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01-01-2018
El cuidado en la Atención Primaria de Salud: vivencia de las enfermeras
Revista Brasileira de Enfermagem. 2018;71:531-537
Abstract
El cuidado en la Atención Primaria de Salud: vivencia de las enfermeras
Revista Brasileira de Enfermagem. 2018;71:531-537
DOI 10.1590/0034-7167-2016-0244
Views0See moreRESUMEN
Objetivo:
comprender el significado de realizar cuidados de enfermería en la Atención Primaria de Salud desde la perspectiva de las enfermeras chilenas.
Método:
investigación cualitativa con enfoque desde la fenomenología social de Alfred Schütz. La recolección de datos fue realizada entre enero y abril del 2013, a través de entrevista con 13 enfermeras de Atención Primaria en Chile.
Resultados:
las enfermeras perciben el cuidado como una experiencia gratificante considerando un encuentro de subjetividades. Sin embargo, se sienten sobrecargadas por múltiples funciones a realizar y por presiones jerárquicas en el logro de las metas. Aspiran implementar cuidados innovadores manifiestados por el deseo de superar el cuidado tradicional y la eficiencia de la gestión de los diversos niveles de atención de la salud.
Conclusión:
es importante discutir estos resultados en el contexto de la asistencia y especialmente en la formación, con el fin de preparar mejor a las enfermeras que brindarán cuidados en este nivel de atención.
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RESEARCH01-01-2018
Obstacles in the detection and reporting of tuberculosis cases: a discursive analysis
Revista Brasileira de Enfermagem. 2018;71:523-530
Abstract
RESEARCHObstacles in the detection and reporting of tuberculosis cases: a discursive analysis
Revista Brasileira de Enfermagem. 2018;71:523-530
DOI 10.1590/0034-7167-2016-0673
Views0See moreABSTRACT
Objective:
To analyze the discourses of health professionals about the obstacles in the process of detection and reporting of tuberculosis cases in Mozambique.
Method:
Qualitative exploratory study with a theoretical-methodological approach of Discourse Analysis of French matrix. The study was conducted in Mozambique in 2014 at three levels: central, provincial and district. The study included 15 health professionals, 4 physicians, 6 technicians and 5 nursing professionals, who worked in the National Tuberculosis Control Program, with more than 1 year of experience.
Result:
The following discursive blocks emerged: Detection of tuberculosis cases in laboratories; Underreporting of tuberculosis cases; Obstacles to detect cases of tuberculosis: long distances and lack of transport; and Reporting of cases for decision making.
Final considerations:
The discourses analyzed point to the ideological affiliation that includes the lack of investment policies in the health sector and the political commitment as basic obstacles in the detection and reporting of tuberculosis cases.
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RESEARCH01-01-2018
Quality of life of elderly people living with HIV/AIDS in outpatient follow-up
Revista Brasileira de Enfermagem. 2018;71:513-522
Abstract
RESEARCHQuality of life of elderly people living with HIV/AIDS in outpatient follow-up
Revista Brasileira de Enfermagem. 2018;71:513-522
DOI 10.1590/0034-7167-2017-0127
Views0See moreABSTRACT
Objective:
To analyze factors related to the quality of life of elderly people living with HIV/AIDS.
Method:
A cross-sectional study was carried out with people aged 50 years or more in a specialized outpatient clinic. The data collection was by means of an interview. For the analysis of data and characterization of the sample, descriptive statistics and comparison tests were used. The project met the ethical requirements.
Results:
Participants were 81 users aged 50 to 75 years, mean age was 57.8 (± 6.1) years, 71.6% of whom were men. There was a statistically significant relationship with the quality of life, the following variables: gender, children, occupation, religion, diagnosis time, HIV exposure, adverse effects, treatment interruption, viral load counts, hospitalization, dependence for daily activities and use of drugs.
Conclusion:
The results suggest that the quality of life deficit is related not only to physical changes, but to the anguish and stigma related to HIV/AIDS.
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RESEARCH01-01-2018
Alcohol consumption, Quality of Life and Brief Intervention among Nursing university students
Revista Brasileira de Enfermagem. 2018;71:505-512
Abstract
RESEARCHAlcohol consumption, Quality of Life and Brief Intervention among Nursing university students
Revista Brasileira de Enfermagem. 2018;71:505-512
DOI 10.1590/0034-7167-2017-0692
Views0See moreABSTRACT
Objective:
To evaluate nursing university students’ alcohol consumption patterns, Brief Intervention and Quality of Life (QoL).
Method:
This is a prospective and longitudinal study containing sociodemographic, economic information concerning alcoholic beverages, BI and QoL evaluation among 281 nursing university students. Since surveys have been applied, seminars have been given and consumption patterns have been discussed, an educational material was delivered after university students’ revaluation and BI reinforcement. Descriptive and analytical statistics have been conducted.
Results:
90% of the students have already consumed alcohol and 20.6% that consumed for the first time and abused alcohol were minors. After the implementation of BI, the alcohol consumption has decreased among university students. Besides the vitality, generate state of health, and emotional aspects have decreased, mental health was substantially low among the students that used to drink.
Conclusion:
BI contributes to decrease alcoholic beverages consumption and promotes health.
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RESEARCH01-01-2018
Reflections and collective production about being a municipal health counselor
Revista Brasileira de Enfermagem. 2018;71:496-504
Abstract
RESEARCHReflections and collective production about being a municipal health counselor
Revista Brasileira de Enfermagem. 2018;71:496-504
DOI 10.1590/0034-7167-2017-0369
Views0See moreABSTRACT
Objective:
to identify the participation dynamics of a municipal council and to develop a critical-reflexive process on “being a counselor”, identifying weaknesses and possibilities of this council, in addition to collectively generating new knowledge and (re)elaborating the MHC Ordinary Law.
Method:
Convergent care research, including documentary analysis, non-participant observation and thematic workshops. The research was carried out in 2016, with municipal health counselors from a city in the Western Region of Santa Catarina.
Results:
this study made it possible to identify forms of social participation that should be strengthened in the performance of social power, to reflect and share individual experiences, to anchor them in the current legislation, and to build knowledge that enabled the elaboration/organization of a product – a new text for the Ordinary Law of the Council, adjusted to current legislation.
Final considerations:
There is a need to increase participation, considering the presence of the counselors in the meetings, the effective representation and a greater interaction in the discussions and deliberations of the council.
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RESEARCH01-01-2018
Social network: evaluation of the support or containment contexts of lesbian mothers
Revista Brasileira de Enfermagem. 2018;71:490-495
Abstract
RESEARCHSocial network: evaluation of the support or containment contexts of lesbian mothers
Revista Brasileira de Enfermagem. 2018;71:490-495
DOI 10.1590/0034-7167-2017-0419
Views0See moreABSTRACT
Objective:
To evaluate the social network of lesbian mothers, from the social contexts of support or restraint.
Method:
Descriptive, exploratory study, of qualitative approach, based on the theoretical reference of Social Network, with eight lesbian mothers selected through Snowball technique, using semi-structured interview. Data analysis was performed with IRAMUTEQ software, through Similarity Analysis.
Results:
The social network is configured as: 1) Emotional distance and non-acceptance of motherhood by the family members – primary network elements; 2) Interference in the socio-cultural medium for the effectiveness of the mother-child bond – secondary network elements.
Final considerations:
Social network is grounded on trivialized and negative conceptions that highlight prejudice and disrespect. The discussion of this theme contributes to a greater visibility of those new family arrangements as well as to reduce stigmas e prejudices that pervade the social network components of these women.
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RESEARCH01-01-2018
Wellness room as a strategy to reduce occupational stress: quasi-experimental study
Revista Brasileira de Enfermagem. 2018;71:483-489
Abstract
RESEARCHWellness room as a strategy to reduce occupational stress: quasi-experimental study
Revista Brasileira de Enfermagem. 2018;71:483-489
DOI 10.1590/0034-7167-2017-0572
Views0See moreABSTRACT
Objective:
To compare occupational stress levels of nurse staff working in the surgical unit before and after the intervention “wellness room”.
Method:
Quasi-experimental study with a sample of 60 nurse staff working in a surgical unit of a teaching hospital in the Southern Region of Brazil. The intervention was conducted in a room in the workplace for six months and consisted of sections of aesthetic care, relaxation, lectures and workshops to reduce occupational stress. Data were collected through the Demand-Control-Support Questionnaire before and after the intervention, and the comparative analysis was performed by the Wilcoxon test.
Results:
After the intervention, there was a decrease in demand and an increase in control and in the social support received at work in all professional categories, but the differences were not statistically significant.
Conclusion:
The intervention “wellness room” reduced occupational stress levels in the sample studied; however, it was not a significant decrease.
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RESEARCH01-01-2018
Characterization of users at risk of developing diabetes: a cross-sectional study
Revista Brasileira de Enfermagem. 2018;71:475-482
Abstract
RESEARCHCharacterization of users at risk of developing diabetes: a cross-sectional study
Revista Brasileira de Enfermagem. 2018;71:475-482
DOI 10.1590/0034-7167-2017-0776
Views0See moreABSTRACT
Objective:
To characterize the profile of users at risk of developing diabetes mellitus type 2 according to sociodemographic and clinical variables.
Method:
Cross-sectional study, descriptive, quantitative approach conducted with 266 users of Basic Care. Inferential statistics analysis, calculating the crude prevalence ratio with confidence interval of 95% and Kruskal-Wallis test, and application of the multivariate technique simple Correspondence Analysis.
Results:
It was noted that 83.1% were women and 36.4% frequented the Family Health Unit from 1 to 5 years. Regarding the factors associated with diabetes mellitus type 2, 66.5% of the users were overweight and 77.9% were rated with central obesity. The great majority, 77.4%, did not practice physical activities and 21.1% had altered glycemia.
Conclusion:
The results showed that many risk factors for developing diabetes mellitus type 2 were among the population of the study.
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ORIGINAL ARTICLE09-21-2020
Organizational flow chart of home care for children with special health care needs
Revista Brasileira de Enfermagem. 2020;73:e20190310
Abstract
ORIGINAL ARTICLEOrganizational flow chart of home care for children with special health care needs
Revista Brasileira de Enfermagem. 2020;73:e20190310
DOI 10.1590/0034-7167-2019-0310
Views0See moreABSTRACT
Objective:
To develop a workflow protocol for Home Care (HC) services in the HC2 modality for children with special health care needs (CSHCN) in the state of Parana.
Method:
Quantitative, descriptive, exploratory, multiple case studies. Data was collected with professionals from the eight home care services in Parana. Data were analyzed using the Strengths, Weaknesses, Opportunities and Threats (SWOT) methodology, from which a 5W2H method of action plan was developed, resulting in a flow chart.
Results:
Considering the strategies found in Home Care services, such as planned hospital discharge, caregiver training, organized transportation and singular therapeutic project, a flow organization protocol for children with special health care needs in Home Care services was developed.
Conclusion:
The protocol developed makes it possible to organize the care provided to children with special health care needs in home care.
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ORIGINAL ARTICLE09-21-2020
Adolescents in situations of poverty: resilience and vulnerabilities to sexually transmitted infections
- Maria Isabelly Fernandes da Costa
, - Raelson Ribeiro Rodrigues ,
- Rayssa Matos Teixeira ,
- Paulo Henrique Alexandre de Paula ,
- Izaildo Tavares Luna , [ … ],
- Patrícia Neyva da Costa Pinheiro
Abstract
ORIGINAL ARTICLEAdolescents in situations of poverty: resilience and vulnerabilities to sexually transmitted infections
Revista Brasileira de Enfermagem. 2020;73:e20190242
DOI 10.1590/0034-7167-2019-0242
- Maria Isabelly Fernandes da Costa ,
- Raelson Ribeiro Rodrigues ,
- Rayssa Matos Teixeira ,
- Paulo Henrique Alexandre de Paula ,
- Izaildo Tavares Luna ,
- Patrícia Neyva da Costa Pinheiro
Views0See moreABSTRACT
Objective:
To analyze the association between vulnerabilities to Sexually Transmitted Infections (STIs/HIV/AIDS) of adolescents in poverty and their level of resilience.
Method:
Cross-sectional study with 287 students between 11 and 17 years old in a school in the outskirts of Fortaleza-Ce. The study was conducted from August to October 2016. Three instruments related to characterization, vulnerability to STIs/HIV/AIDS and resilience were used. The association between the instruments was calculated using the Mann-Whitney and Kruskal-Wallis tests. Association between vulnerability to STIs/HIV/AIDS and resilience was assessed through the Spearman’s correlation coefficient. Statistical significance was set at p<0.05.
Results:
There was a significant association between the factors “housing” (p=0.022), “family income” (p=0.037) and vulnerability to STIs/HIV/AIDS. Adolescents whose father has completed high school (p=0.043) have moderately high resilience.
Conclusion:
Adolescents with low socioeconomic status and who live on less than a minimum wage tends to be more susceptible to vulnerabilities to STIs/HIV/AIDS and to have low resilience.
- Maria Isabelly Fernandes da Costa
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ORIGINAL ARTICLE10-21-2019
Social determinants of health and vulnerabilities to sexually transmitted infections in adolescents
- Maria Isabelly Fernandes da Costa ,
- Tamires Rebeca Forte Viana ,
- Patrícia Neyva da Costa Pinheiro ,
- Maria Vera Lúcia Moreira Leitão Cardoso ,
- Lorena Pinheiro Barbosa , [ … ],
- Izaildo Tavares Luna
Abstract
ORIGINAL ARTICLESocial determinants of health and vulnerabilities to sexually transmitted infections in adolescents
Revista Brasileira de Enfermagem. 2019;72(6):1595-1601
DOI 10.1590/0034-7167-2018-0726
- Maria Isabelly Fernandes da Costa ,
- Tamires Rebeca Forte Viana ,
- Patrícia Neyva da Costa Pinheiro ,
- Maria Vera Lúcia Moreira Leitão Cardoso ,
- Lorena Pinheiro Barbosa ,
- Izaildo Tavares Luna
Views1See moreABSTRACT
Objective:
To verify the association between social determinants of health and the vulnerability of adolescents to Sexually Transmitted Infections (STIs).
Method:
Cross-sectional study, performed with 287 students aged 11 to 17 years, in the outskirts of Fortaleza, Ceará, Brazil, from August do September 2016. Two instruments were used, one destined to social determinants of health and another to investigating the vulnerability to STIs. The magnitude of associations was expressed through odds ratio and interval of confidence, considering a 5% significance level. This research was approved by the Research Ethics Committee of the Federal University of Ceará.
Results:
212 (73.9%) adolescents were considered more vulnerable, with a score ≥ 4. The intermediate social determinant “housing (home ownership)” obtained significant association with with the vulnerability to STIs (p of 0.022; CI 1.1 to 3.3; OR 1.9).
Conclusion:
The intermediate social determinant “type of housing” influences the vulnerability to STAs.
- Maria Isabelly Fernandes da Costa
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ORIGINAL ARTICLE06-27-2019
Safety of the patient in an emergency situation: perceptions of the nursing team
- Andréa Tayse de Lima Gomes ,
- Marcos Antônio Ferreira Jr ,
- Pétala Tuani Candido Oliveira Salvador ,
- Manacés dos Santos Bezerril ,
- Flávia Barreto Tavares Chiavone , [ … ],
- Viviane Euzébia Pereira Santos
Abstract
ORIGINAL ARTICLESafety of the patient in an emergency situation: perceptions of the nursing team
Revista Brasileira de Enfermagem. 2019;72(3):753-759
DOI 10.1590/0034-7167-2018-0544
- Andréa Tayse de Lima Gomes ,
- Marcos Antônio Ferreira Jr ,
- Pétala Tuani Candido Oliveira Salvador ,
- Manacés dos Santos Bezerril ,
- Flávia Barreto Tavares Chiavone ,
- Viviane Euzébia Pereira Santos
Views0See moreABSTRACT
Objective:
To know the perception of nursing professionals about the essential aspects to provide safe care to polytraumatized patients in emergency services.
Method:
Descriptive and mixed study, performed with a focus group and projective techniques. The sample was made of seven nursing professionals. Data analysis took place through the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionneires and SPSS 22.0 softwares.
Results:
Based on the analysis of participants’ speeches, three content partitions emerged in the Descending Hierarchical Classification. 1) Structure: need for changes; 2) The process: safe actions by the nursing team; and 3) Care free from damage as the sought result.
Conclusion:
Patient safety in emergency situations must rely on a proper environment and an organized sector, good conditions to transport patients, use of routines and protocols, identification and organization of the beds.
- Andréa Tayse de Lima Gomes
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ORIGINAL ARTICLE09-21-2020
Contexts of vulnerabilities experienced by adolescents: challenges to public policies
- Aline dos Santos Gasparetto ,
- Tassia de Arruda Bonfim ,
- Elen Ferraz Teston ,
- Priscila Maria Marcheti ,
- Sueli Aparecida Frari Galera , [ … ],
- Bianca Cristina Ciccone Giacon-Arruda
Abstract
ORIGINAL ARTICLEContexts of vulnerabilities experienced by adolescents: challenges to public policies
Revista Brasileira de Enfermagem. 2020;73:e20190224
DOI 10.1590/0034-7167-2019-0224
- Aline dos Santos Gasparetto ,
- Tassia de Arruda Bonfim ,
- Elen Ferraz Teston ,
- Priscila Maria Marcheti ,
- Sueli Aparecida Frari Galera ,
- Bianca Cristina Ciccone Giacon-Arruda
Views0See moreABSTRACT
Objectives:
to understand the context of vulnerability experienced by adolescents from the perspective of health professionals from the Family Health Strategy.
Methods:
a descriptive-exploratory qualitative study developed with 80 Family Health Strategy professionals in the Midwest region of Brazil. Data collection was developed from July to September 2018 through a focus group, and submitted to Thematic Analysis.
Results:
it was understood that the vulnerability experienced by adolescents is not an exposure to something isolated, but is linked to risk and protection factors, socioeconomic and cultural contexts, public and health policies.
Final Considerations:
there are still gaps in public policies for this population, which impacts on the access and development of promotion actions by health professionals.
- Aline dos Santos Gasparetto
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ORIGINAL ARTICLE09-21-2020
The vulnerabilities of premature children: home and institutional contexts
- Rosane Meire Munhak da Silva ,
- Adriana Zilly ,
- Ana Paula Contiero Toninato ,
- Letícia Pancieri ,
- Maria Cândida Carvalho Furtado , [ … ],
- Débora Falleiros de Mello
Abstract
ORIGINAL ARTICLEThe vulnerabilities of premature children: home and institutional contexts
Revista Brasileira de Enfermagem. 2020;73:e20190218
DOI 10.1590/0034-7167-2019-0218
- Rosane Meire Munhak da Silva ,
- Adriana Zilly ,
- Ana Paula Contiero Toninato ,
- Letícia Pancieri ,
- Maria Cândida Carvalho Furtado ,
- Débora Falleiros de Mello
Views0See moreABSTRACT
Objective:
To analyze situations in which premature children are vulnerable in home care, in the first six months after hospital discharge.
Method:
Qualitative study, from the perspective of philosophical hermeneutics, carried out in a Brazilian city on the border. In-depth interviews were conducted, with a data analysis considering the method of interpretation of meanings. 18 mothers of premature children discharged from a hospital unit participated. 25 home visits and 56 calls were made.
Results:
The reports from the mothers express situations of vulnerability, concerns, needs for care, singularities of the development of the premature baby, and repercussions of institutional routines in home care.
Final considerations:
There are vulnerable circumstances in prematurity that reaffirm interconnected individual, social, and institutional dimensions. It is important to highlight that the institutional dimension involves the responsibility of health professionals not to increase individual and social vulnerabilities, but to promote care and seek to reduce situations that generate risks, uncertainties, concerns, and damages.
- Rosane Meire Munhak da Silva
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ORIGINAL ARTICLE12-05-2019
Self-care activities, sociodemographic variables, treatment and depressive symptoms among older adults with Diabetes Mellitus
Revista Brasileira de Enfermagem. 2019;72:22-29
Abstract
ORIGINAL ARTICLESelf-care activities, sociodemographic variables, treatment and depressive symptoms among older adults with Diabetes Mellitus
Revista Brasileira de Enfermagem. 2019;72:22-29
DOI 10.1590/0034-7167-2017-0579
Views0See moreABSTRACT
Objective:
to analyze the association between self-care activities of older adults with Type 2 Diabetes Mellitus (DM) and sociodemographic variables, type of treatment and depressive symptoms.
Method:
inferential and cross-sectional study, with 121 older adults with Type 2 DM in ambulatory care. We used a questionnaire for characterization of sociodemographic and health, questionnaire self-care activities with DM, Mini Mental State Examination and Geriatric Depression Scale. The association of variables was used (Fisher’s exact test) and for comparing the means (Student’s t-test and analysis of variance).
Results:
The mean age was 68.1 years, the majority were women (57.2%), retired (71.9%) and married (65.3%). The highest averages were for the activities: “to dry the spaces between the toes, after washing them” and smaller averages for “exercise”.
Conclusion:
In spite of high average for self-care activities, there is a need for enhanced performance and compliance to them.
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ORIGINAL ARTICLE09-16-2019
Social representations of the elderly about HIV/AIDS
- Brígida Maria Gonçalves de Melo Brandão ,
- Rebeca Coelho de Moura Angelim ,
- Sergio Corrêa Marques ,
- Denize Cristina de Oliveira ,
- Regina Célia de Oliveira , [ … ],
- Fátima Maria da Silva Abrão
Abstract
ORIGINAL ARTICLESocial representations of the elderly about HIV/AIDS
Revista Brasileira de Enfermagem. 2019;72(5):1349-1355
DOI 10.1590/0034-7167-2018-0296
- Brígida Maria Gonçalves de Melo Brandão ,
- Rebeca Coelho de Moura Angelim ,
- Sergio Corrêa Marques ,
- Denize Cristina de Oliveira ,
- Regina Célia de Oliveira ,
- Fátima Maria da Silva Abrão
Views0See moreABSTRACT
Objective:
to understand the representational content about HIV/AIDS among seropositive elderly people.
Method:
a qualitative study carried out from April to May 2017, in the city of Recife/PE, with 48 seropositive elderly people, through a semi-structured interview. The Social Representations Theory was used as theoretical framework and the method of lexical analysis through IRAMUTEQ software.
Results:
it was observed that the social representation of HIV is structured around the proximity of death and that it is a disease of restricted groups, leading to feelings of sadness. On the other hand, it is evident a transformation of the representation linked to the reified knowledge, leading to the process of naturalization of the disease.
Final considerations:
it is concluded that the elderly living with HIV, when they undergo a process of reframing about the disease, become more flexible to deal with their condition of seropositivity.
- Brígida Maria Gonçalves de Melo Brandão
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