
- Ellen Vanuza Martins Bertelli
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10-21-2019
Standardization, ethics and biometric indicators in scientific publication: integrative review
Revista Brasileira de Enfermagem. 2019;72(6):1723-1729
Abstract
Standardization, ethics and biometric indicators in scientific publication: integrative review
Revista Brasileira de Enfermagem. 2019;72(6):1723-1729
DOI 10.1590/0034-7167-2018-0283
Views0See moreABSTRACT
Objective:
to analyze scientific evidence available in health literature on ethics, standardization and biometric indicators.
Method:
an integrative review carried out in August 2016, on the databases: National Library of Medicine, Literatura Latino-Americana e do Caribe em Ciências da Saúde (Latin-American and Caribbean Literature on Health Sciences), and on the library Scientific Electronic Library Online. The review included primary articles on: ethics, standardization and biometric indicators, in Portuguese, English, or Spanish; and excluded studies that were not found as full texts, as well as opinions, commentary, reviews, theses, and dissertations. For the evaluation of the articles, it was used evidence levels from one to five.
Results:
eight articles were included, with scientific evidence levels 4 and 5: scientific productivism, production evaluation systems, internationalization, impact factor, classification of journals, and adequate and inadequate practices for publication.
Conclusion:
it was verified the need for publications with higher evidence levels so that Brazilian journals can follow international standards dealing with research ethics.
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ORIGINAL ARTICLE04-22-2020
Evaluation of user embracement software with pediatric risk classification
- Gilvan Ferreira Felipe ,
- Francisca Elisangela Teixeira Lima ,
- Lorena Pinheiro Barbosa ,
- Thereza Maria Magalhães Moreira ,
- Emanuella Silva Joventino , [ … ],
- Larissa Bento de Araújo Mendonça
Abstract
ORIGINAL ARTICLEEvaluation of user embracement software with pediatric risk classification
Revista Brasileira de Enfermagem. 2020;73(3):e20180677
DOI 10.1590/0034-7167-2018-0677
- Gilvan Ferreira Felipe ,
- Francisca Elisangela Teixeira Lima ,
- Lorena Pinheiro Barbosa ,
- Thereza Maria Magalhães Moreira ,
- Emanuella Silva Joventino ,
- Vanessa Sousa Freire ,
- Larissa Bento de Araújo Mendonça
Views0See moreABSTRACT
Objective:
to evaluate functional performance and technical quality of user embracement software with pediatric risk classification.
Method:
descriptive exploratory study developed based on the quality requirements set forth in ISO/IEC 25010. The evaluated characteristics were: functional adequacy, reliability, usability, performance efficiency, compatibility, safety, maintainability and portability. Eight specialists from the area of informatics and 13 from nursing participated in the evaluation. The characteristics were considered adequate when they reached more than 70% of indication as very and/or completely appropriate in the evaluations of each group of specialists.
Results:
The results obtained from the evaluation of informatics and nursing specialists were: functional adequacy (100.0%, 96.2%), reliability (82.6%, 88.5%), usability (84.9%; 98.7%), performance efficiency (93.4%; 96.2%), compatibility (85.0%, 98.1%), safety (91.7%, 100.0%), and, yet, maintainability (95.0%) and portability (87.5%) evaluated by the first ones.
Conclusion:
the software was considered adequate regarding technical quality and functional performance.
- Gilvan Ferreira Felipe
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REFLECTION04-09-2020
Permission for departing: spiritual nursing care in human finitude
- Leoni Terezinha Zenevicz ,
- Júlia Valéria de Oliveira Vargas Bitencourt ,
- Marcela Martins Furlan de Léo ,
- Valéria Silvana Faganello Madureira ,
- Maira Buss Thofehrn , [ … ],
- Vander Monteiro da Conceição
Abstract
REFLECTIONPermission for departing: spiritual nursing care in human finitude
Revista Brasileira de Enfermagem. 2020;73(3):e20180622
DOI 10.1590/0034-7167-2018-0622
- Leoni Terezinha Zenevicz ,
- Júlia Valéria de Oliveira Vargas Bitencourt ,
- Marcela Martins Furlan de Léo ,
- Valéria Silvana Faganello Madureira ,
- Maira Buss Thofehrn ,
- Vander Monteiro da Conceição
Views0See moreABSTRACT
Objectives:
To reflect on teaching experience in the application of the spiritual nursing care called permission for departing.
Methods:
It is a methodological reflection and description of a subtle technology for spiritual nursing care called permission for departing.
Results:
the permission for departing is a spiritual care that allows for an intentional therapeutic relationship of trust and safety among the professional, patients, and the family, enabling the expression of feelings, beliefs, and religious or spiritual rites that help in death and dying situations.
Final Considerations:
a concept structured by words and attitudes reinforcing what is positive was coined, aiming at a consciousness state of peace and the promotion of dignity in the death and dying process, as well as for time for the patients, their families and the team to experience contemplation and parting.
- Leoni Terezinha Zenevicz
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REVIEW02-25-2022
What do we know about flushing for intravenous catheter maintenance in hospitalized adults?
Revista Brasileira de Enfermagem. 2022;75(5):e20210418
Abstract
REVIEWWhat do we know about flushing for intravenous catheter maintenance in hospitalized adults?
Revista Brasileira de Enfermagem. 2022;75(5):e20210418
DOI 10.1590/0034-7167-2021-0418
Views0See moreABSTRACT
Objective:
to evidence the use of flushing to prevent complications from intravenous therapy.
Methods:
an integrative review in databases, using descriptors and selection criteria. Data were collected in 12 articles using an instrument and later classified, summarized and aggregated for knowledge synthesis.
Results:
it was evident that: the pre-filled syringe resulted in a lower occurrence of catheter obstruction; irregular flushing frequency caused advanced phlebitis; the use of Venous Arterial Blood Management Protection (VAMP) generated a lower incidence of blood infection; heparinized solution did not result in a lower central catheter failure rate; flushing volume and frequency were not predictors of catheter failure; flushing practice was not shown to be incorporated among professionals.
Conclusion:
there are disagreements about the volume, frequency, solution and devices used in flushing. New technologies can reduce complications such as obstruction and infection.
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ORIGINAL ARTICLE04-22-2020
Accuracy of the clinical indicators of ineffective health management in celiac people
- Leonardo Alexandrino da Silva ,
- Cristina Costa Bessa ,
- Nirla Gomes Guedes ,
- Marcos Venícios de Oliveira Lopes ,
- Viviane Martins da Silva , [ … ],
- Patricia Fernandes Chaves
Abstract
ORIGINAL ARTICLEAccuracy of the clinical indicators of ineffective health management in celiac people
Revista Brasileira de Enfermagem. 2020;73(3):e20180739
DOI 10.1590/0034-7167-2018-0739
- Leonardo Alexandrino da Silva ,
- Cristina Costa Bessa ,
- Nirla Gomes Guedes ,
- Marcos Venícios de Oliveira Lopes ,
- Viviane Martins da Silva ,
- Jorgiana Cavalcanti dos Santos ,
- Patricia Fernandes Chaves
Views0See moreABSTRACT
Objective:
to analyze the accuracy of clinical indicators of “Ineffective health management” in celiac patients and to verify associations between sociodemographic characteristics and clinical indicators.
Method:
a cross-sectional study, conducted from May to September 2017, with 83 celiac patients, through an interview. Accuracy measures were defined by latent class model.
Results:
there was a prevalence of “Ineffective health management” of 55.69%. “Failure to take action to reduce risk factor” and “Failure to include treatment regimen in daily living” better predict this diagnosis. Paid occupation reduces the chance of the presence of “Difficulty with prescribed regimen”. Participation in support association reduces the chance of the presence of “Difficulty with prescribed regimen”, “Ineffective choices in daily living for meeting health goal” and “Failure to take action to reduce risk factor”.
Conclusion:
accurate clinical indicators identification assists clinical reasoning for diagnostic inference in specific health contexts.
- Leonardo Alexandrino da Silva
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