Articles - Revista Brasileira de Enfermagem

  • RESEARCH01-01-2018

    Workload of nurses: observational study of indirect care activities/interventions

    Revista Brasileira de Enfermagem. 2018;71(2):297-305

    Abstract

    RESEARCH

    Workload of nurses: observational study of indirect care activities/interventions

    Revista Brasileira de Enfermagem. 2018;71(2):297-305

    DOI 10.1590/0034-7167-2016-0561

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    ABSTRACT

    Objective:

    Observe the workflow of nurses in hospitalization units identifying indirect care activities/interventions; measure the frequency and average time spent in performing them; and to verify the associations between average time of the activities interventions grouped into categories and per hospitalization unit.

    Method:

    Observational exploratory study using the timed technique. It was conducted in medical, surgical and specialized clinic units of a teaching hospital in the northwest of São Paulo Brazil, with 16 attending nurses as participants.

    Results:

    90 hours of observation were performed, of which 58% (52 hours and 10 minutes) were related to indirect care activities of the patients. The most frequent activities/interventions were: “Communication” – 1,852 (44.1%), mean 34.6 (SD = 54); “Walking” – 1,023 (24.3%), mean 22 (SD = 49.2); and “Documentation” – 663 (15.8%), mean 82.7 (SD = 144.4).

    Conclusion:

    These findings favor a redesign of the work process and foster the need to update and refine the current workload measurement instruments.

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  • RESEARCH01-01-2018

    Disability retirement among university public servants: epidemiological profile and causes

    Revista Brasileira de Enfermagem. 2018;71(2):289-296

    Abstract

    RESEARCH

    Disability retirement among university public servants: epidemiological profile and causes

    Revista Brasileira de Enfermagem. 2018;71(2):289-296

    DOI 10.1590/0034-7167-2016-0653

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    ABSTRACT

    Objective:

    To identify the epidemiological profile and causes of disability pensions for university public servants.

    Method:

    A cross-sectional and descriptive study, carried out with 40 retired employees due to disability of a public university. Sociodemographic, occupational and clinical data were obtained. The analyses were stratified according to gender, considering a significance level of 5%.

    Results:

    Disability pensions were more frequent among women (72.5%), aged up to 60 years (77.5%). Mental and behavioral disorders were mainly responsible for pensions (35%). There was a significant difference between the sexes (p ≤ 0.05) for the variables: educational level, function performed by the worker and presence of dependents.

    Conclusion:

    The epidemiological profile showed a higher frequency of female, married/stable marital status, aged between 51 and 60 years and up to 12 years of schooling. Chronic degenerative diseases were predominant among the causes for disability pensions.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    The free spirit: spiritualism meanings by a Nursing team on psychiatry

    Revista Brasileira de Enfermagem. 2018;71(2):280-288

    Abstract

    RESEARCH

    The free spirit: spiritualism meanings by a Nursing team on psychiatry

    Revista Brasileira de Enfermagem. 2018;71(2):280-288

    DOI 10.1590/0034-7167-2016-0428

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    ABSTRACT

    Objective:

    To analyze the meanings attributed by nursing professionals in psychiatry to spirituality and its relationship with care.

    Method:

    Clinical-qualitative, with appreciation of symbolic meanings. We interviewed 18 individuals for a semi-structured script of open questions and the data were analyzed in the light of psychoanalytic hermeneutics. The discussion was undertaken with the overlap of understanding of the sacred symbol, psychological and the meaning of life.

    Results:

    Different spiritualities are interposed by personal restlessness and the experience of transience. Spirituality aids in social functions, personal balance and commitment to endure the anguish of transience. Among professionals, it has been shown as an ethical-combative attitude to evil forms, but there is a restriction in dealing with patients’ spirituality.

    Final considerations:

    The meanings pointed to the limits of human reason, resembling caregivers and patients in subjective conditions by which they avoid spirituality in psychiatry. It is suggested that spiritual attention be given to professionals.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    The daily lives of people with Parkinson’s disease

    Revista Brasileira de Enfermagem. 2018;71(2):272-279

    Abstract

    RESEARCH

    The daily lives of people with Parkinson’s disease

    Revista Brasileira de Enfermagem. 2018;71(2):272-279

    DOI 10.1590/0034-7167-2016-0577

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    ABSTRACT

    Objective:

    To understand the daily lives of people with Parkinson’s disease.

    Method:

    Qualitative research, using as methodological and theoretical referential the Grounded Theory and Symbolic Interactionism, respectively. The in-depth interview was conducted with 30 people with Parkinson’s disease.

    Results:

    From data analysis, three themes were selected: Living with the disease – living with the treatment and changes in lifestyle; Modifying of one’s job performance – revealing incapacity for work and the need to anticipate retirement and; Living with the stigma – the feeling of prejudice against the disease and the perceived limitations of the health services.

    Final considerations:

    Living with a chronic and non-transferable disease encompasses social, physical and cultural effects, along with the personal experiences of each unique individual. This study assists the improvement of care to people with the disease, because the care practice emerges from the interactions between the subjects.

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  • RESEARCH01-01-2018

    The use of Facebook in health education: perceptions of adolescent students

    Revista Brasileira de Enfermagem. 2018;71(2):265-271

    Abstract

    RESEARCH

    The use of Facebook in health education: perceptions of adolescent students

    Revista Brasileira de Enfermagem. 2018;71(2):265-271

    DOI 10.1590/0034-7167-2016-0604

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    ABSTRACT

    Objective:

    understand the perceptions of adolescent students regarding the use of Facebook social media in sexual and reproductive health learning in the Family Health Strategy.

    Method:

    a qualitative, descriptive study developed with 96 adolescents from a public school and a private school in Fortaleza-CE who concluded an educational intervention using Facebook. The information was collected in the online environment itself, as well as in a questionnaire applied in person. For the collection and analysis of this information, netnography was used.

    Results:

    Facebook contributed to the sexual and reproductive health education in an interactive, playful and practical way, reducing the embarrassment of some adolescents to converse on the subject, and brought adolescents closer to the health service, by strengthening their bond with Health professionals.

    Final considerations:

    health professionals should recognize that such virtual spaces on the Internet offer potential for the production of health care, especially among adolescents.

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  • RESEARCH01-01-2018

    Patient participation in hand hygiene among health professionals

    Revista Brasileira de Enfermagem. 2018;71(2):259-264

    Abstract

    RESEARCH

    Patient participation in hand hygiene among health professionals

    Revista Brasileira de Enfermagem. 2018;71(2):259-264

    DOI 10.1590/0034-7167-2016-0124

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    ABSTRACT

    Objective:

    To investigate the perception and attitude of health professionals (HPs) about the patient participation in hand hygiene (HH).

    Method:

    A cross-sectional study with 150 HPs from a university hospital in Brazil. A descriptive analysis was conducted.

    Results:

    Simple hand hygiene was the preferred method of HPs, rather than hand rubbing with alcohol-based solutions. A total of 83.3% of the HPs supported the patient participation in reminding them about HH, but 48% reported that they would feel uncomfortable; 45.3%, comfortable; and 20.7% were familiar with the “Patients for Patient Safety” program.

    Conclusion:

    HPs showed limited knowledge about HH, opposing recommendations on the topic. The contradiction between the HPs acceptance and attitude when questioned by the patient regarding HH was revealed, reflecting a lack of knowledge about the WHO program and the need to implement educational practices in health.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2018

    Palliative therapy in adults with cancer: a cross-sectional study

    Revista Brasileira de Enfermagem. 2018;71(2):252-258

    Abstract

    RESEARCH

    Palliative therapy in adults with cancer: a cross-sectional study

    Revista Brasileira de Enfermagem. 2018;71(2):252-258

    DOI 10.1590/0034-7167-2016-0563

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    ABSTRACT

    Objective:

    To characterize the socioeconomic and clinical profile of adult cancer patients in palliative therapy.

    Method:

    Cross-sectional study in an oncology hospital in Paraná, with 124 adult patients who started palliative therapy in the period from Jan. 2 to June 30, 2015.

    Results:

    Of the participating population, 60.5% were women, 68.5% white, 48.4% married, 72.6% catholic and with income of one to two minimum wages. Non-smokers, 45.2%, non-alcoholics 75%, and 92% had Performance Status 1 and 2. The predominant primary diagnosis was breast cancer, with previous chemotherapy and radiotherapy. The sites of metastasis were lung/mediastinum/bronchi and lymph nodes.

    Conclusion:

    The socioeconomic and clinical context characterized the profile of adult patients in palliative therapy. The demand arising from the increase in cases of advanced cancer requires nursing care at all stages of treatment.

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  • RESEARCH01-01-2018

    Social representations of undergraduates about the education through work for health program

    Revista Brasileira de Enfermagem. 2018;71(2):244-251

    Abstract

    RESEARCH

    Social representations of undergraduates about the education through work for health program

    Revista Brasileira de Enfermagem. 2018;71(2):244-251

    DOI 10.1590/0034-7167-2015-0168

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    ABSTRACT

    Objective:

    analyze the social representation of undergraduates from the health area in which were scholars of PETSaúde of the UFRJ-Macaé Professor Aloísio Teixeira Campus about this program and its contribution to the respective professional training.

    Method:

    This is an exploratory, descriptive study, with a qualitative approach. A total of 38 undergraduates participated, and a professional socioeconomic questionnaire and semi-structured interview were used to collect data. To analyze the data, thematic content analysis was used.

    Results:

    The results showed that PETSaúde integrates undergraduates, health professionals and community, seeking the interdisciplinarity and the interrelation of those involved, articulating the scientific knowledge with the common sense for the transformation of the health service.

    Conclusion:

    The program encourages population’s empowerment and the critical, reflexive thinking of undergraduates and professionals about the health-disease process and acts as a source of transformations in the training of health professionals in response to the demands of the Unified Health System (SUS).

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