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REVIEW01-01-2018
Health promotion programs in higher education: integrative review of the literature
Revista Brasileira de Enfermagem. 2018;71:1714-1723
Abstract
REVIEWHealth promotion programs in higher education: integrative review of the literature
Revista Brasileira de Enfermagem. 2018;71:1714-1723
DOI 10.1590/0034-7167-2016-0693
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Objective:
to characterize the interventions of health promotion programs implemented in Health Promoting Universities; to analyze the results of the interventions of health promotion programs.
Method:
integrative review carried out in EBSCO, PubMed, SciELO, Scopus and Web of Science. Articles published between 2000 and 2014 were selected, with evidence of health promotion intervention programs and evaluation of results. Results: 17 articles were included. The health promotion programs aimed at increasing the welfare of students, with an emphasis on physical activity, sexual health and on improving the environment of health support within the university community.
Conclusion:
health promotion strategies in an university context do not always result from the convergence between educational, political, legislative or organizational actions that support lifestyles and conditions which are favorable to the health of individuals or groups, and that contribute to improving the physical and social environment.
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RESEARCH01-01-2018
Contraceptive behavior of Portuguese higher education students
Revista Brasileira de Enfermagem. 2018;71:1706-1713
Abstract
RESEARCHContraceptive behavior of Portuguese higher education students
Revista Brasileira de Enfermagem. 2018;71:1706-1713
DOI 10.1590/0034-7167-2017-0623
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Objective:
To characterize the contraceptive practices of higher education students and to identify factors that contribute to the use of different contraceptive methods.
Method:
A cross-sectional, descriptive correlational study was carried out with a sample of 1946 students, with a mean age of 21 years (20.74±2.32), who attended courses at a University in the North of Portugal.
Results:
Of the factors studied, the female gender, younger ages, previous behavior of condom use, knowledge about contraception, attitude and self-efficacy for condom use were associated with safer contraceptive choices.
Conclusion:
Investing in sexual education for young people is an important public health strategy that can empower youth to make more appropriate choices and improve adherence to contraceptive methods, reducing the risk of unintended pregnancies and sexually transmitted diseases.
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RESEARCH01-01-2018
Nursing and Global Health: social determinants of health in the training of nurses
Revista Brasileira de Enfermagem. 2018;71:1700-1705
Abstract
RESEARCHNursing and Global Health: social determinants of health in the training of nurses
Revista Brasileira de Enfermagem. 2018;71:1700-1705
DOI 10.1590/0034-7167-2017-0631
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Objective:
To evaluate to which extent nursing professors understand how social determinants of health impact on health, and whether the topic is addressed in nursing undergraduate education in Brazil.
Method:
This is a methodological study carried out with 222 nursing faculty members from Brazilian higher education institutions. The answers of the domain “Social and environmental determinants of health”, concerning a questionnaire on “Core Competencies in Global Health”, were analyzed.
Results:
Most professors have over 10 years of experience in nursing higher education. A large part of the participants strongly agreed or agreed on the importance of college subjects related to the above-mentioned topic for the education of the nurses.
Conclusion:
The professors in this study agreed that social and environmental health determinants must be taught in Nursing school, since it is necessary that nurses value this knowledge, slowly making it a part of the curriculum framework.
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RESEARCH01-01-2018
National Licensure Exam for Brazilian Nurses: why and for whom?
Revista Brasileira de Enfermagem. 2018;71:1692-1699
Abstract
RESEARCHNational Licensure Exam for Brazilian Nurses: why and for whom?
Revista Brasileira de Enfermagem. 2018;71:1692-1699
DOI 10.1590/0034-7167-2017-0929
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Objective:
To analyze critically the reasons for regulating a National Licensure Exam for Brazilian Nurses (NLEXB-N).
Method:
Qualitative study with secondary source applying the critical discourse analysis to situate context and intertextuality in the establishment of a new social practice. We analyzed data from legal documents regulating the National Licensure Exam of other professions in Brazil, the Educational Census, the Survey of Brazilian Nursing Profile and global nursing literature.
Results:
Four themes were explored: Brazilian experiences with this exam; nursing experiences in other countries; effects of the exam on the examinees; NLEXB-N in Brazil: what purposes could we present?
Final considerations:
The National Licensure Exam for Brazilian Nurses is a measure of individual accountability that increases social injustice, inequality and inequity. We must pay attention to the consequences of its application, based on evidences produced in the area.
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RESEARCH01-01-2018
North American nurse educators in the HOPE Earth Project and Nursing teaching
Revista Brasileira de Enfermagem. 2018;71:1685-1691
Abstract
RESEARCHNorth American nurse educators in the HOPE Earth Project and Nursing teaching
Revista Brasileira de Enfermagem. 2018;71:1685-1691
DOI 10.1590/0034-7167-2017-0825
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Objective:
analyze the activities of the North American nurse educators of the Project Health Opportunity for People Everywhere Earth (HOPE Earth Project) in Natal, state capital of Rio Grande do Norte, Brazil (1974-1981).
Method:
sociohistorical, qualitative study, resulting from filed documents and ten semistructured interviews. These sources were processed and analyzed using Oral History and Thematic Analysis.
Results:
the following categories emerged: The North American nurse educators of the HOPE Earth Project and Educator Mary Anne Small through the memories of who had contact with her.
Final considerations:
the HOPE Earth Project contributed to higher education in health at the Federal University of Rio Grande do Norte, guaranteeing the coming of qualified and experienced lecturers, and the North American educators cooperated towards the qualification of the Nursing Course, even when it was already structured and fully functioning.
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RESEARCH01-01-2018
Teachers’ experiences about first aid at school
Revista Brasileira de Enfermagem. 2018;71:1678-1684
Abstract
RESEARCHTeachers’ experiences about first aid at school
Revista Brasileira de Enfermagem. 2018;71:1678-1684
DOI 10.1590/0034-7167-2017-0715
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Objective:
To unveil the experiences of primary and elementary school teachers about first aid at school.
Method:
a descriptive, qualitative study, conducted in May 2014, from a focus group with nine teachers from the municipal network of Bom Jesus-PI. Audio recording occurred, content was transcribed, and data were processed by IRAMUTEQ software and analyzed from the Descendant Hierarchical Classification.
Results:
Three classes were obtained: Teachers’ knowledge about first aid (influence of maternal experience, belief in popular myths and awareness of lack of preparation were indicated); Feelings in situations of urgency and emergency (anguish, fear and concern); First aid at school, (occurring in class or during break time, coming from collisions and syncope).
Final considerations:
The research evidenced experiences based on popular beliefs, family experiences and knowledge gaps. The lack of preparation was evidenced by the teachers’ reports about having misconduct during first aid at school.
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RESEARCH01-01-2018
Problematization methodology in primary healthcare teaching
Revista Brasileira de Enfermagem. 2018;71:1671-1677
Abstract
RESEARCHProblematization methodology in primary healthcare teaching
Revista Brasileira de Enfermagem. 2018;71:1671-1677
DOI 10.1590/0034-7167-2017-0157
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Objective:
To identify the contribution of the problematization methodology in primary healthcare teaching in a nursing undergraduate course.
Method:
Documentary, descriptive and qualitative study, carried out with undergraduate students from the Ribeirão Preto College of Nursing at the University of São Paulo. Data were collected through analysis documents which consisted of 21 evaluation forms filled out by first-year undergraduate students in the 2013 school year taking the subject Comprehensive Health Care I, whose theoretical framework was focused on primary health care.
Results:
It was found that the subject met the intended goals, allowed coordination between theory and practice, and enabled the contact of undergraduate students with the profession and work environment in the beginning of the course.
Final considerations:
Analysis of the evaluation forms for the subject Comprehensive Health Care I evidenced that the use of the problematization methodology favored primary healthcare teaching.
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RESEARCH01-01-2018
Nursing students facing moral distress: strategies of resistance
Revista Brasileira de Enfermagem. 2018;71:1663-1670
Abstract
RESEARCHNursing students facing moral distress: strategies of resistance
Revista Brasileira de Enfermagem. 2018;71:1663-1670
DOI 10.1590/0034-7167-2017-0072
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Objective:
To understand the resistance strategies adopted by undergraduate students in nursing, faced with situations of moral distress (MD).
Method:
Qualitative research, developed in three universities in the south of Brazil, two federal and one private, with 21 undergraduate students in nursing from December 2015 to February 2016; the data was submitted to the discursive textual analysis and Foucauldian theoretical reference.
Results:
Students resisting demonstrate a sense of self-preservation and moral empowerment. Moreover, non-resistance initiatives are related to the fear of possible sanctions. Thus, by resisting or not, students may experience both positive and negative repercussions.
Final considerations:
By resisting, students aim to defend what they believe to be right, demonstrating their moral empowerment in the face of their moral distress. However, the exercise of disciplinary power seems to contribute to their moral fragilization, making it difficult to implement resistance strategies.
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REVIEW03-07-2022
Gender violence perpetrated against trans women
Revista Brasileira de Enfermagem. 2022;75:e20210173
Abstract
REVIEWGender violence perpetrated against trans women
Revista Brasileira de Enfermagem. 2022;75:e20210173
DOI 10.1590/0034-7167-2021-0173
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Objectives:
to identify scientific evidence on gender violence perpetrated against trans women.
Methods:
integrative review, carried out in June 2020, without time frame, in the Scopus, MEDLINE, Embase, CINAHL, WoS, PsycInfo and LILACS databases. The controlled descriptors of DeCS, MeSH and their entry terms were used: “Transgender People”, “Transgender”, “Gender Identity”, “Transsexuality”, “Gender Violence”, “Aggression”, “Sexual Offenses”, “Rape”, “Violence”, “Domestic Violence”. The presentation and synthesis of the results were presented in the PRISMA-2009 flowchart.
Results:
the final sample, consisting of 16 articles, identified different types of violence (sexual, physical, verbal, psychological and financial), perpetrated by family members, strangers, police officers, intimate partners, health professionals, acquaintances, or friends.
Conclusions:
trans women suffer violence and social exclusion that result from stigma and discrimination due to gender identity and result in unrestricted damage to physical health.
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ORIGINAL ARTICLE07-01-2020
Quality of life and osteomuscular symptoms in workers of primary health care
Revista Brasileira de Enfermagem. 2020;73(5):e20190054
Abstract
ORIGINAL ARTICLEQuality of life and osteomuscular symptoms in workers of primary health care
Revista Brasileira de Enfermagem. 2020;73(5):e20190054
DOI 10.1590/0034-7167-2019-0054
Views1See moreABSTRACT
Objectives:
to evaluate the quality of life and musculoskeletal symptoms in primary care workers.
Methods:
descriptive, correlational and cross-sectional study with 85 workers using the WHOQOL-Bref and Nordic Osteomuscular Symptoms Questionnaire.
Results:
lower quality of life for the Environment domain and higher for Social Relationships. Workers reported pain in lower back, neck, shoulders, wrists/hands/fingers and knees. Neck pain influenced Physical (p=0.015) and Psychological (p=0.030) domains; shoulder pain (p=0.004) and dorsal region (p=0.013) influenced the Physical domain; pain in knees influenced Physical (p=0.000) and Environment (p=0.032) domains; pain in the ankles/feet influenced Physical (p=0.000), Psychological (p=0.032) and Environment (p=0.007) domains; pain in the dorsal region influenced the Physical domain (p=0.013).
Conclusions:
workers evaluated their quality of life as good or very good and reported to be satisfied or very satisfied with their health. They also reported pains in lower back, neck, shoulders, wrists/hands/fingers and knees. Pain has influenced the quality of life.
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ORIGINAL ARTICLE10-01-2022
Factors associated with presenteeism in nursing workers
Revista Brasileira de Enfermagem. 2022;75(1):e20201290
Abstract
ORIGINAL ARTICLEFactors associated with presenteeism in nursing workers
Revista Brasileira de Enfermagem. 2022;75(1):e20201290
DOI 10.1590/0034-7167-2020-1290
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Objective:
to analyze factors associated with presenteeism in nursing workers with sociodemographic variables, health and work conditions, productivity and musculoskeletal symptoms.
Methods:
this is a cross-sectional, descriptive and analytical study, with 306 nursing workers from a hospital and municipal emergency room in a Brazilian capital. The Stanford Presenteeism Scale, the Work Limitations Questionnaire, the Nordic Musculoskeletal Questionnaire and a demographic questionnaire on nursing professionals’ working conditions and health were used. Bivariate and multivariate analyzes were performed, respecting a significance level of 5%.
Results:
presenteeism was found in 43.8% of professionals and significant associations with CLT work (p=0.002), workplace – Intensive Care Units (p=0.008), physical exercise twice a week (p=0.008), presence of musculoskeletal symptoms, with low back pain being representative (p=0.001). The productivity loss was 8.8.
Conclusions:
the study confirms a high rate of presenteeism among nursing workers.
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EXPERIENCE REPORT04-03-2020
Use of webQDA software on qualitative nursing research: an experience report
Revista Brasileira de Enfermagem. 2020;73(3):e20180411
Abstract
EXPERIENCE REPORTUse of webQDA software on qualitative nursing research: an experience report
Revista Brasileira de Enfermagem. 2020;73(3):e20180411
DOI 10.1590/0034-7167-2018-0411
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Objectives:
to report the user experience of the webQDA software in the support of qualitative data analysis about health literacy of older adults.
Methods:
quasi-experimental research developed from January 2014 to January 2015, with 118 older adults, all of whom were interviewed to assess the level of health literacy. Interviews were carried out before and after four educational interventions, according to Freire’s method named Culture Circle. The interviews were transcribed and entered in the software, which highlighted the analytical categories.
Results:
the systems of sources, interpretative encoding and questioning of the data available in the software allowed the construction of three categories for the literacy levels and four categories for their dimensions.
Final considerations:
We concluded that the webQDA software enables the structured encoding of qualitative materials, ensuring faster and effective management of data with systematization and analytical transparency.
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03-03-2021
Concept analysis of Perioperative Thirst for the development of a new nursing diagnosis
Revista Brasileira de Enfermagem. 2021;74(1):e20200065
Abstract
Concept analysis of Perioperative Thirst for the development of a new nursing diagnosis
Revista Brasileira de Enfermagem. 2021;74(1):e20200065
DOI 10.1590/0034-7167-2020-0065
Views1See moreABSTRACT
Objectives:
to analyze the perioperative thirst concept for the development of a new diagnostic structure according to NANDA International.
Methods:
a concept analysis study based on the framework proposed by Walker and Avant, instrumentalized through an integrative literature review based on SCOPUS, CINAHL, PUBMED, LILACS, and WOS. The elaboration of the diagnostic structure followed NANDA International guidelines.
Results:
41 studies were analyzed revealing that perioperative thirst is prevalent and intense, having visceral and behavioral attributes as the core of the concept. Antecedents indicate that surgical patients are vulnerable to thirst; and consequents 16 signs and symptoms were organized and model cases were developed. A diagnostic structure has been developed for perioperative thirst.
Final Considerations:
concept analysis allowed language standardization that describes thirsty patients, helping the identification, planning of actions and communication of perioperative nursing care.
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ORIGINAL ARTICLE02-25-2022
Factors associated with stress, anxiety and depression in nursing professionals in the hospital context
Revista Brasileira de Enfermagem. 2022;75:e20210263
Abstract
ORIGINAL ARTICLEFactors associated with stress, anxiety and depression in nursing professionals in the hospital context
Revista Brasileira de Enfermagem. 2022;75:e20210263
DOI 10.1590/0034-7167-2021-0263
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Objective:
to determine the factors associated with stress, anxiety and depression, concomitantly, in nursing professionals who work in the hospital context.
Methods:
a quantitative and cross-sectional study with 353 nursing professionals from a hospital. A sociodemographic questionnaire and the Depression, Anxiety and Stress Scale-21 were used. Data were subjected to descriptive statistical analysis, difference and correlation tests.
Results:
the main factors associated with stress, anxiety and depression, concomitantly, were being female, compromised family and social support, lack of autonomy at work, hostile relationship with colleagues, lack of professional recognition and satisfaction, feeling of being overwhelmed and insecurity.
Conclusions:
demographic, physiological, social and work factors impact the levels of stress, anxiety and depression in nursing professionals. The adoption of coping strategies for modifiable factors should be considered, in order to provide better quality of life for these professionals.
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ORIGINAL ARTICLE09-06-2022
Evaluating the psychometric properties of the eHealth Literacy Scale in Brazilian adults
Revista Brasileira de Enfermagem. 2022;75(1):e20201320
Abstract
ORIGINAL ARTICLEEvaluating the psychometric properties of the eHealth Literacy Scale in Brazilian adults
Revista Brasileira de Enfermagem. 2022;75(1):e20201320
DOI 10.1590/0034-7167-2020-1320
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Objective:
To translate and adapt the eHealth Literacy Scale for the cultural reality of Brazil and to evaluate the psychometric properties of its Brazilian Portuguese version.
Methods:
The instrument was translated and adapted to Brazilian Portuguese and applied to a sample of 502 individuals from 18 to 80 years old who lived in the surrounding areas of six Family Health Units of a city in the countryside of the state of São Paulo, Brazil. The data was evaluated using exploratory and confirmatory factor analysis, item response theory, and instrument reliability measures (Cronbach’s alpha and McDonald’s omega).
Results:
The eHealth Literacy Scale – Brazilian version (eHEALS-Br) presented an excellent internal consistency (α = 0.95 e ω = 0.95), with only one dimension and an explained variation of 81.79%.
Conclusions:
The Brazilian version of the instrument showed excellent psychometric properties to measure the levels of digital health literacy in adults from the country.
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ORIGINAL ARTICLE03-07-2022
Women’s perception of labor and birth care: obstacles to humanization
Revista Brasileira de Enfermagem. 2022;75:e20210215
Abstract
ORIGINAL ARTICLEWomen’s perception of labor and birth care: obstacles to humanization
Revista Brasileira de Enfermagem. 2022;75:e20210215
DOI 10.1590/0034-7167-2021-0215
Views0See moreABSTRACT
Objectives:
to understand women’s perception regarding the care received during labor and birth.
Methods:
this is a descriptive-exploratory, qualitative study carried out with 54 postpartum women from hospitals in the Metropolitan Region II of the state of Rio de Janeiro, from January to December 2018, using semi-structured interviews submitted to content analysis.
Results:
puerperal women’s perceptions about the childbirth care they received indicated the use of interventions, such as pressure maneuvers on the uterine fundus during the expulsion period – Kristeller maneuver, episiotomy and repeated vaginal examination and without consent. The use of institutional routines, such as zero diet, horizontal birth and disrespect.
Final Considerations:
despite the encouragement of public humanization policies, the technocratic model is still present in obstetric care during childbirth. The humanization of obstetric care requires changes in attitudes and care paradigms, in order to guarantee respect and the right to quality care.
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