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TECHNOLOGICAL INNOVATION
HeLP: Development of occupational protection mask against surgical smoke
Revista Brasileira de Enfermagem. 2023;76:e20220647
11-10-2023
Abstract
TECHNOLOGICAL INNOVATIONHeLP: Development of occupational protection mask against surgical smoke
Revista Brasileira de Enfermagem. 2023;76:e20220647
11-10-2023DOI 10.1590/0034-7167-2022-0647
Views0ABSTRACT
Objectives:
to describe a technological innovation in the development of an individual, ergonomic, sustainable and effective occupational respiratory protection mask for workers exposed to surgical smoke.
Methods:
applied, exploratory, quantitative research, using design methods and tools: Sense Intent, Know Context, Know People, Frame Insights, Explore Concepts, Frame Solutions, Realize Offerings, in addition to the Product Development Process tools. It was developed from March 2019 to December 2021.
Results:
from the prototyping mold, it became possible to represent the abstract to the physical, where all the concepts created in the methodological steps were implemented and the necessary adjustments were made to create the model as a technological innovation, which will have the concept for product commercialization.
Conclusions:
a mask for protection against surgical smoke (HeLP) was developed, from the design step to the prototype development, being a technological innovation.
Keywords:Air Pollutants, OccupationalPersonal Protective EquipmentRespiratory Protective DevicesSmokeTechnological Development and Innovation ProjectsSee more -
ORIGINAL ARTICLE
Validation of the Advanced Practice Nursing Competency Assessment Instrument in a hospital environment
Revista Brasileira de Enfermagem. 2023;76:e20220705
11-10-2023
Abstract
ORIGINAL ARTICLEValidation of the Advanced Practice Nursing Competency Assessment Instrument in a hospital environment
Revista Brasileira de Enfermagem. 2023;76:e20220705
11-10-2023DOI 10.1590/0034-7167-2022-0705
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
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ERRATUM
ERRATUM
Revista Brasileira de Enfermagem. 2023;76(3):e2023n3e01
10-30-2023
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2023;76(3):e2023n3e01
10-30-2023DOI 10.1590/0034-7167.20237603e01
Views0In the article “Perceptions of adults with obesity about multiprofessional remote monitoring at the beginning of the COVID-19 pandemic”, with DOI number: , published in Revista Brasileira de Enfermagem, 2021;74(Suppl 1): e20200710, on page 8:Where it read:[…]See more -
ORIGINAL ARTICLE
Experience of the patient regarding their safety in the hospital environment
Revista Brasileira de Enfermagem. 2023;76(5):e20220512
10-09-2023
Abstract
ORIGINAL ARTICLEExperience of the patient regarding their safety in the hospital environment
Revista Brasileira de Enfermagem. 2023;76(5):e20220512
10-09-2023DOI 10.1590/0034-7167-2022-0512
Views0See moreABSTRACT
Objectives:
to analyze the factors that can impact patients’ experience concerning safety-related measures in the hospital setting.
Methods:
this qualitative, descriptive, and exploratory study was conducted with patients and their family members at a hospital in southern Brazil. Semi-structured interviews were carried out using the Critical Incident Technique between January and February 2022. The collected data underwent content analysis with the assistance of IRaMuTeQ software.
Results:
five patients, four family members, and three patient-family units participated in the study. The following categories emerged: “Patientprofessional interaction as a component of safe care,” “Recognition of safety protocols in the patient’s experience,” and “Safe care and the challenges in hospital care.”
Conclusions:
patient-professional interaction, communication, awareness of safety protocols, and the availability of the nursing team are factors that influence patients’ experience regarding the safety of their care during hospitalization.
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ORIGINAL ARTICLE
Variabilidade glicêmica e mortalidade em unidades de terapia intensiva oncológicas
Revista Brasileira de Enfermagem. 2023;76(4):e20220812
10-09-2023
Abstract
ORIGINAL ARTICLEVariabilidade glicêmica e mortalidade em unidades de terapia intensiva oncológicas
Revista Brasileira de Enfermagem. 2023;76(4):e20220812
10-09-2023DOI 10.1590/0034-7167-2022-0812
Views0See moreRESUMEN
Objetivo:
investigar la asociación entre la variabilidad glucémica y la mortalidad en pacientes ingresados en unidades de cuidados intensivos oncológicos.
Métodos:
Se llevó a cabo un estudio de cohorte retrospectivo utilizando una muestra de conveniencia de 30 historias clínicas de pacientes de ambos sexos mayores de 18 años. La variabilidad glucémica se midió utilizando la desviación estándar y la amplitud general. El análisis estadístico se realizó utilizando la curva ROC (receiver operating characteristic) y el área bajo la curva (AUC). El nivel de significancia (α) se estableció en un 5% con un intervalo de confianza (IC) del 95%.
Resultados:
El estudio incluyó a 14 pacientes masculinos (46,67%) con una edad media de 60±15 años. Se recopilaron un total de 1503 muestras de glucemia. El análisis AUC para la desviación estándar no mostró ningún resultado estadísticamente significativo (p = 0,966; IC del 95% = [0,283, 0,726]). Por el contrario, la amplitud general tuvo una asociación estadísticamente significativa con la mortalidad (p = 0,049; IC del 95% = [0,514, 0,916]).
Conclusiones:
Este estudio encontró que la variabilidad glucémica medida por la amplitud general está significativamente asociada con la mortalidad del paciente en unidades de cuidados intensivos oncológicos. Estos hallazgos sugieren que el monitoreo de la variabilidad glucémica puede ser un factor importante en el manejo de pacientes críticamente enfermos en unidades de cuidados intensivos oncológicos.
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Content validation of an instrument for medical record audits
Revista Brasileira de Enfermagem. 2023;76(4):e20220109
10-09-2023
Abstract
Content validation of an instrument for medical record audits
Revista Brasileira de Enfermagem. 2023;76(4):e20220109
10-09-2023DOI 10.1590/0034-7167-2022-0109
Views0See moreABSTRACT
Objective:
To build and validate the content of an instrument to conduct medical record audits; to conduct a pre-test.
Methods:
Methodological study conducted from May/2020 to May/2021 in three stages: 1) development of the instrument by bibliographic survey and benchmarking; 2) content validation using the Delphi technique; 3) application of the instrument and descriptive analysis in a sample of 200 medical records.
Results:
An instrument was constructed with 11 domains containing sub-items that characterize the quality of care. Two stages of the Delphi technique were necessary to reach a content validity index higher than 0.90. For each domain, a graduated scale with a numerical value from 1 to 4 points was attributed, reflecting the quality of its completion. The average time of application was 35 minutes per record.
Conclusions:
The tool proved to be viable to support clinical audits to identify the level of excellence and reveal opportunities for improvement in care processes.
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ORIGINAL ARTICLE
Intestinal parasitic infections: telephone health literacy with men in areas of poverty in the syndemic
Revista Brasileira de Enfermagem. 2023;76(4):e20220300
10-09-2023
Abstract
ORIGINAL ARTICLEIntestinal parasitic infections: telephone health literacy with men in areas of poverty in the syndemic
Revista Brasileira de Enfermagem. 2023;76(4):e20220300
10-09-2023DOI 10.1590/0034-7167-2022-0300
Views0See moreABSTRACT
Objectives:
to assess Popular Health Education practices on intestinal parasites, carried out by telephone contact with men living in urban communities in Rio de Janeiro, Brazil, during the COVID-19 syndemic.
Method:
a quasi-experimental, quantitative and descriptive study, carried out with men aged 20 to 59 years. Pre-test was applied, and participants were divided into two groups: control and experimental. Popular Education in Health practices were carried out with an experimental group, and post-test was applied for both.
Results:
health education practices were significant in the experimental group, with a reduction in incorrect answers. There was an increase in incorrect answers in the control group’s post-test.
Conclusions:
the Brazilian National Policy for Popular Education in Health contributed to qualify men’s health literacy on intestinal parasites. Practice by telephone contact proved to be a powerful strategy for nursing and public policies to access this group and promote health in Primary Health Care.
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ORIGINAL ARTICLE
Tradução e validação do Multidimensional Individual and Interpersonal Resilience Measure
Revista Brasileira de Enfermagem. 2023;76(4):e20220696
10-09-2023
Abstract
ORIGINAL ARTICLETradução e validação do Multidimensional Individual and Interpersonal Resilience Measure
Revista Brasileira de Enfermagem. 2023;76(4):e20220696
10-09-2023DOI 10.1590/0034-7167-2022-0696
Views0See moreRESUMEN
Objetivo:
traducir, adaptar culturalmente y validar el Multidimensional Individual and Interpersonal Resilience Measure para el portugués brasileño.
Método:
después de la traducción inicial, la versión pre-final pasó por rigurosos procedimientos de adaptación cultural. Como resultado, la versión final adaptada fue sometida a un estudio de validez.
Resultados:
los procedimientos de adaptación proporcionaron equivalencia entre las versiones pre-final y original en términos semánticos, idiomáticos, experienciales y conceptuales. Un total de 187 ancianos fueron incluidos en el estudio de validez. El análisis factorial exploratorio (AFE) generó un modelo de cinco factores ((RMSEA = 0,030; TLI = 0,959; X = 151,590 p> 0,05). La versión final mostró adecuada consistencia (α de Cronbach = 0,705) y confiabilidad prueba-reprueba (ICC=0,835). No se encontró correlación estadísticamente significativa entre la resiliencia y las variables sociodemográficas y epidemiológicas evaluadas en este estudio.
Conclusión:
EMRII-BR es un instrumento válido y confiable para medir la resiliencia en ancianos brasileños.
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ORIGINAL ARTICLE
Evaluation of the performance of the modified early warning score in a Brazilian public hospital
Revista Brasileira de Enfermagem. 2019;72(6):1428-1434
10-21-2019
Abstract
ORIGINAL ARTICLEEvaluation of the performance of the modified early warning score in a Brazilian public hospital
Revista Brasileira de Enfermagem. 2019;72(6):1428-1434
10-21-2019DOI 10.1590/0034-7167-2017-0537
Views0ABSTRACT
Objective:
To evaluate the performance of the modified early warning score (Mews) in a nursing ward for patients in clinical deterioration.
Method:
This is an analytical, quantitative and predictive study. Mews’ parameters (systolic blood pressure, heart rate, respiratory rate, temperature and level of consciousness) were evaluated every six hours. The following events were reported: death, cardiopulmonary arrest and transfer to intensive care. The evaluations were performed in a hospital of reference in the state of São Paulo, Brazil.
Results:
A total of 300 patients were included (57 ± 18 years old, males: 65%). There number of combined events was observed to be greater the higher the score’s value (00%; 00%; 01; 09%; 19%; 28%; 89%, respectively, for Mews 0; 1; 2; 3; 4; 5 and 6; p < 0.0001). Mews ≥ 4 was the most appropriate cut-off point for prediction of these events (sensitivity: 87%, specificity: 85% and accuracy: 0.86).
Conclusion:
Mews properly measured the occurrence of severe events in hospitalized patients of a Brazilian public hospital’s nursing ward. Mews ≥ 4 seems to be the most appropriate cut-off point for prediction of these events.
Keywords:Critical CareEmergency MedicineNursing CareOrgan Dysfunction ScoresRapid Response Teams in HospitalsSee more -
ORIGINAL ARTICLE
Nursing professionals’ biosafety in confronting COVID-19
Revista Brasileira de Enfermagem. 2022;75:e20201104
10-18-2022
Abstract
ORIGINAL ARTICLENursing professionals’ biosafety in confronting COVID-19
Revista Brasileira de Enfermagem. 2022;75:e20201104
10-18-2022DOI 10.1590/0034-7167-2020-1104
Views0See moreABSTRACT
Objective:
To investigate the nursing professionals’ biosecurity in confronting COVID-19.
Methods:
This is a Survey type study. Nursing professionals were invited via messaging apps, using self-applied data collection forms. The sample selection (n=693) was non-probabilistic. A descriptive data analysis was conducted.
Results:
considering the biosafety aspects in facing COVID-19, 79.0% of the participants had not received training or considered it insufficient, 69.3% reported the lack of personal protective equipment during work, and 81.8% did not feel safe with the internal flux adaptations for handling COVID-19 cases.
Conclusion:
Continuous and effective nursing team training and personal protective equipment availability are necessary, as well as internal flow adjustments for attending suspected or confirmed cases.
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ORIGINAL ARTICLE
The association between knowledge about HIV and risk factors in young Amazon people
Revista Brasileira de Enfermagem. 2020;73(5):e20190453
07-08-2020
Abstract
ORIGINAL ARTICLEThe association between knowledge about HIV and risk factors in young Amazon people
Revista Brasileira de Enfermagem. 2020;73(5):e20190453
07-08-2020DOI 10.1590/0034-7167-2019-0453
Views0See moreABSTRACT
Objectives:
analyze the association between the level of HIV knowledge among young people from Amazonas region, their sociodemographic profile and infection risk factors.
Methods:
cross-sectional analytical study, which used a structured questionnaire containing questions about sociodemographic, behavioral aspects and HIV knowledge. Data were grouped by sex and underwent ordinal and binary logistic regression analysis.
Results:
the students had an HIV knowledge deficit, associated with a low educational level of their parents and low family income. The most frequent risk factors were lack of knowledge on the part of female students regarding proper male condom use, their infrequent use in sexual relations and failure to do HIV testing. There was an association between level of knowledge and use of dating apps by female students.
Conclusions:
there was no association between level of knowledge and the preponderant risk factors, but the students’ knowledge deficit rendered them more vulnerable to infection.
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REVIEW
Gender violence perpetrated against trans women
Revista Brasileira de Enfermagem. 2022;75:e20210173
03-07-2022
Abstract
REVIEWGender violence perpetrated against trans women
Revista Brasileira de Enfermagem. 2022;75:e20210173
03-07-2022DOI 10.1590/0034-7167-2021-0173
Views0See moreABSTRACT
Objectives:
to identify scientific evidence on gender violence perpetrated against trans women.
Methods:
integrative review, carried out in June 2020, without time frame, in the Scopus, MEDLINE, Embase, CINAHL, WoS, PsycInfo and LILACS databases. The controlled descriptors of DeCS, MeSH and their entry terms were used: “Transgender People”, “Transgender”, “Gender Identity”, “Transsexuality”, “Gender Violence”, “Aggression”, “Sexual Offenses”, “Rape”, “Violence”, “Domestic Violence”. The presentation and synthesis of the results were presented in the PRISMA-2009 flowchart.
Results:
the final sample, consisting of 16 articles, identified different types of violence (sexual, physical, verbal, psychological and financial), perpetrated by family members, strangers, police officers, intimate partners, health professionals, acquaintances, or friends.
Conclusions:
trans women suffer violence and social exclusion that result from stigma and discrimination due to gender identity and result in unrestricted damage to physical health.
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ORIGINAL ARTICLE
Changes implemented in the work environment of nurses in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20201381
11-29-2022
Abstract
ORIGINAL ARTICLEChanges implemented in the work environment of nurses in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20201381
11-29-2022DOI 10.1590/0034-7167-2020-1381
Views0See moreABSTRACT
Objective:
to describe the changes implemented in the work environment of nurses in university hospitals considering the COVID-19 pandemic.
Methods:
this qualitative and descriptive research was developed from an online survey with 75 nurses from three Brazilian university hospitals. Data processing occurred through textual analysis with the aid of software IRAMUTEQ.
Results:
five semantic classes were obtained: Organization of units for exclusive care of patients with COVID-19; Adaptations in the use of personal protective equipment; Physical structure adaptation; Care flow institution; Increased number of beds and training courses. Final considerations: the results show the effort of healthcare and nursing professionals/managers in the development of structural adaptations and reorganizations of care processes, in the hospital context, to respond with quality and efficiency to the demands arising from the COVID-19 pandemic.
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ORIGINAL ARTICLE
Women’s perception of labor and birth care: obstacles to humanization
Revista Brasileira de Enfermagem. 2022;75:e20210215
03-07-2022
Abstract
ORIGINAL ARTICLEWomen’s perception of labor and birth care: obstacles to humanization
Revista Brasileira de Enfermagem. 2022;75:e20210215
03-07-2022DOI 10.1590/0034-7167-2021-0215
Views0See moreABSTRACT
Objectives:
to understand women’s perception regarding the care received during labor and birth.
Methods:
this is a descriptive-exploratory, qualitative study carried out with 54 postpartum women from hospitals in the Metropolitan Region II of the state of Rio de Janeiro, from January to December 2018, using semi-structured interviews submitted to content analysis.
Results:
puerperal women’s perceptions about the childbirth care they received indicated the use of interventions, such as pressure maneuvers on the uterine fundus during the expulsion period – Kristeller maneuver, episiotomy and repeated vaginal examination and without consent. The use of institutional routines, such as zero diet, horizontal birth and disrespect.
Final Considerations:
despite the encouragement of public humanization policies, the technocratic model is still present in obstetric care during childbirth. The humanization of obstetric care requires changes in attitudes and care paradigms, in order to guarantee respect and the right to quality care.
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ORIGINAL ARTICLE
Permanent education for good practices in the prevention of pressure injury: almost-experiment
Revista Brasileira de Enfermagem. 2019;72(6):1646-1652
10-21-2019
Abstract
ORIGINAL ARTICLEPermanent education for good practices in the prevention of pressure injury: almost-experiment
Revista Brasileira de Enfermagem. 2019;72(6):1646-1652
10-21-2019DOI 10.1590/0034-7167-2018-0778
Views0See moreABSTRACT
Objective:
To verify the effectiveness of the educational intervention through the evaluation of nurses’ knowledge about prevention of pressure injury.
Method:
A quasi-experimental study with a single group, carried out with 95 nurses from a teaching hospital in the interior of Minas Gerais, in August and September 2017. As a teaching strategy, the active methodology and hybrid teaching were used, based on the reference of the Method of the Arch of Charles Maguerez. Data were collected from a validated instrument, called the Pieper Knowledge Test, and analyzed by descriptive statistics and Student’s t-test with significance level of p <0.001.
Results:
The mean number of correct answers obtained by the nurses was 78.8% in the pre-test and 88.8% in the post-test, and the difference was statistically significant (p <0.001).
Conclusion:
The educational intervention developed was effective, since it contributed to the improvement of nurses’ knowledge.
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