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RESEARCH01-01-2018
Being born at home is natural: care rituals for home birth
Revista Brasileira de Enfermagem. 2018;71:1247-1256
Abstract
RESEARCHBeing born at home is natural: care rituals for home birth
Revista Brasileira de Enfermagem. 2018;71:1247-1256
DOI 10.1590/0034-7167-2017-0541
Views0See moreABSTRACT
Objective:
To be aware of the care rituals developed by families when preparing for home birth during the gestational process.
Method:
Qualitative and ethnographic research developed with families during the gestational process. We adopted the observation-participation-reflection model, and the analysis was performed according to ethnonursing.
Results:
Care rituals are related to the choice of home as a place for childbirth, being characterized as a family’s rite of separation to experience this process. Other care rituals involved the preparation of the family and the eldest child as well as the home, the body, and the mind of the pregnant woman, and the choice of destination of the placenta.
Final considerations:
We must understand the birth process beyond the biological perspective, considering women and their family as a whole, within a cultural context with their beliefs and values.
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RESEARCH01-01-2018
Violence against children and adolescents: profile and tendencies resulting from Law 13.010
Revista Brasileira de Enfermagem. 2018;71:1237-1246
Abstract
RESEARCHViolence against children and adolescents: profile and tendencies resulting from Law 13.010
Revista Brasileira de Enfermagem. 2018;71:1237-1246
DOI 10.1590/0034-7167-2017-0048
Views0See moreABSTRACT
Objective:
Describing the profile of reported violence against children and adolescents and draw an essay on the initial effects of Law 13.010 on report patterns.
Method:
Analytic study of reported cases on SINAN – Information System on Reportable Harms (from 2013 to 2015) of violence to individuals under 19, in 53 cities of Minas Gerais.
Results:
1,481 cases were reported, 49.2% before and 50.8% after Law 13.010 came to force (p = 0.5501). There was a 7% decrease on female reports and a 27.2% in male reports (p = 0.0055). It was noticed a change in report patterns (p = 0.0023), with a 130.7% increase to neglect/abandonment reports and a 33% decrease to sexual abuse report. Higher rates of violence from the parents happens at the 1 to 9-year-old age group (p < 0.0001).
Conclusion:
Main victims were women, individuals from 15 to 19 years, with aggression happening within the household; after Law 13.010, changes to patterns of victim and offender profiles and of kind of violence were noticed.
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RESEARCH01-01-2018
Every birth is a story: process of choosing the route of delivery
Revista Brasileira de Enfermagem. 2018;71:1228-1236
Abstract
RESEARCHEvery birth is a story: process of choosing the route of delivery
Revista Brasileira de Enfermagem. 2018;71:1228-1236
DOI 10.1590/0034-7167-2016-0497
Views0See moreABSTRACT
Objective:
To analyze the discourses on the choice of the route of delivery from the perspective of women and health professionals in a public network.
Method:
The methodological approach is the discourse analysis. The data collection was through interviews and the treatment of the data was based on discourse analysis.
Results:
The categories were: 1- Between the preference and the decision there is no choice; 2- The complexity of the choice of the route of delivery; 3- It is necessary to legitimize the choice of the woman.
Final considerations:
From the perspective of women in labor the route of delivery is determined by the physician and women are not proactive. The nurses’ performance is timid, although their presence is fundamental for stimulating the physiological delivery and promoting the autonomy of women. It identifies the need for the physician to adopt a welcoming attitude, informing the women about the pros and cons involved in choosing the route of delivery.
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RESEARCH01-01-2018
Family violence against gay and lesbian adolescents and young people: a qualitative study
Revista Brasileira de Enfermagem. 2018;71:1220-1227
Abstract
RESEARCHFamily violence against gay and lesbian adolescents and young people: a qualitative study
Revista Brasileira de Enfermagem. 2018;71:1220-1227
DOI 10.1590/0034-7167-2017-0307
Views0See moreABSTRACT
Objective:
To analyze the experiences of gay and lesbian adolescents and young people in the process of revealing sexual orientation to their families.
Method:
A qualitative study carried out in a city in the state of São Paulo. Twelve gay and lesbian adolescents and youngsters participated. For the data collection, the semi-structured interview was used and data analysis was performed using the method of interpretation of the senses.
Results:
The family reactions in the process of “coming out of the closet” of the participants were violent, with persecution and even expulsion from home, in addition to the repression of expressions of homoerotic experiences, which impacted on their health and quality of life.
Final considerations:
The family is an essential component of the support network, but also a space that can generate and reproduce forms of violence in the name of heteronormativity. Health services should develop care practices and care for the family and adolescent and homosexual youth victim of violence.
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RESEARCH01-01-2018
Network to combat violence against rural women: articulation and communication of services
Revista Brasileira de Enfermagem. 2018;71:1212-1219
Abstract
RESEARCHNetwork to combat violence against rural women: articulation and communication of services
Revista Brasileira de Enfermagem. 2018;71:1212-1219
DOI 10.1590/0034-7167-2017-0044
Views0See moreABSTRACT
Objective:
to identify the constituent services of the network to combat violence against rural women in municipalities in the northwestern region of Rio Grande do Sul and to analyze the articulation and communication of services in search of the resolution of situations of violence.
Method:
descriptive-exploratory, qualitative study, carried out through semi-structured interviews with 26 professionals from intersectoral services, as well as managers and/or those responsible for these services. Data were systematized through content analysis.
Results:
although the professionals collectively discuss and plan coping actions, difficulties were identified in the approximation between services, related to the definition of flow, knowledge of actions/referrals, fear of seeing and reporting violence, understanding that it is not a question of demand of their field of action, and women’s access to services.
Final considerations:
it is evident the need to implement public policies that address the singularities of violence against women in rural settings.
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RESEARCH01-01-2018
Clinical application of the Standard Operating Procedure of Positioning with Premature Infants
Revista Brasileira de Enfermagem. 2018;71:1205-1211
Abstract
RESEARCHClinical application of the Standard Operating Procedure of Positioning with Premature Infants
Revista Brasileira de Enfermagem. 2018;71:1205-1211
DOI 10.1590/0034-7167-2016-0674
Views0See moreABSTRACT
Objective:
To compare the physiological and behavioral responses of Premature Infant (PREEMIE) positioned by the Unit Routine Decubitus (URD) and the Standard Operating Procedure (SOP).
Method:
A quasi-experimental comparative study performed at a Neonatal Intensive Care Unit in Southern Brazil. We evaluated 30 PREEMIEs with gestational age ≤32 weeks, randomly assigned to Unit Routine Decubitus (URD) and Intervention Group (IG), subdivided into Right Lateral Decubitus (RLD), Dorsal Decubitus (DD), Left Lateral Decubitus (LLD) and Ventral Decubitus (VD). It was evaluated before, during and after the procedure: Heart Rate (HR); Respiratory Frequency (RF); Peripheral Oxygen Saturation (SpO2); behavior by the Neonatal Behavioral Assessment Scale (NBAS); by NIPS.
Results:
During the intervention, RR (p = 0.023), indexes in NBAS (p = 0.01) and NIPS (p <0.0001) reduced significantly in SOP. HR and SpO2 did not present a significant difference.
Conclusion:
Positioning according to the SOP shows benefit in relation to the behavioral and physiological status of PREEMIE.
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01-01-2018
Contributions of nursing care to women
Revista Brasileira de Enfermagem. 2018;71:1203-1204
Abstract
Contributions of nursing care to women
Revista Brasileira de Enfermagem. 2018;71:1203-1204
DOI 10.1590/0034-7167-201871sup301
Views0The situation of women and, particularly, the problems concerning their lives deserve special care by health professionals, society and mass media, in order to change their situation and boost improvements due to the condition where women were inserted decades ago and nowadays.The pregnancy-postpartum circle may be the most dramatic and exciting experience in the life […]See more -
01-01-2018
Contribuições do cuidado em enfermagem à mulher
Revista Brasileira de Enfermagem. 2018;71:1203-1204
Abstract
Contribuições do cuidado em enfermagem à mulher
Revista Brasileira de Enfermagem. 2018;71:1203-1204
DOI 10.1590/0034-7167-201871sup301
Views0A situação da mulher e, particularmente, os problemas que dizem respeito à sua vida vêm merecendo destacada atenção por parte dos profissionais de saúde, da sociedade e dos meios de comunicação, sendo focalizada por eles a necessidade de acelerar mudanças na condição que ela ocupou por décadas e ainda hoje ocupa.O ciclo gravídico-puerperal talvez seja […]See more
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ORIGINAL ARTICLE06-27-2019
Validation of a clinical simulation setting in the management of postpartum haemorrhage
- Priscyla de Oliveira Nascimento Andrade
, - Sheyla Costa de Oliveira ,
- Sheila Coelho Ramalho Vasconcelos Morais ,
- Tatiane Gomes Guedes ,
- Geyslane Pereira de Melo , [ … ],
- Francisca Marcia Pereira Linhares
Abstract
ORIGINAL ARTICLEValidation of a clinical simulation setting in the management of postpartum haemorrhage
Revista Brasileira de Enfermagem. 2019;72(3):624-631
DOI 10.1590/0034-7167-2018-0065
- Priscyla de Oliveira Nascimento Andrade ,
- Sheyla Costa de Oliveira ,
- Sheila Coelho Ramalho Vasconcelos Morais ,
- Tatiane Gomes Guedes ,
- Geyslane Pereira de Melo ,
- Francisca Marcia Pereira Linhares
Views0See moreABSTRACT
Objective:
To construct and validate a clinical simulation setting for postpartum haemorrhage.
Method:
Quantitative research of methodological development, carried out from May to July of 2016 with 22 expert judges and 30 students. Analysis was performed from descriptive statistics, Binomial Test and Content Validity Index (CVI), considering CVI ≥ 80%.
Results:
Setting construction was based on learning objectives, fidelity, evaluation tool, pre-setting activities and debriefing. Agreement, regarding its validity, was satisfactory in the 23 items analyzed. Items evaluated by judges had CVI> 0.90; in the evaluation by students, CVI was > 0.95.
Conclusion:
It was considered validated and suitable for training and use by nursing students. Other studies should be carried out in order to test its effectiveness in the construction of theoretical and practical knowledge of both nursing students and nurses during Permanent Education.
- Priscyla de Oliveira Nascimento Andrade
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REVIEW06-01-2020
Access of the black population to health services: integrative review
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces , [ … ],
- Márcia Aparecida Ferreira de Oliveira
Abstract
REVIEWAccess of the black population to health services: integrative review
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
DOI 10.1590/0034-7167-2018-0834
- Nelma Nunes da Silva ,
- Veronica Batista Cambraia Favacho ,
- Gabriella de Andrade Boska ,
- Emerson da Costa Andrade ,
- Neuri Pires das Merces ,
- Márcia Aparecida Ferreira de Oliveira
Views1See moreABSTRACT
Objectives:
demonstrate and discuss how the black population’s access to health services occurs
Methods:
integrative literature review with the following question: How does the black population’s access to health services occur? The search was carried out in the Scholar, LILACS and SciELO databases and used the descriptor “access to health services” and the term “population,” resulting in a sample with twelve articles.
Results:
studies show that the difficulty of access is a fundamental factor for the quality of life of people, directly compromising preventive services, especially for women’s health and, in addition, it has significant impact on the illness process of the black population within its particularities.
Final Considerations:
several limiting factors compromise the black population’s access to health services, including institutional and structural factors
- Nelma Nunes da Silva
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ORIGINAL ARTICLE10-21-2019
Occupational stress and engagement in primary health care workers
- Dezolina Franciele Cardin Cordioli ,
- João Roberto Cordioli Junior ,
- Claudia Eli Gazetta ,
- Albertina Gomes da Silva ,
- Luciano Garcia Lourenção
Abstract
ORIGINAL ARTICLEOccupational stress and engagement in primary health care workers
Revista Brasileira de Enfermagem. 2019;72(6):1580-1587
DOI 10.1590/0034-7167-2018-0681
- Dezolina Franciele Cardin Cordioli ,
- João Roberto Cordioli Junior ,
- Claudia Eli Gazetta ,
- Albertina Gomes da Silva ,
- Luciano Garcia Lourenção
Views0See moreABSTRACT
Objective:
To evaluate levels of occupational stress and work engagement among primary health care workers.
Method:
A descriptive, correlational and transversal study was carried out in a small municipality in the countryside of São Paulo, with a non-probabilistic sample of convenience, with 85 workers. Three self-applied instruments were used: one developed by researchers, containing sociodemographic variables; Work Stress Scale (WSS) and Utrech Work Engagement Scale (UWES).
Results:
Prevalence of women (72.6%), 40 years old or more (45.9%), 4 years and 4 months of mean working time in primary care. Thirty-one workers (36.5%) presented significant stress (scores ≥2.5). Work engagement showed a mean of 4.1 (±1.2) to 4.4 (±1.4), classified as high in all dimensions. Occupational stress and work engagement correlated negatively.
Conclusion:
Workers presented high levels of work engagement; more than one-third had significant occupational stress. Workers with high levels of occupational stress tend to have lower work engagement.
- Dezolina Franciele Cardin Cordioli
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ORIGINAL ARTICLE07-01-2020
Patient safety culture: perception of nursing professionals in high complexity institutions
- Desirée Zago Sanchis ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Edmarlon Girotto ,
- Ana Maria Rigo Silva
Abstract
ORIGINAL ARTICLEPatient safety culture: perception of nursing professionals in high complexity institutions
Revista Brasileira de Enfermagem. 2020;73(5):e20190174
DOI 10.1590/0034-7167-2019-0174
- Desirée Zago Sanchis ,
- Maria do Carmo Fernandez Lourenço Haddad ,
- Edmarlon Girotto ,
- Ana Maria Rigo Silva
Views1See moreABSTRACT
Objectives:
to analyze the perception of nursing professionals about patient safety culture in three highly complex hospital institutions.
Methods:
descriptive and quantitative study with professionals working in care. The Hospital Survey on Patient Safety Culture questionnaire was applied, classifying its dimensions according to the percentage of positive responses (strengthened: ≥75.0%; potential for improvement: <75.0% to> 50.0%; weakened: ≤50.0%).
Results:
four hundred sixty-seven professionals (79.6%), mostly women (88.4%), nursing technicians/assistants (57.2%), 20 to 39 years (60.8%), less than five years in the institution (57.8%) and exclusive bond (79.2%) participated in the study. Safety culture was considered fragile, seven dimensions assessed as such, highlighting “Openness to communication” and “Non-punitive responses to errors” with <30.0% positive responses.
Conclusions:
evidence of the need for discussion of the subject and strategies for change that promote quality and safety of care.
- Desirée Zago Sanchis
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ORIGINAL ARTICLE06-27-2019
Debriefing evaluation in nursing clinical simulation: a cross-sectional study
- Carina Bortolato-Major ,
- Maria de Fátima Mantovani ,
- Jorge Vinícius Cestari Felix ,
- Radamés Boostel ,
- Ângela Taís Mattei da Silva , [ … ],
- Jaime Alonso Caravaca-Morera
Abstract
ORIGINAL ARTICLEDebriefing evaluation in nursing clinical simulation: a cross-sectional study
Revista Brasileira de Enfermagem. 2019;72(3):788-794
DOI 10.1590/0034-7167-2018-0103
- Carina Bortolato-Major ,
- Maria de Fátima Mantovani ,
- Jorge Vinícius Cestari Felix ,
- Radamés Boostel ,
- Ângela Taís Mattei da Silva ,
- Jaime Alonso Caravaca-Morera
Views0See moreABSTRACT
Objective:
Evaluate the contribution of debriefing after clinical simulations for nursing students.
Method:
Quantitative study, conducted with 35 nursing students who participated in five clinical simulation scenarios with planned debriefings based on the model of the National League Nursing/Jeffries Simulation Theory. After the fifth scenario, students answered the Debriefing Evaluation Scale associated with the Simulation.
Results:
The items evaluated involved the psychosocial, cognitive, and affective values, and within a scale from one to five, the highest mean was found in cognitive value with 4.23 (±0.56) points, then in psychosocial value with 3.77 (±0.53), and finally in affective value with 3.71 (±0.63) points.
Conclusion:
The debriefing conducted after the clinical simulation scenarios was a reflective exercise that contributed to the student integrating multiple knowledges in affective, cognitive and psychosocial values, and thus develop the competencies required.
- Carina Bortolato-Major
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REVIEW11-06-2020
Transitional care to caregivers of dependent older people: an integrative literature review
- Bruna Alexandra da Silva Ferreira ,
- Thawanna Jeremias Barbosa Gomes ,
- Cristina Rosa Soares Lavareda Baixinho ,
- Óscar Manuel Ramos Ferreira
Abstract
REVIEWTransitional care to caregivers of dependent older people: an integrative literature review
Revista Brasileira de Enfermagem. 2020;73:e20200394
DOI 10.1590/0034-7167-2020-0394
- Bruna Alexandra da Silva Ferreira ,
- Thawanna Jeremias Barbosa Gomes ,
- Cristina Rosa Soares Lavareda Baixinho ,
- Óscar Manuel Ramos Ferreira
Views1See moreABSTRACT
Objective:
To identify the needs of caregivers of dependent older people related to self-care in the transition from hospital to home.
Methods:
Integrative literature review that followed a predefined protocol, carried out from March to May 2019 in the platforms EBSCO, B-On, Scopus, Web of Science, and Joanna Briggs Institute. Descriptors and eligibility criteria were defined for the bibliographic sample, which was ten articles. The search was limited to articles published between 2015 and 2019 to guarantee evidence topicality.
Results:
The needs of caregivers related to transitional care can be grouped into five categories: needs in the transition into the role of caregiver; needs related to self-care of caregivers themselves; health needs; economic needs; and social and collective needs.
Final considerations:
The work developed by nurses regarding transitional care of caregivers must have two focuses: managing care provided to dependent older people and managing the needs of caregivers and the care offered to them.
- Bruna Alexandra da Silva Ferreira
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REVIEW10-19-2020
Validation methods of nursing protocols: an integrative review
- Tainara Wink Vieira ,
- Victória Tiyoko Moraes Sakamoto ,
- Luiza Casais de Moraes ,
- Carine Raquel Blatt ,
- Rita Catalina Aquino Caregnato
Abstract
REVIEWValidation methods of nursing protocols: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200050
DOI 10.1590/0034-7167-2020-0050
- Tainara Wink Vieira ,
- Victória Tiyoko Moraes Sakamoto ,
- Luiza Casais de Moraes ,
- Carine Raquel Blatt ,
- Rita Catalina Aquino Caregnato
Views0See moreABSTRACT
Objective:
to identify scientific production about validation methods of nursing care protocols.
Method:
an integrative review with search at Scielo, Pubmed/MEDLINE, Virtual Health Library, Web of Science, Scopus, and EBSCOhost. The descriptors “validation studies”, “validation studies as topic”, “protocols”, “clinical protocols”, “practice guidelines as topic”, “nursing” and “nursing assessment” and the uncontrolled descriptor “validation” were used.
Results:
thirty-two articles were selected, most of them Brazilian. Content validation by experts was the most frequent method, with no consensus on the number of participants for the process. The collection instruments were mostly created by the authors. Data analysis was performed using descriptive statistics and Content Validity Index, with a variable consensus rate in the analyzed articles.
Conclusion:
protocols validated by experts are robust tools for use in clinical practice, with methodological rigor in development essential for its quality.
- Tainara Wink Vieira
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EXPERIENCE REPORT04-09-2020
Implementation of an Artificial Intelligence Algorithm for sepsis detection
- Luciana Schleder Gonçalves ,
- Maria Luiza de Medeiros Amaro ,
- Andressa de Lima Miranda Romero ,
- Fernanda Karoline Schamne ,
- Jacson Luiz Fressatto , [ … ],
- Carolina Wrobel Bezerra
Abstract
EXPERIENCE REPORTImplementation of an Artificial Intelligence Algorithm for sepsis detection
Revista Brasileira de Enfermagem. 2020;73(3):e20180421
DOI 10.1590/0034-7167-2018-0421
- Luciana Schleder Gonçalves ,
- Maria Luiza de Medeiros Amaro ,
- Andressa de Lima Miranda Romero ,
- Fernanda Karoline Schamne ,
- Jacson Luiz Fressatto ,
- Carolina Wrobel Bezerra
Views0See moreABSTRACT
Objectives:
to present the nurses’ experience with technological tools to support the early identification of sepsis.
Methods:
experience report before and after the implementation of artificial intelligence algorithms in the clinical practice of a philanthropic hospital, in the first half of 2018.
Results:
describe the motivation for the creation and use of the algorithm; the role of the nurse in the development and implementation of this technology and its effects on the nursing work process.
Final Considerations:
technological innovations need to contribute to the improvement of professional practices in health. Thus, nurses must recognize their role in all stages of this process, in order to guarantee safe, effective and patient-centered care. In the case presented, the participation of the nurses in the technology incorporation process enables a rapid decision-making in the early identification of sepsis.
- Luciana Schleder Gonçalves
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