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ORIGINAL ARTICLE10-11-2024

Indigenous women’s experiences about the pregnancy-puerperal cycle
Revista Brasileira de Enfermagem. 2024;77:e20230410

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Abstract
ORIGINAL ARTICLE
Indigenous women’s experiences about the pregnancy-puerperal cycle
Revista Brasileira de Enfermagem. 2024;77:e20230410
DOI 10.1590/0034-7167-2023-0410
Lubiane Boer ,
Francisca Georgina Macedo de Sousa ,
Rizioléia Marina Pinheiro Pina ,
Margarita Poblete ,
Léris Salete Bonfanti Haeffner ,
Dirce Stein Backes
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ABSTRACT

Objectives:

to understand the experiences of indigenous women regarding the pregnancy-puerperal cycle.

Methods:

qualitative, exploratory and descriptive research, carried out between May and August 2023 with 27 pregnant women from Indigenous Villages in Mato Grosso, Brazil, through open individual interviews. The data was analyzed using Reflexive thematic analysis.

Results:

data analysis resulted in the following themes: Cultivation of labor and birth in its natural and sacred path; Unique practices and beliefs associated with breastfeeding; Evolved or reductive thinking? The participants suggest inviolable practices and beliefs, which must be welcomed, respected and enhanced by indigenous health teams.

Final Considerations:

the experiences of indigenous women regarding the pregnancy-puerperal cycle are unique and motivated by inviolable cultural and religious beliefs, which transcend scientific knowledge, certainties and the linearity of contemporary approaches, normally established as order.

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ORIGINAL ARTICLE10-07-2024

Consequences of the legislation issued for nursing education in times of COVID-19 (2020-2022)
Revista Brasileira de Enfermagem. 2024;77(5):e20230375

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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.
Abstract
ORIGINAL ARTICLE
Consequences of the legislation issued for nursing education in times of COVID-19 (2020-2022)
Revista Brasileira de Enfermagem. 2024;77(5):e20230375
DOI 10.1590/0034-7167-2023-0375
Ailla Gabrielli Costa Silva ,
Lenira Maria Wanderley Santos de Almeida ,
Regina Maria dos Santos ,
Danielly Santos dos Anjos Cardoso
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ABSTRACT

Objectives:

to analyze the legislation issued during the COVID-19 pandemic for nursing education and immediate consequences.

Methods:

documentary research, whose source was the legislation issued for nursing education during the COVID-19 pandemic. Thirty-two documents were analyzed and submitted to a collection instrument.

Results:

contradictions and consequences for nursing education following the guidelines and law of guidelines and bases were revealed. The consequences of the law affected the quality of teaching, equal access, exemption from minimum school days and course abbreviation. Regarding the guidelines, there was a lack of conditions for developing skills, in addition to the attempt to update them. Concerning internships, acting during the pandemic put students at risk, and their abbreviation prevented them from consolidating knowledge and skills.

Final Considerations:

remote teaching did not guarantee the quality and equality of teaching, weakened the development of skills, not taking into account nursing’s educational needs.

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ORIGINAL ARTICLE10-07-2024

Development and validation of a mobile application prototype for postoperative cardiac surgery
Revista Brasileira de Enfermagem. 2024;77(5):e20230491

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Abstract
ORIGINAL ARTICLE
Development and validation of a mobile application prototype for postoperative cardiac surgery
Revista Brasileira de Enfermagem. 2024;77(5):e20230491
DOI 10.1590/0034-7167-2023-0491
Gabriele Cardoso Gonçalves Alves ,
Fabiola Leticia Damascena Amador ,
Vagner Rogério dos Santos ,
Rita Simone Lopes Moreira
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ABSTRACT

Objectives:

to develop and validate the content, appearance, and semantics of a prototype application for monitoring patients in the postoperative period of cardiac surgery.

Methods:

this is a technological development study based on Contextualized Instructional Design. The content and appearance evaluation was conducted by a committee of specialists, and semantic validation was carried out by patients from a cardiac surgery outpatient clinic.

Results:

the application prototype consisted of 43 screens, validated by 17 health specialists, with content validity ratio and appearance validity index results of 0.86 and 0.99, respectively. For semantic validation, 10 patients participated in data collection, with a total content validity index of 0.978.

Conclusions:

the prototype of the “VivaCor PósOp” application demonstrated evidence of content, appearance, and semantic validity, with the potential to stimulate self-care in patients in the postoperative period of cardiac surgery.

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ORIGINAL ARTICLE10-07-2024

Indicators of emotional distress and mindfulness in undergraduate students: a cross-sectional study
- Vanessa Ferraz Leite ,
- Moisés Kogien ,
- Margani Cadore Weis Maia ,
- Marina Nolli Bittencourt ,
- Larissa de Almeida Rézio ,
- Samira Reschetti Marcon
Revista Brasileira de Enfermagem. 2024;77(5):e20230499

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Abstract
ORIGINAL ARTICLE
Indicators of emotional distress and mindfulness in undergraduate students: a cross-sectional study
Revista Brasileira de Enfermagem. 2024;77(5):e20230499
DOI 10.1590/0034-7167-2023-0499
Vanessa Ferraz Leite ,
Moisés Kogien ,
Margani Cadore Weis Maia ,
Marina Nolli Bittencourt ,
Larissa de Almeida Rézio ,
Samira Reschetti Marcon
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ABSTRACT

Objectives:

to assess the association between indicators of emotional distress and dispositional mindfulness in health students at a Brazilian federal public university.

Methods:

a cross-sectional study, developed with university students in the health area of a public institution from May to June 2022. In the analysis, multiple linear regression was used using SPSS software.

Results:

the sample was mostly female, ≤ 22 years old, non-white, studying the first semesters, with a higher prevalence for the medicine course. Students presented moderate dispositional mindfulness scores. It was observed that the variables of stress, depression and current suicide risk were associated with the capacity for mindfulness.

Conclusions:

knowing the indicators of emotional distress that are related to the potential of mindfulness can contribute as a situational diagnosis to better design strategies that promote the improvement of emotional indicators of health students.

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REVIEW10-07-2024

Risk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients
Revista Brasileira de Enfermagem. 2024;77(5):e20240162

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Abstract
REVIEW
Risk factors associated with the occurrence of the adverse event phlebitis in hospitalized adult patients
Revista Brasileira de Enfermagem. 2024;77(5):e20240162
DOI 10.1590/0034-7167-2024-0162
Maryana da Silva Furlan ,
Amanda Saba ,
Antônio Fernandes Costa Lima
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ABSTRACT

Objectives:

to synthesize knowledge regarding risk factors associated with occurrence of adverse event phlebitis in hospitalized adult patients.

Methods:

an integrative literature review, carried out in the CINAHL, PubMed, Virtual Health Library, Embase, Web of Science and Scopus databases. The stages were carried out independently by two reviewers, and the data were analyzed descriptively.

Results:

from the analysis of 31 quantitative primary studies, the following risk factors were summarized: length of stay; use of antibiotics; peripheral intravenous catheter dwell time; receive less nursing care; catheter inserted multiple times; patients with infection and comorbidities; presence of pain at catheter insertion site; Teflon® catheter use; reduced patient mobility; quality of patient’s vein; skin elasticity; unsuccessful insertion.

Conclusions:

it is necessary to standardize the format for measuring occurrence of this adverse event and develop new studies with a higher level of evidence.

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EXPERIENCE REPORT09-30-2024

Health promotion of long-haul truck drivers and their families
- Fernanda Lise ,
- Eda Schwartz
Revista Brasileira de Enfermagem. 2024;77:e20230511

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Abstract
EXPERIENCE REPORT
Health promotion of long-haul truck drivers and their families
Revista Brasileira de Enfermagem. 2024;77:e20230511
DOI 10.1590/0034-7167-2023-0511
Fernanda Lise ,
Eda Schwartz
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ABSTRACT

Objectives:

to describe the development of a Health Information and Communication Technology for the health care of long-haul truck drivers and their families.

Methods:

this is a description of the development of an Information and Communication Technology, developed from March to September 2023, following the systematization of the experience in five steps: 1) starting point, 2) initial questions, 3) recovery of the lived process, 4) background reflection, and 5) arrival points.

Results:

the technology called “Work-Family Balance,” electronically available, presents resources for the health care of long-haul truck drivers. It is anchored in studies on the health of long-haul truck drivers, notes from the International Labor Organization, the Strategic Action Plan for Confronting Chronic Diseases and Non-Communicable Diseases in Brazil, 2021-2030, and the Declaration by the International Association of Family Nursing.

Final Considerations:

the theoretical improvement of nursing can potentially improve the health care of long-haul truck drivers, prevent Chronic Non-Communicable Diseases, and promote work-life balance to achieve the goals of Agenda 2030.

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ORIGINAL ARTICLE09-30-2024

Educational video for adherence to vaginal pessary in pelvic organ prolapse treatment
Revista Brasileira de Enfermagem. 2024;77:e20230515

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Abstract
ORIGINAL ARTICLE
Educational video for adherence to vaginal pessary in pelvic organ prolapse treatment
Revista Brasileira de Enfermagem. 2024;77:e20230515
DOI 10.1590/0034-7167-2023-0515
Karine de Castro Bezerra ,
Maria Luziene de Sousa Gomes ,
Roger Rodrigues da Silva ,
Dayana Maia Saboia ,
José Ananias Vasconcelos Neto ,
Camila Moreira Teixeira Vasconcelos ,
Mônica Oliveira Batista Oriá
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ABSTRACT

Objectives:

to construct and assess an educational video to promote the adherence of women with pelvic organ prolapse to vaginal pessary use.

Methods:

this is a methodological study, with a longitudinal design and quantitative analysis. The pre-production (synopsis, argument, script, storyboard), production and post-production stages were covered. Content and technical assessments were carried out by judges from the health and communication areas, respectively, and appearance assessment by the target audience.

Results:

the video was the first to be developed on the topic on the national scene, considered assessed from the point of view of appearance and content, presenting an overall Content Validity Index of 0.99 and a level of agreement among judges of 91.1% to 100%. Assessment by the target audience reached a percentage of 96% to 100%.

Conclusions:

the educational video is an instrument capable of promoting adherence to pessary in women indicated for this therapeutic approach.

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ORIGINAL ARTICLE09-30-2024

Giving new meaning to the impact of touch in Shantala massage: mothers’ perceptions of maternal and child well-being
Revista Brasileira de Enfermagem. 2024;77:e20240012

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Abstract
ORIGINAL ARTICLE
Giving new meaning to the impact of touch in Shantala massage: mothers’ perceptions of maternal and child well-being
Revista Brasileira de Enfermagem. 2024;77:e20240012
DOI 10.1590/0034-7167-2024-0012
Danton Matheus de Souza ,
Letícia Sangali ,
Fernanda Marçal Ferreira ,
Samia Ahmad Ghandour ,
Isabelle Cristina Nogueira da Silva ,
Lisabelle Mariano Rossato
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ABSTRACT

Objectives:

to understand maternal perceptions of maternal and child well-being based on Shantala massage and discuss its association with the third Sustainable Development Goal.

Methods:

a descriptive-exploratory study in the light of Symbolic Interactionism. Eight women, mothers of infants, participated in five online meetings to teach Shantala massage, collected in focus groups, between November and December 2021. The data was subjected to thematic content analysis and lexical analysis with IRAMUTEQ®.

Results:

two categories emerged, 1) Maternal perceptions of Shantala massage and its promotion of child well-being and 2) Maternal perceptions of Shantala massage and its impact on their well-being, interconnected with subcategories.

Final Considerations:

Shantala massage promoted mutual impacts on maternal and child well-being, working together to achieve the third Sustainable Development Goal.

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ORIGINAL ARTICLE09-09-2022

Palliative care management by caregivers in home care: theoretical validation in a conversation circle
Revista Brasileira de Enfermagem. 2022;75(6):e20210737

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Abstract
ORIGINAL ARTICLE
Palliative care management by caregivers in home care: theoretical validation in a conversation circle
Revista Brasileira de Enfermagem. 2022;75(6):e20210737
DOI 10.1590/0034-7167-2021-0737
Roberta Teixeira Prado ,
Denise Rocha Raimundo Leone ,
Thiago de Medeiros Souza ,
Paula Valente Werneck ,
Maria Ribeiro Lacerda ,
Edna Aparecida Barbosa de Castro
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ABSTRACT

Objectives:

to present the validation process of a Grounded Theory on the management of palliative care at home by a caregiver of a family member who experiences a death/dying process.

Methods:

a qualitative, explanatory research, which validated a theoretical matrix through a conversation circle containing 15 family caregivers and nine healthcare professionals, in December 2018.

Results:

forty-six propositions were validated regarding family caregivers’ contextual, causal, intervening conditions, consequences and action strategies to deal with the dying and death process of a family member. Conversation circles encouraged dialogue and (re)signification of the senses and knowledge of those involved, proving to be a way of educating and promoting the exercise of citizenship by participants.

Final Considerations:

the conversation circle made it possible for participants to interact and share information and experiences regarding home care for palliative patients and their families.

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EXPERIENCE REPORT06-24-2022

Step-by-step approach to reopening a Brazilian higher education institution during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75(6):e20210807

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Abstract
EXPERIENCE REPORT
Step-by-step approach to reopening a Brazilian higher education institution during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75(6):e20210807
DOI 10.1590/0034-7167-2021-0807
Maria Clara Padoveze ,
Regina Szylit ,
Maria de Fátima Fernandes Vattimo ,
Erica Gomes Pereira ,
Lúcia Yasuko Izumi Nichiata
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ABSTRACT

Objectives:

to describe the experience of reopening a Brazilian higher education institution during the COVID-19 pandemic.

Methods:

experience report of a step-by-set approach to reopening a nursing higher education institution in São Paulo, Brazil, from May 2020 to May 2021.

Results:

the plan was created and operated by a group including students, professors, and technical-administrative workers. Weekly or by-weekly meetings occurred according to changes in the epidemiological situation and the needs to review the local technical and political agreements.

Conclusions:

we suggest that reopening plans during the COVID-19 pandemic should be politically and technically legitimated by all members of the community of a higher education institution so that they can take place quickly and sustainably. The early identification of COVID-19 cases and the adoption of local administrative measures are necessary to reduce the risk of outbreaks.

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ORIGINAL ARTICLE10-03-2022

Instrument validity: HIV and other sexually transmitted infections in homeless people
Revista Brasileira de Enfermagem. 2022;75(6):e20210863

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Abstract
ORIGINAL ARTICLE
Instrument validity: HIV and other sexually transmitted infections in homeless people
Revista Brasileira de Enfermagem. 2022;75(6):e20210863
DOI 10.1590/0034-7167-2021-0863
Anna Cláudia Freire de Araújo Patrício ,
Richardson Augusto Rosendo da Silva ,
Ivoneide Lucena Pereira ,
Luipa Michele Silva ,
Maria Alzete de Lima ,
Maria Amanda Pereira Leite ,
Maria Hellena Ferreira Brasil ,
Suzanna Valéria Oliveira Souza
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ABSTRACT

Objectives:

to validate, through the Item Response Theory, an instrument on vulnerability to HIV and other sexually transmitted infections in homeless people.

Methods:

a cross-sectional study carried out between February and May 2018 with 100 homeless people in a municipality in northeastern Brazil. A sociodemographic questionnaire was applied, and another with items referring to behaviors vulnerable to HIV and sexually transmitted infections (STIs). Subsequently, it was assessed through the Item Response Theory.

Results:

the items previous diagnosis of STIs (F=0.473), partner with STI symptoms (F=0.518), drug use (F=0.509), sex for money (F=0.552), STI symptoms (F=0.448), number of sexual partners (F=0.616), sharps sharing (F=0.398) and being a victim of sexual violence (F=0.347) were validated.

Conclusions:

the instrument proved to be validated, being able to identify vulnerability to HIV and other sexually transmitted infections in homeless people.

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ORIGINAL ARTICLE08-22-2022

Temporal trend of accidents due to percutaneous exposure in a public hospital in Brazil, 2007-2019
Revista Brasileira de Enfermagem. 2022;75(6):e20220046

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Abstract
ORIGINAL ARTICLE
Temporal trend of accidents due to percutaneous exposure in a public hospital in Brazil, 2007-2019
Revista Brasileira de Enfermagem. 2022;75(6):e20220046
DOI 10.1590/0034-7167-2022-0046
Renan Sallazar Ferreira Pereira ,
Cecília Angelita dos Santos ,
Adriano Marçal Pimenta
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ABSTRACT

Objectives:

to analyze the temporal trend of accidents due to percutaneous exposure in a public hospital in Brazil, between 2007 and 2019, according to sociodemographic and professional characteristics.

Methods:

analysis of time series of accidents due to percutaneous exposure that occurred in health workers. Sociodemographic and professional variables, accident profile, post-accident behavior and accident incidence rates were evaluated. The Prais Winsten regression was used for trend analysis and calculation of the annual percentage change, with a significance level of 5%.

Results:

761 occupational accidents were recorded. There was a downward trend in the rate of percutaneous injuries among female workers (-0.012%; p=0.009), who had secondary education (-0.011%; p=0.035) and among all health professional categories (-0.010%; p =0.019). There was an increasing trend (0.018%; p= 0.050) among workers with ≥ 61 months of professional experience.

Conclusions:

the analysis showed a decreasing incidence of percutaneous accidents, which can be explained by multiple factors.

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ORIGINAL ARTICLE11-26-2022

Health beliefs and adherence of the elderly to fall prevention measures: a quasi-experimental study
Revista Brasileira de Enfermagem. 2022;75:e20201190

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Abstract
ORIGINAL ARTICLE
Health beliefs and adherence of the elderly to fall prevention measures: a quasi-experimental study
Revista Brasileira de Enfermagem. 2022;75:e20201190
DOI 10.1590/0034-7167-2020-1190
Joana Darc Chaves Cardoso ,
Rosemeiry Capriata de Souza Azevedo ,
Annelita Almeida Oliveira Reiners ,
Amanda Cristina de Souza Andrade
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ABSTRACT

Objective:

To evaluate the effect of an educational intervention on health beliefs and adherence of elderly people to fall prevention measures.

Methods:

This is a quasi-experimental study, carried out at the Senior Citizens’ Center. Sixty-eight elderly completed the intervention. The intervention consisted of four meetings focused on beliefs about falls and prevention, and the evaluation occurred at baseline and 30 days after completion.

Results:

The elderly were predominantly women (83.82%), with one to four years of schooling (36.76%), with health problems (95.59%), and 48.53% had fallen. There was a significant increase in perceived susceptibility, severity, benefits, barriers, and total health belief score post educational intervention. By adding total to partial adherence, there was a significant increase in the adherence of the elderly to fall prevention measures after the educational intervention.

Conclusion:

Educational intervention was able to improve the beliefs and adherence of the elderly to fall prevention measures.

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ORIGINAL ARTICLE11-26-2022

Transitional care of nurses to older adults with artificial pacemaker
Revista Brasileira de Enfermagem. 2022;75:e20210192

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Abstract
ORIGINAL ARTICLE
Transitional care of nurses to older adults with artificial pacemaker
Revista Brasileira de Enfermagem. 2022;75:e20210192
DOI 10.1590/0034-7167-2021-0192
Emanuela Santos Oliveira ,
Tânia Maria de Oliva Menezes ,
Nildete Pereira Gomes ,
Lélia Mendes Sobrinho de Oliveira ,
Verônica Matos Batista ,
Monique Carolinne Macêdo Oliveira ,
Alinne Nogueira Chaves
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ABSTRACT

Objective:

to understand how the transitional care of nurses to olde adults with artificial pacemaker occurs.

Method:

a qualitative research, carried out in a philanthropic hospital in the city of Salvador, Bahia, Brazil. Fourteen nurses working in surgical and cardiac inpatient units participated. Data were collected between August and November 2020, through semi-structured interviews, and analyzed using the methodological framework Discourse of the Collective Subject and discussed in the light of Afaf Meleis’ theory of transitions.

Results:

nurses’ incipient knowledge about transitional care was identified. It was observed that the nursing discharge report is a facilitating instrument for transitional care.

Final considerations:

the study pointed out that the transitional care of nurses to older adults with artificial pacemakers does not have a theoretical foundation, reporting as a priority the care with the pacemaker identification card and with the surgical wound.

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REVIEW02-25-2022

COVID-19 and the occupational stress experienced by health professionals in the hospital context: integrative review
Revista Brasileira de Enfermagem. 2022;75:e20200859

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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.
Abstract
REVIEW
COVID-19 and the occupational stress experienced by health professionals in the hospital context: integrative review
Revista Brasileira de Enfermagem. 2022;75:e20200859
DOI 10.1590/0034-7167-2020-0859
Natalí Nascimento Gonçalves Costa ,
Maria Lúcia Silva Servo ,
Wilton Nascimento Figueredo
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ABSTRACT

Objective:

To analyze Brazilian and international scientific publications about the stress experienced by health professionals in the hospital context during the COVID-19 pandemic.

Methods:

Integrative literature review carried out on the SciELO, ScienceDirect, and LILACS databases, and sources of official Brazilian institutions, with documents published by May 2020.

Results:

Of the 26 selected references, 19 (73.08%) were indexed articles, and 7 (26.92 %) were obtained from official institutions. The study found that stress is mainly due to the overload of hospital services, the removal of professionals, the insufficiency of personal protective equipment and strict biosecurity measures, challenges in the allocation of available resources, and the risk of contamination by COVID-19.

Final considerations:

The stress experienced by health professionals in hospital institutions during the pandemic can trigger occupational and psychological problems.

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ORIGINAL ARTICLE09-29-2022

Neither angels nor heroes: nurse speeches during the COVID-19 pandemic from a Foucauldian perspective
Revista Brasileira de Enfermagem. 2022;75:e20201329

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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.
Abstract
ORIGINAL ARTICLE
Neither angels nor heroes: nurse speeches during the COVID-19 pandemic from a Foucauldian perspective
Revista Brasileira de Enfermagem. 2022;75:e20201329
DOI 10.1590/0034-7167-2020-1329
Mariana Mendes ,
Juliana Silveira Bordignon ,
Robriane Prosdocimi Menegat ,
Dulcinéia Ghizoni Schneider ,
Mara Ambrosina de Oliveira Vargas ,
Evangelia Kotzias Atherino dos Santos ,
Priscila Rodrigues da Cunha
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ABSTRACT

Objective:

to analyze the processes of meaning production, based on the speeches of nursing professionals, about how they feel about the titles of “angels and heroes” given by society during the pandemic of COVID-19.

Methods:

a qualitative, documentary research. Data was collected in October and November 2020 and analyzed from the perspective of the Discourse Analysis proposed by Michel Foucault.

Results:

they were organized into two thematic categories: “Angels and heroes? The (not) heroic reality of nursing during the pandemic” and “The search for recognition of the professional work of nursing: between what is said and what is not said”.

Final considerations:

the nurses’ speeches enunciate the search for decent conditions for the execution of care, fair wages, and recognition of the professional work by society.

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REVIEW07-17-2020

Approaches to workload in psychiatric and mental health nursing
Revista Brasileira de Enfermagem. 2020;73:e20190620

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Abstract
REVIEW
Approaches to workload in psychiatric and mental health nursing
Revista Brasileira de Enfermagem. 2020;73:e20190620
DOI 10.1590/0034-7167-2019-0620
Tássia Ghissoni Pedroso ,
Luiz Jorge Pedrão ,
Marcia Galan Perroca
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ABSTRACT

Objective:

to investigate approaches to workload in psychiatric and mental health nursing in Brazilian and international production of knowledge

Methods:

integrative literature review using six databases, covering January 2005 to March 2019. Articles in full in English, Spanish and Portuguese were included.

Results:

the sample consisted of 23 original articles classified as quantitative or emotional. The quantitative dimension was addressed in 12 articles and included: assessing patient care needs, identifying activities performed by the team, measuring time spent and developing and validating a measurement instrument. The emotional dimension included 11 articles the focus of which was on identifying stressors in the workplace, psychosocial risks and coping strategies.

Conclusion:

strategies were found for measuring workload and assessing the impact of stressors on nursing teams.

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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 ARTICLE05-18-2020

Women in situations of sexual violence: potentialities and weaknesses of the intersectoral network
Revista Brasileira de Enfermagem. 2020;73(4):e20190856

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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.
Abstract
ORIGINAL ARTICLE
Women in situations of sexual violence: potentialities and weaknesses of the intersectoral network
Revista Brasileira de Enfermagem. 2020;73(4):e20190856
DOI 10.1590/0034-7167-2018-0856
Daiane Trentin ,
Mara Ambrosina de Oliveira Vargas ,
Sandra Maria Cezar Leal ,
Caroline Porcelis Vargas ,
Micheli Leal Ferreira ,
Franciele Budziareck das Neves
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ABSTRACT

Objectives:

to identify potentialities and weaknesses of the intersectoral network for women in situations of sexual violence, from the perspective of Intervention Bioethics and the Universal Declaration on Bioethics and Human Rights.

Methods:

qualitative study conducted with multidisciplinary team members who work in intersectoral care services for women subject to sexual violence. It was held in a municipality in southern Brazil. An intentional sample, totaling 30 professionals. Semi-structured interview was used from January to April 2016. Interviews were analyzed by Thematic Analysis.

Results:

two categories emerged: potentialities and weaknesses related to the intersectoral network. Potentialities confirm the importance of the articulated intersectoral network; weaknesses such as lack of organized flow and disarticulation of services result in women revictimization and care fragmentation.

Final Considerations:

it is necessary to articulate services and qualify professionals. The Intervention Bioethics and the Universal Declaration on Bioethics and Human Rights foster discussions that contribute to how to organize and sustain the intersectoral network.

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ORIGINAL ARTICLE07-10-2020

Mental Health Nursing: waiting room intervention in integral health care
Revista Brasileira de Enfermagem. 2020;73:e20180886

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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.
Abstract
ORIGINAL ARTICLE
Mental Health Nursing: waiting room intervention in integral health care
Revista Brasileira de Enfermagem. 2020;73:e20180886
DOI 10.1590/0034-7167-2018-0886
Juliana Macedo Melo Andrade ,
Marciana Gonçalves Farinha ,
Elizabeth Esperidião
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ABSTRACT

Objective:

To describe and to analyze the proposal for intervention in the waiting room as a possibility for Nursing in mental health in group context.

Method:

Descriptive study with a qualitative approach, convergent care type, developed in a Psychosocial Care Center for Alcohol and Drugs in the interior of the state of Goiás.

Results:

The service in the waiting room provided moments of reflection, knowledge, learning, listening and exchanging experiences.

Final considerations:

The meetings in the waiting room favored the articulation between theoretical knowledge and the practice of nursing care in groups, constituting a space with a valuable locus for the development of educational and support actions in health services, to be undertaken by the nurse and, also, by other professionals of the health team.

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ORIGINAL ARTICLE08-10-2020

Risk management in the scope of nursing professionals in the hospital setting
Revista Brasileira de Enfermagem. 2020;73(6):e20190303

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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.
Abstract
ORIGINAL ARTICLE
Risk management in the scope of nursing professionals in the hospital setting
Revista Brasileira de Enfermagem. 2020;73(6):e20190303
DOI 10.1590/0034-7167-2019-0303
Rafael Pires Silva ,
Geilsa Soraia Cavalcanti Valente ,
Alessandra Conceição Leite Funchal Camacho
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ABSTRACT

Objective:

To evaluate occupational hazards affecting nursing professionals’ health in the environment of the hospital.

Method:

Descriptive-exploratory research with a qualitative approach.

Results:

The main hazards affecting nursing professionals were work overload due to the large number of patients or the small number of professionals, inadequate infrastructure, and insufficient organizational management. It became evident the work interferences in the nursing professional’s life are enormous. Despite the existence of health occupational risk management, there is still a shortage of bigger endeavors to be employed in the hospital routine. As a main result of the study, a Standard Operational Protocol (SOP) for biological risk was created to be applied in a hospital setting.

Conclusion:

Based on the identification of occupational hazards, it was suggested the Standard Operational Protocol which should be standardized to manage biological occupational hazards, to ensure the adequate flow of procedures after the exposure, as well as the occupational safety of nursing professionals.

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ORIGINAL ARTICLE07-06-2020

Time and quality of admissions: nursing workload
Revista Brasileira de Enfermagem. 2020;73(5):e20190267

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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.
Abstract
ORIGINAL ARTICLE
Time and quality of admissions: nursing workload
Revista Brasileira de Enfermagem. 2020;73(5):e20190267
DOI 10.1590/0034-7167-2019-0267
Simone Aparecida Trovó ,
Danielle Fabiana Cucolo ,
Marcia Galan Perroca
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ABSTRACT

Objectives:

to measure the average time spent by the nursing staff during patient admission and investigate their compliance with the activities described by the Nursing Interventions Classification; evaluate the degree of interference in the workload of the team.

Methods:

observational with time measurement through software. We followed 199 admissions made by the nursing staff in seven units, using two validated instruments. Total scores ≥ 70% and 50% validated the process.

Results:

the average time of nurses ranged from 5.5 (standard deviation = 2.3) to 13 (standard deviation = 1.1) minutes; and the auxiliary / technician, between 4.7 (standard deviation = 2.1) and 6.8 (standard deviation = 2.0) minutes (p ≤ 0.01). We qualified six admissions made by nurses and 33 by assistants/technicians. The intervention spent 16.3% to 31.5% of the working hours of the team.

Conclusions:

admission impacts nursing workload and needs to be considered both in the measurement of activities and in the sizing of the nursing staff.

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ORIGINAL ARTICLE09-21-2020

Nurses’ attitudes facing the family involvment in caring for people with mental disorder
Revista Brasileira de Enfermagem. 2020;73:e20200041

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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.
Abstract
ORIGINAL ARTICLE
Nurses’ attitudes facing the family involvment in caring for people with mental disorder
Revista Brasileira de Enfermagem. 2020;73:e20200041
DOI 10.1590/0034-7167-2020-0041
Maria do Perpétuo Socorro de Sousa Nóbrega ,
Carla Sílvia Neves da Nova Fernandes ,
Sonia Regina Zerbetto ,
Francisco Miguel Correia Sampaio ,
Estela Duarte ,
Suellen Cristina da Silva Chaves ,
Wanderson Carneiro Moreira
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ABSTRACT

Objective:

To characterize the attitudes of Primary Health Care nurses, regarding the involvement of the family in the care for people with Mental Disorder.

Methods:

Correlational study with 257 nurses from the city of São Paulo. The scale “Importance of Families in Nursing Care- Nurses’ Attitudes” was used. For the analysis, descriptive and inferential statistics were used.

Results:

The scale scores were high, with a mean value of 82.1 (SD=8.4) favorable to the families’ involvement, and are related to being a nurse in the Family Health Strategy (p<0.001), having received education/training in family nursing (p<0.005), the workload of 40 hours/week (p<0.005), working in the West, East and Center Regions (p<0.005).

Conclusion:

Most nurses have positive attitudes towards the involvement of families, a relevant indicator for their inclusion in the health-mental care process.

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07-09-2021

Algorithm for transitional care for caregivers of dependent older adults: a validation study
Revista Brasileira de Enfermagem. 2021;74:e20200625

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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.
Abstract
Algorithm for transitional care for caregivers of dependent older adults: a validation study
Revista Brasileira de Enfermagem. 2021;74:e20200625
DOI 10.1590/0034-7167-2020-0625
Thawanna Jeremias Barbosa Gomes ,
Bruna Alexandra da Silva Ferreira ,
Cristina Lavareda Baixinho ,
Óscar Manuel Ramos Ferreira
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ABSTRACT

Objective:

To construct and validate an algorithm for transitional care for caregivers of dependent older adults.

Method:

This was a methodological study developed in three phases: a literature review, designing an algorithm, and its validation by a peer panel with twenty-seven experts selected according to pre-defined inclusion criteria.

Results:

The algorithm predicted interventions in transitional care (hospital stay, at discharge, and 30 days at home post-discharge) aimed at the exercise of the caregiver role; needs assessment; training in care management of dependent older adults and management of self-care, and ensuring continuity of care (of older adults and caregivers).

Conclusion:

Agreement between expert raters and a reliability test of 0.92 indicate that the algorithm can be used by professionals to decide the transitional care interventions to be administered to the caregivers of dependent older adults. Future studies should be conducted to perform its clinical validation.

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REVIEW07-14-2021

Stress level experienced by participants in realistic simulation: a systematic review
Revista Brasileira de Enfermagem. 2021;74(4):e20201151

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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.
Abstract
REVIEW
Stress level experienced by participants in realistic simulation: a systematic review
Revista Brasileira de Enfermagem. 2021;74(4):e20201151
DOI 10.1590/0034-7167-2020-1151
Guilherme da Costa Brasil ,
Lucas Tomaz Benigno Lima ,
Elaine Carvalho Cunha ,
Flávia Oliveira de Almeida Marques da Cruz ,
Laiane Medeiros Ribeiro
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ABSTRACT

Objectives:

to identify the available evidence regarding stress levels experienced by participants in education based on a realistic simulation.

Methods:

systematic review that included randomized clinic trials on electronic databases: Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Latin-American and Caribbean Literature in Health Sciences, LIVIVO, PubMed, Scopus, and Web of Science. The additional search was performed on Google Scholar and OpenGrey. All searches occurred on September 24, 2020. The methodologic quality of the results was evaluated by the Cochrane Collaboration Risk of Bias Tool.

Results:

eighteen studies were included, which evaluated the participants’ stress using physiologic, self-reported measures, or the combination of both. Stress as experienced in a high level in simulated scenarios.

Conclusions:

evidence of the study included in this systematic review suggest that stress is experienced in a high level in simulated scenarios.

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