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11-10-2023
Time to act sustainably: Why can’t we wait any longer?
Revista Brasileira de Enfermagem. 2023;76(5):e20220813
Abstract
Time to act sustainably: Why can’t we wait any longer?
Revista Brasileira de Enfermagem. 2023;76(5):e20220813
DOI 10.1590/0034-7167-2022-0813
Views0See moreABSTRACT
Objectives:
to raise reflections on the need for health services and professionals to implement sustainable actions, aiming at their own survival and that of the planet.
Methods:
reflective essay based on international reports regarding the impact of climate change on people’s health and the role of institutions in this context.
Results:
the article focused on three fundamentals: climate change continues to be a threat to the health and well-being of all beings on Earth; the institutions that should contribute to health are great agents of contamination of the environment and emission of gases that aggravate the greenhouse effect; and there are several benefits for health institutions to act sustainably.
Final Considerations:
we cannot wait any longer; we must develop policies and management models aimed at environmentally responsible, economically viable, and socially more collaborative healthcare.
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REVIEW11-10-2023
Applying Lean Healthcare in the hospitalization and patient discharge process: an integrative review
- Livia Barrionuevo El Hetti Fuentes
, - Lucas Gardim ,
- Thaís Oliveira da Silva ,
- André Almeida de Moura ,
- Andrea Bernardes
Abstract
REVIEWApplying Lean Healthcare in the hospitalization and patient discharge process: an integrative review
Revista Brasileira de Enfermagem. 2023;76(5):e20220751
DOI 10.1590/0034-7167-2022-0751
- Livia Barrionuevo El Hetti Fuentes ,
- Lucas Gardim ,
- Thaís Oliveira da Silva ,
- André Almeida de Moura ,
- Andrea Bernardes
Views0See moreABSTRACT
Objectives:
to identify scientific evidence regarding the use of Lean Healthcare approach in the hospitalization and patient discharge process.
Methods:
this is an Integrative Review conducted in the PubMed, LILACS, SCOPUS, CINAHL, Web of Science, and Embase databases.
Results:
out of 904 records identified, three were included in this review. The studies demonstrated that when applied to discharge planning, the Lean philosophy brings favorable results, promoting improvements in the communication process, as well as assisting in workflow organization, with a reduction in length of stay and improvement in the quality of care.
Final Considerations:
although the Lean methodology presents positive results, it is considered that the application of the philosophy in healthcare institutions is still not sustainable, as it is often restricted to specific departments or services. Thus, to maximize the success of implementation, the Lean philosophy needs to be incorporated into the organizational culture, representing the greatest challenge.
- Livia Barrionuevo El Hetti Fuentes
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11-10-2023
A eficácia do uso de livros interativos multimodalidade em enfermagem pediátrica na implementação do programa Merdeka Belajar
Revista Brasileira de Enfermagem. 2023;76(5):e20220599
Abstract
A eficácia do uso de livros interativos multimodalidade em enfermagem pediátrica na implementação do programa Merdeka Belajar
Revista Brasileira de Enfermagem. 2023;76(5):e20220599
DOI 10.1590/0034-7167-2022-0599
Views0See moreRESUMEN
Objetivos:
analizar la efectividad del uso de libros interactivos multimodales en enfermería pediátrica sobre los resultados de aprendizaje de los estudiantes en la implementación del Programa Merdeka Belajar.
Métodos:
investigación cuasi-experimental con un diseño de grupo de control posterior a la prueba. En este estudio, la muestra incluyó 52 estudiantes de enfermería del cuarto semestre del Instituto de Ciencias de la Salud Suaka Insan Banjarmasin que recibieron el curso de Enfermería Pediátrica. Fue utilizada la técnica de muestreo total y la prueba t dependiente en el análisis de datos.
Resultados:
el libro interactivo multimodal de enfermería pediátrica fue efectivo en la mejora del logro de aprendizaje de los estudiantes de cuarto semestre con un valor de significancia de 0,015 < 0,05. Hay una diferencia en el valor promedio de los cursos de enfermería pediátrica para la clase A y la clase B, que es de 3,173.
Conclusiones:
el uso de libros multimodales interactivos es muy bueno para que los profesores los apliquen en la enseñanza para ayudar a los estudiantes a comprender el material que están aprendiendo.
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11-10-2023
ERRATA
Revista Brasileira de Enfermagem. 2023;76(5):e2023n5e04
Abstract
ERRATA
Revista Brasileira de Enfermagem. 2023;76(5):e2023n5e04
DOI 10.1590/0034-7167.20237605e04pt
Views0No artigo “Primeira graduada do Mestrado em Enfermagem em Prática Avançada em Oncologia no Chile”, com número DOI: , publicado no periódico Revista Brasileira de Enfermagem, 2023; 2023(Suppl 4):e76suppl401, no segundo parágrafo:Onde se lia:[…]See more -
ORIGINAL ARTICLE11-10-2023
The effectiveness of using interactive multimodality books in pediatric nursing in implementing Merdeka Belajar program
Revista Brasileira de Enfermagem. 2023;76(5):e20220599
Abstract
ORIGINAL ARTICLEThe effectiveness of using interactive multimodality books in pediatric nursing in implementing Merdeka Belajar program
Revista Brasileira de Enfermagem. 2023;76(5):e20220599
DOI 10.1590/0034-7167-2022-0599
Views0See moreABSTRACT
Objectives:
to analyzing the Effectiveness of Using Interactive Multimodality Books in Pediatric Nursing on Student Learning Outcomes in Implementing the Merdeka Belajar Program.
Methods:
the research design used a quasi-experimental approach with a posttest control group design. The sample in this study was the fourth-semester nursing students of Institute of Health Science Suaka Insan Banjarmasin who received the Pediatric Nursing course, a total of 52 students. The sampling technique used is total sampling. Data analysis used the dependent t-test.
Results:
the interactive multimodality pediatric nursing book was effective in improving the learning achievement of fourth-semester students with a significance value of 0.015 < 0.05. There is a difference in the average value of pediatric nursing courses for class A and class B, which is 3.173.
Conclusions:
the use of interactive multimodality books is very good for lecturers to apply in teaching to help students understand the material they are learning.
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ERRATUM11-10-2023
ERRATUM
Revista Brasileira de Enfermagem. 2023;76(4):e2023n4e03
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2023;76(4):e2023n4e03
DOI 10.1590/0034-7167.20237604e03
Views0In the article “Diabetic foot ulcer self-care assessment: a scoping review”, with DOI number: https://doi.org/10.1590/0034-7167-2022-0555, published in Revista Brasileira de Enfermagem, 2023;76(3): e20220555, in the title:Where it read:[…]See more -
ORIGINAL ARTICLE11-10-2023
Validation of the Advanced Practice Nursing Competency Assessment Instrument in a hospital environment
- Júlia Altafini ,
- Flávia Carvalho Pena Dias ,
- Thelen Daiana Mendonça Ferreira ,
- Pedro Sastre-Fullana ,
- Thaís Moreira São-João , [ … ],
- Renata Cristina Gasparino
Abstract
ORIGINAL ARTICLEValidation of the Advanced Practice Nursing Competency Assessment Instrument in a hospital environment
Revista Brasileira de Enfermagem. 2023;76:e20220705
DOI 10.1590/0034-7167-2022-0705
- Júlia Altafini ,
- Flávia Carvalho Pena Dias ,
- Thelen Daiana Mendonça Ferreira ,
- Pedro Sastre-Fullana ,
- Thaís Moreira São-João ,
- Renata Cristina Gasparino
Views0See moreABSTRACT
Objectives:
to evaluate the measurement properties of the Advanced Practice Nursing Competency Assessment Instrument – Brazilian version, in the hospital environment.
Methods:
a methodological study conducted in a hospital with 238 nurses. Three instruments collect the data: sample characterization form, Brazilian version of the Advanced Practice Nursing Competency Assessment Instrument, and the category “therapeutic interventions” of the nurse competence scale. Construct validity was verified by confirmatory factor analysis and Spearman’s correlation coefficient, and reliability by Cronbach’s Alpha and composite reliability.
Results:
in the factor analysis, the model converged to a satisfactory result. The study found acceptable evidence of reliability (Cronbach’s Alpha, 0.76-0.87; and composite reliability, 0.85-0.90).
Conclusions:
the instrument demonstrated evidence of construct validity and internal consistency and can be used in practice
- Júlia Altafini
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11-10-2023
Technology for the treatment promotion of adults living with HIV: Positive o Cuidado (Positive the Care)
- Vivian Costa Fermo ,
- Francis Solange Vieira Tourinho ,
- Douglas Dyllon Jerônimo de Macedo ,
- Thaís Favero Alves
Abstract
Technology for the treatment promotion of adults living with HIV: Positive o Cuidado (Positive the Care)
Revista Brasileira de Enfermagem. 2023;76:e20220454
DOI 10.1590/0034-7167-2022-0454
- Vivian Costa Fermo ,
- Francis Solange Vieira Tourinho ,
- Douglas Dyllon Jerônimo de Macedo ,
- Thaís Favero Alves
Views0See moreABSTRACT
Objectives:
to develop a responsive website focused on treatment adherence for adult users living with HIV.
Methods:
technological study conducted between August and October 2020, in the light of Pierre Lévy’s theoretical-philosophical framework, using the Double Diamond Process methodology associated with the five stages of The Elements of User Experience framework.
Results:
it was developed the responsive website Positive Care (Positive o Cuidado), composed of an initial presentation screen and 13 other screens named: Family Health and You; Undetectable = Untransmissible; Antiretroviral Drugs; Routine Tests; Vaccination; Antiretroviral Delivery; Drug Interactions; Combined Prevention; Support Services; Healthy Life; Family and Reproductive Planning; Covid 19; and Questions, Curiosities, and Myths.
Final Considerations:
the responsive website was developed based on the software design and programming process and has requirements/functionalities with the potential to strengthen the collective intelligence about HIV and, consequently, to promote treatment adherence by its users.
- Vivian Costa Fermo
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ORIGINAL ARTICLE10-25-2022
Clinical characterization, disability, and mortality in people with strokes during 90 days
- Mariana de Almeida Moraes ,
- Fernanda Carneiro Mussi ,
- Ludmila Santos Muniz ,
- Elieusa e Silva Sampaio ,
- Tatiana de Sena Leitão , [ … ],
- Pedro Antônio Pereira de Jesus
Abstract
ORIGINAL ARTICLEClinical characterization, disability, and mortality in people with strokes during 90 days
Revista Brasileira de Enfermagem. 2022;75(2):e20201383
DOI 10.1590/0034-7167-2020-1383
- Mariana de Almeida Moraes ,
- Fernanda Carneiro Mussi ,
- Ludmila Santos Muniz ,
- Elieusa e Silva Sampaio ,
- Tatiana de Sena Leitão ,
- Carlos Antônio de Souza Teles Santos ,
- Pedro Antônio Pereira de Jesus
Views0See moreABSTRACT
Objectives:
to describe clinical characteristics and mortality of people with ischemic cerebrovascular accidents (strokes); to compare disability before the event and 90 days after.
Methods:
longitudinal study with 308 people hospitalized in Salvador-BA. Data collection took place from 03/2019 to 01/2020. Descriptive and inferential statistics were used.
Results:
mean age was 64.8 years, and National Institute of Health Stroke Scale score was 10.7. The median length of stay in the hospital was 11 days. Afro-descendants predominated (84%), elementary educational level (68.4%), income up to three minimum wages (89.1%), arrival within 4.5 hours of symptoms (57.9%) and admission to a specialized unit (71.8%). Prevalence of thrombolysis: 26%. The asymptomatic before the event category predominated (85.3%) as did the moderate/severe disability (41.5%) after 90 days. 19.7% of the sample evolved to death. Conclusions: the high mortality and disability generated by the event have implications for health management and care.
- Mariana de Almeida Moraes
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EXPERIENCE REPORT02-10-2020
Overcoming the challenges to offer quality training in psychiatric nursing
- Maria Odete Pereira ,
- Amanda Márcia dos Santos Reinaldo ,
- Eliana Aparecida Villa ,
- Alda Martins Gonçalves
Abstract
EXPERIENCE REPORTOvercoming the challenges to offer quality training in psychiatric nursing
Revista Brasileira de Enfermagem. 2020;73(1):e20180208
DOI 10.1590/0034-7167-2018-0208
- Maria Odete Pereira ,
- Amanda Márcia dos Santos Reinaldo ,
- Eliana Aparecida Villa ,
- Alda Martins Gonçalves
Views0See moreABSTRACT
Objective:
to report the experience of the Psychiatric Nursing professors of the Nursing Undergraduate Course of the Nursing School, Universidade Federal de Minas Gerais (UFMG) and the challenges faced to offer quality training.
Method:
This is an experience report about the experience of Psychiatric Nursing professors of the Nursing Undergraduate Course of the Nursing School, UFMG.
Results:
After losing the workload of 120 hours in the Psychiatric Nursing Undergraduate Course, the area developed elective disciplines with a total of 330-hour load, in addition to extension and research projects.
Final considerations:
the precariousness of the area of Nursing training after curricular restructuring in a higher education institution, whether in relation to hour load or in the allocation of teaching vacancies, is in line with advances of the Brazilian Psychiatric Reform and epidemiological data of psychic illness and drug use.
- Maria Odete Pereira
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ORIGINAL ARTICLE04-09-2020
Nursing work and competence in hemotherapy services: an ergological approach
- Sonia Rejane de Senna Frantz ,
- Mara Ambrosina de Oliveira Vargas ,
- Denise Elvira Pires de Pires ,
- Maria José Menezes Brito ,
- Júlia Valéria de Oliveira Vargas Bitencourt , [ … ],
- Gerusa Ribeiro
Abstract
ORIGINAL ARTICLENursing work and competence in hemotherapy services: an ergological approach
Revista Brasileira de Enfermagem. 2020;73(3):e20180775
DOI 10.1590/0034-7167-2018-0775
- Sonia Rejane de Senna Frantz ,
- Mara Ambrosina de Oliveira Vargas ,
- Denise Elvira Pires de Pires ,
- Maria José Menezes Brito ,
- Júlia Valéria de Oliveira Vargas Bitencourt ,
- Gerusa Ribeiro
Views0See moreABSTRACT
Objetives:
to analyze the ingredients of the competence that the nurses use in the performance of their work in hemotherapy.
Methods:
qualitative study with 22 nurses, accomplished through documentary study, observation and semi-structured interview, with resources of Atlas.ti software based on the foundations of Historical Materialism Dialectic and Ergology. Performed Content Analysis.
Results:
the domain of specific knowledge of hemotherapy and the time of experience in the area, allied to the motivation of the worker and the ability to work in a team favor the competent action in the work activities. On the other hand, the lack of adequate work conditions, especially in relation to adequate materials, equipment and structure, impairs the work of the nurse in hemotherapy.
Final Considerations:
experience gained is critical to successful decision making. In addition, adequate working conditions, updating of knowledge and ability in teamwork favor a scenario of safe practices.
- Sonia Rejane de Senna Frantz
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REFLECTION12-13-2019
Women with fetal death: nurses’ care limitations
Revista Brasileira de Enfermagem. 2019;72:365-368
Abstract
REFLECTIONWomen with fetal death: nurses’ care limitations
Revista Brasileira de Enfermagem. 2019;72:365-368
DOI 10.1590/0034-7167-2018-0261
Views0See moreABSTRACT
Objective:
To present the limitations of the nursing care for women with fetal death, reflecting on this challenge for care practices.
Method:
Reflective study with theoretical focus on national and international publications, along with the experience of the authors in the area of women’s health and obstetrics.
Results:
There are limitations related to nursing care, which involve feelings of insecurity and powerlessness, inappropriate attitudes of these professionals in front of women, difficulties to manage emotional aspects, and structural problems of health services.
Final Considerations:
This study points out that there are challenges to qualify nursing care for women with fetal death, which included academic studies and continuing education in health services. Relational aspects should be valued and demand more sensitivity from nurses, with more empathic relationships in the care for women with fetal death.
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ORIGINAL ARTICLE05-18-2020
Care of wheelchair pregnant women in the light of Collière’s theory
- Daiana Silva Lima ,
- Leila Rangel da Silva ,
- Cristiane Rodrigues da Rocha ,
- Selma Villas Boas Teixeira ,
- Mirian Santos Paiva
Abstract
ORIGINAL ARTICLECare of wheelchair pregnant women in the light of Collière’s theory
Revista Brasileira de Enfermagem. 2020;73(4):e20180755
DOI 10.1590/0034-7167-2018-0755
- Daiana Silva Lima ,
- Leila Rangel da Silva ,
- Cristiane Rodrigues da Rocha ,
- Selma Villas Boas Teixeira ,
- Mirian Santos Paiva
Views0See moreABSTRACT
Objectives:
to discuss care needs of wheelchair pregnant women in the light of Collière’s Theory of Caring.
Methods:
qualitative, descriptive, exploratory, with eight women, between August 2014 and March 2015, in Rio de Janeiro State, Brazil. The method of data collection was the life history. The theoretical reference used was Marie-Françoise Collière’s Theory of Caring. The thematic type analysis identified three categories: pregnancy planning; support and prejudice of family and health professionals; and caring for the wheelchair pregnant woman.
Results:
prejudice, fear, lack of support, lack of knowledge about the maintenance of pregnancy and childbirth interfered negatively in the process of gestation. Participants had urinary tract infection, miscarriages and preterm birth.
Final Considerations:
gestation in these women should predict possible intercurrences, which makes it imperative to train professionals in integral care to promote and protect health.
- Daiana Silva Lima
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ORIGINAL ARTICLE06-04-2021
Innovations in the teaching-learning process of psychiatric nursing and mental health
- Claudia Mara de Melo Tavares ,
- Américo de Araujo Pastor Junior ,
- Laís Mariano de Paiva ,
- Thainá Oliveira Lima
Abstract
ORIGINAL ARTICLEInnovations in the teaching-learning process of psychiatric nursing and mental health
Revista Brasileira de Enfermagem. 2021;74:e20200525
DOI 10.1590/0034-7167-2020-0525
- Claudia Mara de Melo Tavares ,
- Américo de Araujo Pastor Junior ,
- Laís Mariano de Paiva ,
- Thainá Oliveira Lima
Views0See moreABSTRACT
Objective:
to know innovative pedagogical experiences developed by professors in the teaching of psychiatric nursing and mental health in undergraduate nursing courses at public universities in Rio de Janeiro State.
Method:
based on an ethnomethodological approach, individual semi-structured interviews and document analysis were carried out according to content analysis.
Results:
despite the heterogeneity in the curriculum distribution of psychiatric nursing’s and mental health’s knowledge, the themes taught have similarities. The perceptions of innovation are mainly related to interdisciplinary practices and teaching, relational, and care technologies. Innovative teaching practices are focused on the use of active methodologies and collaborative activities.
Final considerations:
innovating teaching requires creating strategies to teach people how to care for people, valuing human uniqueness. Student participation in health services is the key to the dialogue between knowledge produced in academia and that mobilized in health services.
- Claudia Mara de Melo Tavares
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ORIGINAL ARTICLE09-23-2022
Analysis of the concept of cardiovascular risk: contributions to nursing practice
- Nuno Damácio de Carvalho Félix ,
- Brenda Silva Cunha ,
- Maria Naiane Rolim Nascimento ,
- Douglas Vieira Braga ,
- Célida Juliana de Oliveira , [ … ],
- Maria Miriam Lima da Nóbrega
Abstract
ORIGINAL ARTICLEAnalysis of the concept of cardiovascular risk: contributions to nursing practice
Revista Brasileira de Enfermagem. 2022;75(4):e20210803
DOI 10.1590/0034-7167-2021-0803
- Nuno Damácio de Carvalho Félix ,
- Brenda Silva Cunha ,
- Maria Naiane Rolim Nascimento ,
- Douglas Vieira Braga ,
- Célida Juliana de Oliveira ,
- Marcos Antônio Gomes Brandão ,
- Alba Lucia Bottura Leite de Barros ,
- Maria Miriam Lima da Nóbrega
Views0See moreABSTRACT
Objectives:
to analyze the concept of cardiovascular risk to support nursing practice.
Methods:
this is an analysis to define the concept of cardiovascular risk, through the use of eight steps of Walker’s and Avant’s framework, using a literature review in indexed scientific journals.
Results:
cardiovascular risk is defined in a broad and original way as a context of health and nursing care that makes it possible to identify modifiable (cardiometabolic, behavioral, psychosocial, cultural and occupational) and non-modifiable (biological) risk factors for cardiovascular diseases that act as early and interrelated markers, of multiple and heterogeneous etiology, predisposing to cardiovascular vulnerability.
Conclusions:
with the analysis and definition of the concept of cardiovascular risk, we realized that it will be possible to base nursing practice, with implications in clinical practice for identifying and reducing risk factors for cardiovascular diseases, with nursing relevance in the care of these subjects.
- Nuno Damácio de Carvalho Félix
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ORIGINAL ARTICLE12-05-2019
Health situation in the perception of elderly widows assisted by primary health care
- Mariana Lustosa de Carvalho ,
- Cristhiano Neiva Santos Barbosa ,
- Valéria Peixoto Bezerra ,
- Ana Maria Ribeiro dos Santos ,
- Cynthia Roberta Dias Torres Silva , [ … ],
- Maria do Livramento Fortes Figueiredo
Abstract
ORIGINAL ARTICLEHealth situation in the perception of elderly widows assisted by primary health care
Revista Brasileira de Enfermagem. 2019;72:199-204
DOI 10.1590/0034-7167-2018-0549
- Mariana Lustosa de Carvalho ,
- Cristhiano Neiva Santos Barbosa ,
- Valéria Peixoto Bezerra ,
- Ana Maria Ribeiro dos Santos ,
- Cynthia Roberta Dias Torres Silva ,
- Cleidiane Maria Sales de Brito ,
- Maria do Livramento Fortes Figueiredo
Views0See moreABSTRACT
Objective:
Analyze the perception of elderly widow women about their health situation.
Method:
Descriptive and exploratory research, based on qualitative approach performed with 34 widowed women aged 60 years and over, enrolled in primary health care. It was used content analysis in its thematic analysis modality.
Results:
Three thematic nuclei were obtained: “positive self-perception of health in old age”, “negative understanding of health related to the diseases” and “negative repercussions of the absence of the husband in the health situation of the widows”. Presence of the family, chronic diseases under control, physical limitations and absence of the partner directly influenced the responses of the elderly widows.
Final considerations:
The elderly widows perceive their health situation as relatively good and some factors are challenges to a better health situation. For the participants, widowhood means more than just the physical loss of the husband, interfering negatively in the perception of their health situation.
- Mariana Lustosa de Carvalho
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