Articles - Revista Brasileira de Enfermagem

  • RESEARCH01-01-2017

    Therapeutic nursing care: transition in sexuality of the elderly caregiving spouse

    Revista Brasileira de Enfermagem. 2017;70(4):673-681

    Abstract

    RESEARCH

    Therapeutic nursing care: transition in sexuality of the elderly caregiving spouse

    Revista Brasileira de Enfermagem. 2017;70(4):673-681

    DOI 10.1590/0034-7167-2016-0256

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    ABSTRACT

    Objective:

    To understand the transitions experienced, and the conditions and expected response patterns to changes in sexuality of the spouse-caregiver of the elderly, during progression of the dementia process.

    Method:

    A qualitative research study, conducted at the neurogeriatric clinic between May of 2014 and May of 2015. An intensive, individual interview was administered to 12 elderly caregivers. Thematic content analysis was applied, using the theoretical model of Transition Theory.

    Results:

    Seven categories emerged, involving relationship and conjugal sexuality; disease repercussions; care and professional approach; attitudes, beliefs and social imagery of sexuality and care; family relationship and redefining of sexuality.

    Final considerations:

    Family development and marital life, the aspects of formation and development of sexuality, the specifics that involved living and caring for the other were understood, with successive events and changes influenced by old age, dementia, beliefs and social imagery.

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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.
  • 01-01-2017

    Fundamentals and practice of care in Gerontological Nursing

    Revista Brasileira de Enfermagem. 2017;70(4):671-672

    Abstract

    Fundamentals and practice of care in Gerontological Nursing

    Revista Brasileira de Enfermagem. 2017;70(4):671-672

    DOI 10.1590/0034-7167.2017700401

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    Intense social, economic, political, cultural, environmental, epidemiological, and demographical transformations, coupled with accelerated technological innovation, have significantly affected life in society, requiring people to reflect about the conceptions of human nature itself. This context of transformation has incentivized individuals to value technological advances and the construction of more autonomous, global, and unstable human relationships, outlining […]
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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.
  • 01-01-2017

    Fundamentos e práticas do cuidar em Enfermagem Gerontológica

    Revista Brasileira de Enfermagem. 2017;70(4):671-672

    Abstract

    Fundamentos e práticas do cuidar em Enfermagem Gerontológica

    Revista Brasileira de Enfermagem. 2017;70(4):671-672

    DOI 10.1590/0034-7167.2017700401

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    As intensas transformações sociais, econômicas, políticas, culturais, ambientais, epidemiológicas e demográficas, em conjunto com as aceleradas inovações tecnológicas, têm afetado significativamente a vida em sociedade, exigindo que as pessoas reflitam sobre as próprias concepções da natureza humana. Esse contexto de transformações tem estimulado os indivíduos a valorizar os avanços tecnológicos e a construção de relações […]
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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.
  • 01-01-2017

    The importance of empathy in health and nursing care

    Revista Brasileira de Enfermagem. 2017;70(3):669-670

    Abstract

    The importance of empathy in health and nursing care

    Revista Brasileira de Enfermagem. 2017;70(3):669-670

    DOI 10.1590/0034-7167-2016-0032

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    “In her book “Cultivating Empathy”(), Kathleen Stephany, psychologist and professor at the College of Health Sciences at Douglas College, writes about empathy, which she considers to be the basis of effective communication and one of the most important skills to be developed by human beings. Empathy is the ability to put oneself in the place […]
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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.
  • REFLECTION01-01-2017

    Clinical reasoning in nursing: teaching strategies and assessment tools

    Revista Brasileira de Enfermagem. 2017;70(3):662-668

    Abstract

    REFLECTION

    Clinical reasoning in nursing: teaching strategies and assessment tools

    Revista Brasileira de Enfermagem. 2017;70(3):662-668

    DOI 10.1590/0034-7167-2016-0509

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    ABSTRACT

    Objective:

    To present the concept and development of teaching strategies and the assessment tools regarding clinical reasoning for accurate practice.

    Method:

    This is a theoretical reflection based on scientific studies.

    Results:

    Comprehension of the essential concepts of the thought process and its articulation with the different teaching strategies and the assessment tools which has allowed presenting ways to improve the process of diagnostic or therapeutic clinical reasoning.

    Conclusion:

    The use of new strategies and assessment tools should be encouraged in order to contribute to the development of skills that lead to safe and effective decision making.

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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 reasoning in nursing: teaching strategies and assessment tools
  • REFLECTION01-01-2017

    Continuing education in health from the perspective of Augustine of Hippo

    Revista Brasileira de Enfermagem. 2017;70(3):656-661

    Abstract

    REFLECTION

    Continuing education in health from the perspective of Augustine of Hippo

    Revista Brasileira de Enfermagem. 2017;70(3):656-661

    DOI 10.1590/0034-7167-2016-0484

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    ABSTRACT

    Objective:

    To reflect about continuing education from the perspective of Augustine of Hippo and his theories based on the construction of knowledge and the learning process.

    Method:

    This is a theoretical reflection study whose aim is to propose dimensions of analysis, emphasizing the history and challenges of continuing education. Such dimensions analyze the production of knowledge in Augustinian pedagogy, its historical aspects and its close relationship with lifelong education in health professions.

    Results:

    The results show the difficulty of continuing education to reach adequate importance in health services, and that of academia in appropriating the thoughts of renowned philosophers such as Augustine. This is a result of ignorance about the convergence of these principles and their relevance.

    Final considerations:

    Continuing education and Augustinian pedagogy walk hand in hand in terms of care, meeting the needs that originate from practice and that are reflected in it, challenging isolated knowledge and putting different areas of knowledge to work together.

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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.
  • REVIEW01-01-2017

    Influence of hormonal contraceptives and the occurrence of stroke: integrative review

    Revista Brasileira de Enfermagem. 2017;70(3):647-655

    Abstract

    REVIEW

    Influence of hormonal contraceptives and the occurrence of stroke: integrative review

    Revista Brasileira de Enfermagem. 2017;70(3):647-655

    DOI 10.1590/0034-7167-2016-0056

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    ABSTRACT

    Objective:

    To identify scientific evidence regarding the influence of hormonal contraceptive use and the occurrence of stroke.

    Method:

    Integrative review of the literature, through database search using the descriptors “contraceptive agents“, “contraceptive devices“, “contraceptives, Oral” and “Stroke”. Original studies in Portuguese, Spanish and English, published in full and available online were included. Studies that did not answer our guiding questions and duplicated studies were excluded.

    Results:

    Women using combined oral contraceptives have higher risk of stroke, even with a lower hormonal dosage and different types of progestogen, regardless of the duration of use. The use of contraceptives associated with smoking, hypertension, migraine, hypercholesterolemia, obesity and sedentary lifestyle increases the chance of stroke. Contraceptive patch and vaginal ring are associated to increased risk.

    Conclusion:

    Use of combined hormonal contraceptives, except for the injectable and the transdermal ones, increases the chance of occurrence of the event. Progestogen-only contraceptives were considered safe.

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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.
  • RESEARCH01-01-2017

    Health Conditions and Memory Performance: a study with older adult women

    Revista Brasileira de Enfermagem. 2017;70(3):640-646

    Abstract

    RESEARCH

    Health Conditions and Memory Performance: a study with older adult women

    Revista Brasileira de Enfermagem. 2017;70(3):640-646

    DOI 10.1590/0034-7167-2016-0529

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    ABSTRACT

    Objective:

    to verify the correlation between health condition and memory performance of older adult women in the community.

    Method:

    Analytical cross-sectional study developed with 28 older adult women living in Cuiabá-MT. They answered the Mini-Mental State Examination (MMSE), and a shortened Geriatric Depression Scale (GDS-15) to screen for dementia and depression symptoms. Memory skills were assessed through Rey Auditory Verbal Learning Test (RAVLT).

    Results:

    The mean age was 66.36 years and 75% of the participants had educational level higher than 7 years. The MMSE mean score was 28.45. The correlations found were: educational level and immediate memory (r = 0.49; p = 0.008); delayed recall and immediate memory (r = 0.71; p < 0.001); memory recognition and immediate memory (r = 0.43; p = 0.021) and recognition memory with delayed recall (r = 0.47; p = 0.012).

    Conclusion:

    High scores in the MMSE and a satisfactory health perception among the participants were evident. There was no correlation between memory performance and health perception.

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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.

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