Articles - Revista Brasileira de Enfermagem

  • 10-17-2022

    Campaña de Vacunación contra el COVID-19: Infodemia de Fake News

    Revista Brasileira de Enfermagem. 2022;75(4):e750401

    Abstract

    Campaña de Vacunación contra el COVID-19: Infodemia de Fake News

    Revista Brasileira de Enfermagem. 2022;75(4):e750401

    DOI 10.1590/0034-7167.2022750401pt

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    A globalização atingiu o século XXI na mesma sintonia e disseminação que as redes sociais, assemelhada ou correlata do mundo digital/virtual como fonte de informação e aconselhamento sobre a saúde pública brasileira e internacional. Logo, as pessoas contaminaram o processo de comunicação cibernético com diversas informações, verdadeiras e/ou falsas, provocando o que se denomina hodiernamente […]
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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 ARTICLE10-17-2022

    Support provided to nursing students in the face of patient safety incidents: a qualitative study

    Revista Brasileira de Enfermagem. 2022;75(2):e20220009

    Abstract

    ORIGINAL ARTICLE

    Support provided to nursing students in the face of patient safety incidents: a qualitative study

    Revista Brasileira de Enfermagem. 2022;75(2):e20220009

    DOI 10.1590/0034-7167-2022-0009

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    ABSTRACT

    Objectives:

    to identify the support provided to nursing students after a patient safety incident.

    Methods:

    qualitative study developed with 23 students attending an undergraduate nursing program in southern Brazil. Data were collected between September and November 2021 and submitted to textual discursive analysis using the Iramuteq software.

    Results:

    the students reported that mainly classmates and professors of the practical courses provided support. The students showed no knowledge of organizational support or protocols available to students who become second victims of such incidents.

    Final Considerations:

    the primary support sources available to nursing students involved in patient safety incidents were identified. Note that support provided to nursing students is still incipient both in Brazil and internationally. Hence, further studies are needed to address potential victims and support resources to mitigate this phenomenon.

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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.
    Support provided to nursing students in the face of patient safety incidents: a qualitative study
  • ORIGINAL ARTICLE10-17-2022

    Supervision of the professional practice of nursing: case study describing the “on-site inspection” sub-process

    Revista Brasileira de Enfermagem. 2022;75(2):e20210823

    Abstract

    ORIGINAL ARTICLE

    Supervision of the professional practice of nursing: case study describing the “on-site inspection” sub-process

    Revista Brasileira de Enfermagem. 2022;75(2):e20210823

    DOI 10.1590/0034-7167-2021-0823

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    ABSTRACT

    Objectives:

    to describe the “On-site inspection” sub-process of the macroprocess “Supervision” conducted at the headquarters unit of the Regional Nursing Council of São Paulo.

    Methods:

    an exploratory descriptive research, in a single case study modality using data reported by the Headquarters Unit Inspection Management leaders.

    Results:

    the description of the “On-Site inspection” sub-process, initial and return, showed how the activities/tasks pre-established in the inspection roadmap and inserted in the respective inspection terms need to be accurately and sequentially executed to comply with the current legislation and provided the identification of activities that add value to the inspection process.

    Conclusions:

    the results obtained give visibility to the activities/tasks developed by the inspectors and will provide the Inspection Management with subsidies for the rational allocation of the required human resources; and, to the technical managers and legal representatives of the inspected institutions, the knowledge of the activities developed during the performance of the sub-process “On-site inspection”.

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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.
    Supervision of the professional practice of nursing: case study describing the “on-site inspection” sub-process
  • REVIEW10-17-2022

    Authentic leadership in nurses’ professional practice: an integrative review

    Revista Brasileira de Enfermagem. 2022;75(1):e20210972

    Abstract

    REVIEW

    Authentic leadership in nurses’ professional practice: an integrative review

    Revista Brasileira de Enfermagem. 2022;75(1):e20210972

    DOI 10.1590/0034-7167-2021-0972

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    ABSTRACT

    Objectives:

    to identify the primary constructs concerning authentic leadership and its relevance for nurses’ professional practice.

    Methods:

    integrative literature review conducted between 2015 and 2020 in LILACS, SciELO, and PubMed databases.

    Results:

    the United States published most of the 31 studies analyzed, with eight studies (25.8%), followed by Canada with seven studies (22.6%), and Brasil with five (16.1%). Most studies adopted a quantitative approach (77.41%), and 96.8% presented weak evidence. Three categories emerged: Work Engagement/Job Satisfaction and Organizational Commitment; Healthy Work Environment; and Intention to Quit the Job and Mental Exhaustion.

    Final Considerations:

    authentic leadership positively contributes to management and nursing care practice, promoting healthy work environments, structural empowerment, greater work engagement, and organizational commitment, decreasing absenteeism and mental exhaustion.

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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.
    Authentic leadership in nurses’ professional practice: an integrative review
  • ORIGINAL ARTICLE10-17-2022

    Factors associated with psychoactive substance use among professional truck drivers

    Revista Brasileira de Enfermagem. 2022;75:e20210187

    Abstract

    ORIGINAL ARTICLE

    Factors associated with psychoactive substance use among professional truck drivers

    Revista Brasileira de Enfermagem. 2022;75:e20210187

    DOI 10.1590/0034-7167-2021-0187

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    ABSTRACT

    Objectives:

    to identify factors associated with the use of psychoactive substances among professional truck drivers.

    Methods:

    cross-sectional study that investigated the use of at least one psychoactive substance and its association with sociodemographic, occupational, and health characteristics in 354 professional truck drivers. Researchers collected data through face-to-face interviews using forms. Multiple regression analyzes estimated prevalence ratios (PR) and respective 95% confidence intervals (95%CI).

    Results:

    lower family income (PR: 2.03; 95%CI: 1.08-3.83), symptoms of insomnia (PR: 2.18, 95%CI: 1.46-3.26), and long working hours (PR: 1.95, 95%CI: 1.30-2.92) independently associated with the use of at least one psychoactive substance.

    Conclusions:

    a set of sociodemographic, occupational, and health variables acts at distinct levels and is independently associated with the use of psychoactive substances among professional truck drivers.

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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 ARTICLE10-17-2022

    Coping with the health condition from the perspective of people with HIV who abandoned treatment

    Revista Brasileira de Enfermagem. 2022;75:e20210958

    Abstract

    ORIGINAL ARTICLE

    Coping with the health condition from the perspective of people with HIV who abandoned treatment

    Revista Brasileira de Enfermagem. 2022;75:e20210958

    DOI 10.1590/0034-7167-2021-0958

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    ABSTRACT

    Objectives:

    to understand how people living with HIV who have abandoned treatment face their health condition.

    Methods:

    a qualitative study, based on the Chronic Care Model theoretical precepts. Data were collected between April and August 2021, through interviews with 24 people registered in a specialized service in the Brazilian Midwest.

    Results:

    coping with the health condition included good and bad moments and is influenced by individual behaviors and the way in which the network was organized. Treatment abandonment was motivated by the absence of signs and symptoms, the way care is provided and medication side effects.

    Final Considerations:

    care actions focusing on behavior change and maintenance become necessary in order to favor continuity of treatment. Furthermore, the gaps identified in the way health services are organized are subject to intervention.

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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 ARTICLE10-17-2022

    Ethics, COVID-19 and nursing vulnerability: analysis of photographs released by the media

    Revista Brasileira de Enfermagem. 2022;75:e20210960

    Abstract

    ORIGINAL ARTICLE

    Ethics, COVID-19 and nursing vulnerability: analysis of photographs released by the media

    Revista Brasileira de Enfermagem. 2022;75:e20210960

    DOI 10.1590/0034-7167-2021-0960

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    ABSTRACT

    Objectives:

    to analyze nursing vulnerability through photos released by the media amidst the COVID-19 pandemic.

    Methods:

    a documentary study, with a qualitative approach. The object of analysis were photographic images selected between January 2020 and March 2021, published by the main news portals in countries such as Brazil, the United States, France, Spain, England and Germany. Thematic categorical analysis was the method of analysis used.

    Results:

    we found 74 photographs that portrayed nursing professionals in different work situations. It was possible to identify stigma and social devaluation about this class’s representation and professional attribution. Moreover, we found an underrepresentation of black professionals in Brazilian portals and the man as the prominent figure in the spaces of claims.

    Final Considerations:

    the photographs represented an important tool for the social analysis of nursing vulnerability, favoring the unveiling of situations that may go unnoticed by nursing and society.

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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.
    Ethics, COVID-19 and nursing vulnerability: analysis of photographs released by the media
  • ORIGINAL ARTICLE10-17-2022

    Association between rural workers’ sociodemographic and reproductive characteristics and their reproductive autonomy

    Revista Brasileira de Enfermagem. 2022;75:e20210878

    Abstract

    ORIGINAL ARTICLE

    Association between rural workers’ sociodemographic and reproductive characteristics and their reproductive autonomy

    Revista Brasileira de Enfermagem. 2022;75:e20210878

    DOI 10.1590/0034-7167-2021-0878

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    ABSTRACT

    Objectives:

    to verify the association between sociodemographic and reproductive characteristics with rural workers’ reproductive autonomy.

    Methods:

    a cross-sectional study, with a sample of 346 women and application of the Reproductive Autonomy Scale. Multinomial regression was performed to analyze associations between independent variables and outcomes.

    Results:

    in the analysis of subscales “Decision-making”, “My sexual partner or someone else such as a parent”, “Both me and my partner” and “Me”, women experienced greater reproductive autonomy in relation to their partners. For outcomes “Decision about which method to use”, “When to have a baby” or “About unplanned pregnancy”, the highest prevalence was for category “Me”, with statistically significant associations.

    Conclusions:

    the sociodemographic and reproductive characteristics among the most vulnerable women, in terms of the social, economic and cultural context in which they are inserted, may be associated with greater difficulties in exercising reproductive autonomy.

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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 ARTICLE02-10-2020

    Depression among nursing students and its association with academic life

    Revista Brasileira de Enfermagem. 2020;73(1):e20180173

    Abstract

    ORIGINAL ARTICLE

    Depression among nursing students and its association with academic life

    Revista Brasileira de Enfermagem. 2020;73(1):e20180173

    DOI 10.1590/0034-7167-2018-0173

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    ABSTRACT

    Objective:

    To measure the levels of depression among Nursing students from a public institution of higher education and the association with aspects of academic life.

    Method:

    Analytical and quantitative study with 203 students from a higher education institution that uses active methodologies. We used Beck’s Depression Inventory and the Likert type scale of academic factors.

    Results:

    We verified that 19.2% had moderate or severe levels of depression. Higher levels of depression were associated with female gender (p=0.003), working more than 40 hours per week (p=0.047), spending more than 90 minutes to reach academic activities (p=0.043) and with 12 academic factors specific to routines of the studied institution.

    Conclusion:

    The results contribute to managers’ and professors’ reflection and analysis concerning nursing students’ mental health, in addition to indicating in which aspects there is a need to provide greater support to these students.

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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 ARTICLE10-18-2022

    Clinical simulation as a Nursing Fundamentals teaching method: a quasi-experimental study

    Revista Brasileira de Enfermagem. 2022;75(2):e20201155

    Abstract

    ORIGINAL ARTICLE

    Clinical simulation as a Nursing Fundamentals teaching method: a quasi-experimental study

    Revista Brasileira de Enfermagem. 2022;75(2):e20201155

    DOI 10.1590/0034-7167-2020-1155

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    ABSTRACT

    Objectives:

    to evaluate students’ knowledge gain after the implementation of clinical simulation in Nursing Fundamentals disciplines.

    Methods:

    a quasi-experimental intervention was carried out with 60 students, distributed in comparison and intervention groups, who underwent traditional teaching and traditional teaching associated with simulated teaching, respectively. Pre-test and post-test instruments were applied to both groups.

    Results:

    after analyzing the students’ performance through the applied instruments, both groups had a cognitive evolution along with the taught content, however, when compared, the intervention group obtained a higher knowledge gain than the comparison group (p = 0.016), demonstrating progressive and increasing improvement with the use of the methodology.

    Conclusions:

    simulated teaching significantly helps students in gaining technical-cognitive knowledge. Therefore, it is recommended to adhere to the use of this methodology for teaching Nursing Fundamentals.

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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 simulation as a Nursing Fundamentals teaching method: a quasi-experimental study
  • 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
  • REVIEW06-11-2021

    Mental health interventions implemented in the COVID-19 pandemic: what is the evidence?

    Revista Brasileira de Enfermagem. 2021;74:e20200635

    Abstract

    REVIEW

    Mental health interventions implemented in the COVID-19 pandemic: what is the evidence?

    Revista Brasileira de Enfermagem. 2021;74:e20200635

    DOI 10.1590/0034-7167-2020-0635

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    ABSTRACT

    Objective:

    to map the evidence on mental health interventions implemented during the COVID-19 pandemic.

    Method:

    this scoping review was carried out in the MEDLINE/PubMed, SCOPUS, Web of Science, PsycINFO, and Science Direct databases and in the medRxiv, bioRxiv, and PsyArXiv preprints servers using the descriptors “Covid-19”, “coronavirus infection”, “coronavirus”, “2019-nCoV”, “2019 novel coronavirus disease”, “SARS-CoV-2”, “health personnel”, “general public”, and “mental health”.

    Results:

    eight articles were selected and categorized into mental health interventions for the population, among which mental health interventions were for people diagnosed with suspicion/confirmed COVID-19 and mental health interventions for health professionals.

    Conclusion:

    telemonitoring, virtual games and strategies focused on social support and muscle relaxation techniques, characterized as non-pharmacological and low-cost, were shown as interventions, which, since they are effective, need to be encouraged and included in mental health care practices.

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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.
    Mental health interventions implemented in the COVID-19 pandemic: what is the evidence?
  • ORIGINAL ARTICLE10-21-2019

    “Waiting for a miracle”: Spirituality/Religiosity in coping with sickle cell disease

    Revista Brasileira de Enfermagem. 2019;72(6):1554-1561

    Abstract

    ORIGINAL ARTICLE

    “Waiting for a miracle”: Spirituality/Religiosity in coping with sickle cell disease

    Revista Brasileira de Enfermagem. 2019;72(6):1554-1561

    DOI 10.1590/0034-7167-2018-0635

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    ABSTRACT

    Objective:

    To understand spirituality/religiosity as experienced by people with sickle cell disease, and its influence on coping with the disease.

    Method:

    A qualitative, descriptive, and exploratory study conducted in the State of Bahia. Twenty-nine respondents participated in semi-structured interviews. Content analysis was used to analyze the empirical material.

    Results:

    Individuals with sickle cell disease experience spirituality/religiosity motivated by their hope for a miracle, and fear of death; among their rites are: reading religious materials, individual and group prayer, and attendance at worship services. The effects on their health include: comfort by means of coping by comparing two evils, anxiety relief, social support, and lifestyle changes; however, spirituality/religiosity may be impaired.

    Final considerations:

    This study demonstrates the need to qualify health professionals to address spiritual issues of these individuals during illness, with the aims of diagnosing suffering and anguish, and providing care, comfort and strengthening of the spiritual bonds of these individuals.

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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 ARTICLE10-21-2019

    Caring ability, burden, stress and coping of family caregivers of people in cancer treatment

    Revista Brasileira de Enfermagem. 2019;72(6):1541-1546

    Abstract

    ORIGINAL ARTICLE

    Caring ability, burden, stress and coping of family caregivers of people in cancer treatment

    Revista Brasileira de Enfermagem. 2019;72(6):1541-1546

    DOI 10.1590/0034-7167-2018-0605

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    ABSTRACT

    Objective:

    To analyze the association between the caring ability and the burden, stress and coping of family caregivers of people in cancer treatment.

    Method:

    A cross-sectional study with 132 family caregivers. The following instruments were applied: a characterization instrument, the Caring Ability Inventory, the Zarit Burden Interview, the Perceived Stress Scale, and the Brief COPE. The Spearman Correlation was used with significance ≤5%.

    Results:

    There were significant and positive correlations between total caring ability and: burden – interpersonal relationship (p=0.03); stress (p=0.02) and maladaptive coping (p=0.00); and inversely proportional correlations with problem-focused coping (p=0.03). The courage had inversely proportional correlation with: self-efficacy (p=0.03), interpersonal relationship (p=0.00), stress (p=0.04) and maladaptive coping (p=0.00). The knowledge had significant and positive correlation with problem-focused coping (p=0.00), adaptive coping (p=0.01), and inverse correlation with stress (p=0.02).

    Conclusion:

    The level of caring ability correlates with levels of stress and burden, and with the type of coping strategy used by family caregivers.

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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.
  • 07-16-2021

    Sleep quality and its association with menopausal and climacteric symptoms

    Revista Brasileira de Enfermagem. 2021;74:e20201150

    Abstract

    Sleep quality and its association with menopausal and climacteric symptoms

    Revista Brasileira de Enfermagem. 2021;74:e20201150

    DOI 10.1590/0034-7167-2020-1150

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    ABSTRACT

    Objective:

    to assess sleep quality in menopausal women and its association with symptoms related to this period.

    Method:

    this is a cross-sectional, analytical and correlational study. Sleep was assessed using the Pittsburgh Sleep Quality Index; and climacteric symptoms, according to the Menopause Rating Scale. To compare the total score and each Menopause Rating Scale domain with the PSQI classification, the Mann-Whitney U non-parametric test was used. P<0.05 was considered significant.

    Results:

    261 women (67.8%) were classified as bad sleepers. There was a positive and significant correlation between the sleep scale scores and the total menopause score and its domains. Women categorized as poor sleepers had worse scores on the menopause symptom scale.

    Conclusion:

    women with worse sleep quality revealed greater severity of symptoms related to menopause.

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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.
  • REVIEW07-06-2020

    Patient safety challenges in primary health care: a scoping review

    Revista Brasileira de Enfermagem. 2020;73(5):e20190209

    Abstract

    REVIEW

    Patient safety challenges in primary health care: a scoping review

    Revista Brasileira de Enfermagem. 2020;73(5):e20190209

    DOI 10.1590/0034-7167-2019-0209

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    ABSTRACT

    Objectives:

    to identify the patient safety challenges described by health professionals in Primary Health Care.

    Methods:

    a scoping review was conducted on the LILACS, MEDLINE, IBECS, BDENF, and CINAHL databases, and on the Cochrane, SciELO, Pubmed, and Web of Science libraries in January 2019. Original articles on patient safety in the context of Primary Health Care by health professionals were included.

    Results:

    the review included 26 studies published between 2002 and 2019. Four categories resulted from the analysis: challenges of health professionals, administration challenges of health services, challenges with the patient and family, and the potential enhancing resources for patient safety.

    Conclusions:

    patient safety challenges for Primary Care professionals are multiple and complex. This study provides insight into resources to improve patient safety for health care professionals, patients, administrators, policy makers, educators, and researchers.

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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.
    Patient safety challenges in primary health care: a scoping review

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