Articles - Revista Brasileira de Enfermagem

  • 01-01-2015

    Adverse events and safety in nursing care

    Revista Brasileira de Enfermagem. 2015;68(1):144-154

    Abstract

    Adverse events and safety in nursing care

    Revista Brasileira de Enfermagem. 2015;68(1):144-154

    DOI 10.1590/0034-7167.2015680120i

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    Objective:

    to identify the scientific publications about adverse events in nursing care in adult hospitalized patients and discuss the main adverse events in nursing care.

    Method:

    Integrative revision with a qualitative approach. The data were collected at LILACS, MEDLINE, BDENF and the library SCIELO and were submitted to thematic analysis.

    Results:

    three categories were developed: Adverse events in nursing care; The main causes of the adverse events in nursing care; Attitude of nursing professionals in face of errors. The main events were identified in nursing care with emphasis on the medication error, the failure to perform dressings and falls of patients. The importance of instruments was emphasized for notification of adverse events in the institutions. However the fear of punishment on professionals stimulates the underreporting of events.

    Conclusion:

    it is important to discuss effective prevention strategies that ensure patient safety in healthcare institutions.

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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.
  • 01-01-2015

    Staphylococcus aureus meticilino resistente adquirido na comunidade: um problema mundial

    Revista Brasileira de Enfermagem. 2015;68(1):136-143

    Abstract

    Staphylococcus aureus meticilino resistente adquirido na comunidade: um problema mundial

    Revista Brasileira de Enfermagem. 2015;68(1):136-143

    DOI 10.1590/0034-7167.2015680119p

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    Objetivo:

    descrever a epidemiologia dos casos de CA-MRSA no Brasil de forma a compreender sua ocorrência, fatores de risco associados e formas de manejo em relação à situação mundial.

    Método:

    revisão integrativa e para seleção dos estudos utilizou-se as bases de dados: Scopus, Science direct, Isi Web of Knowledge, PUBMED e BVS.

    Resultados:

    foram identificados dez artigos nacionais que descreveram 21 casos de CA-MRSA principalmente em crianças, adolescentes e adultos com quadro de infecção de pele e tecidos moles evoluindo para infecções graves relacionados ao clone Oceania Southwest Pacific Clone (OSPC) que resultaram em hospitalização.

    Conclusão:

    apesar do CA-MRSA ser considerado um micro-organismo de relevância mundial verificou-se a escassez de dados publicados sobre sua epidemiologia no Brasil, o que dificultam o delineamento da realidade do país frente ao CA-MRSA.

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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.
  • 01-01-2015

    Prevention and non-pharmacological management of pain in newborns

    Revista Brasileira de Enfermagem. 2015;68(1):131-135

    Abstract

    Prevention and non-pharmacological management of pain in newborns

    Revista Brasileira de Enfermagem. 2015;68(1):131-135

    DOI 10.1590/0034-7167.2015680118i

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    Objective:

    to describe the main non-pharmacological interventions for pain relief in newborns available in Neonatal Intensive Care Unit.

    Method:

    an exploratory search of the MedLine, Lilacs and Scielo online databases was conducted to retrieve references of studies published from 2004 to 2013.

    Results:

    several non-pharmacological interventions were shown to be effective, to represent low risk for neonates and to have a low operational cost. The ones most often discussed in the literature were: oral administration of glucose/sucrose, non-nutritive sucking, breastfeeding, skin-to-skin contact, facilitated tucking and swaddling.

    Conclusion:

    healthcare teams should be familiar with these methods and use them more effectively in Neonatal Intensive Care Unit daily routines, so as to ensure that newborns receive qualified and more human care.

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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.
  • 01-01-2015

    BANFISA e (IN)DICA-SUS na graduação em saúde: o lúdico e a construção de aprendizados

    Revista Brasileira de Enfermagem. 2015;68(1):124-130

    Abstract

    BANFISA e (IN)DICA-SUS na graduação em saúde: o lúdico e a construção de aprendizados

    Revista Brasileira de Enfermagem. 2015;68(1):124-130

    DOI 10.1590/0034-7167.2015680117i

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    Objectives:

    to analyze the learning built during the matches of the games by students of the subject Gestão de Políticas Públicas em Saúde at the Universidade de Brasília.

    Method:

    exploratory, descriptive research, in a qualitative approach, with 26 students from various graduation courses in health, using a questionnaire and participant observation.

    Results:

    participants reinvented rules, related issues addressed in the games to the reality, interacted with colleagues and had fun throughout the match. Comparing the games in relation to ludicity, the BANFISA was more attractive than the (IN) DICA-SUS, although they are complementary.

    Conclusions:

    learning constructed by the students goes beyond the content of the subject; involve the active participation in group and creativity.

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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.
  • 01-01-2015

    Chinese auriculotherapy to improve quality of life of nursing team

    Revista Brasileira de Enfermagem. 2015;68(1):117-123

    Abstract

    Chinese auriculotherapy to improve quality of life of nursing team

    Revista Brasileira de Enfermagem. 2015;68(1):117-123

    DOI 10.1590/0034-7167.2015680116p

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    Objective:

    to evaluated the effi cacy of auriculotherapy for improving quality of life and reducing stress in nursing staff.

    Method:

    single-blind radomizad clinical trail envolving 175 subjects randomized in: Control (G1), Protocol Group (G2) and without Protocol Group (G3). They were evaluated by the Stress Symptoms List and SF36v2 at baseline, after 12 sessions and follow up (30 days), between January and July 2012.

    Results:

    both intervention groups reduced stress (p <0.05) with greater effect for G3 (d = 1.15). G3 was also higher for improving life quality especially the physical domain (p = 0.05).

    Conclusion:

    individualized auriculotherapy (G3) had greater effect compared to the protocol auriculotherapy (G2) for reducing stress and improving life quality.

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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.
    Chinese auriculotherapy to improve quality of life of nursing team
  • 01-01-2015

    Adherence to foot self-care in diabetes mellitus patients

    Revista Brasileira de Enfermagem. 2015;68(1):111-116

    Abstract

    Adherence to foot self-care in diabetes mellitus patients

    Revista Brasileira de Enfermagem. 2015;68(1):111-116

    DOI 10.1590/0034-7167.2015680115p

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    Objective:

    to analyze the self-care of patients with type 2 diabetes mellitus in the Family Health Strategy in Teresina-PI.

    Method:

    search cross selected by simple random sampling, 331 people with diabetes mellitus. Data collection took place from August to December 2012 with the use of Self-Care Activities Questionnaire with Diabetes and structured instrument for recording information socioeconomic and guidance received by the professional nurse.

    Results:

    the data revealed that patients have poor adherence to blood glucose monitoring, the physical exercise and foot care, but with good adherence to the medication. Only 38.7% of the sample examined the feet of fi ve to seven days a week. Statistically signifi cant association between self-care activities with their feet and orientations of nurses (p < 0,05).

    Conclusion:

    that there is need to raise awareness with regard to the development of skills for self-care.

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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.
    Adherence to foot self-care in diabetes mellitus patients
  • 01-01-2015

    Patients with disorders of consciousness: vital, facial and muscular responses to music or messages

    Revista Brasileira de Enfermagem. 2015;68(1):102-110

    Abstract

    Patients with disorders of consciousness: vital, facial and muscular responses to music or messages

    Revista Brasileira de Enfermagem. 2015;68(1):102-110

    DOI 10.1590/0034-7167.2015680114p

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    Purposes:

    to compare vital signs, facial expression and basal electroneurographic signs with measures during stimuli music, message or “silence” in coma patients, vegetative status or sedated; and relating the score of Glasgow Results Scale with the intervention realized.

    Method:

    a Monoblind Transversal Controlled Clinical Trial to researcher. The distribution, among the three groups, was randomized (experiment with music, experiment with message or control). Two assessments (sessions) were performed with interval of 40 minutes on the same day.

    Results:

    most of the 76 patients were male, between 18 to 36 years old and hospitalized due to trauma. Statistically signifi cant changes were found in the variables referred to temperature, facial expression, electroneurography and Glasgow Results Scale; more frequent alterations in second session, in coma and vegetative patients, in frontal muscles and in experiment group.

    Conclusions:

    the facial expression and the electroneurography seem to be more trustworthy variables than vital signs to evaluate consciousness.

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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.
  • 01-01-2015

    Prevalence of minor psychiatric disorders in socio-educational agents in the state of Rio Grande do Sul

    Revista Brasileira de Enfermagem. 2015;68(1):93-101

    Abstract

    Prevalence of minor psychiatric disorders in socio-educational agents in the state of Rio Grande do Sul

    Revista Brasileira de Enfermagem. 2015;68(1):93-101

    DOI 10.1590/0034-7167.2015680113p

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    Objective:

    to determine the prevalence and factors associated with minor psychiatric disorders (MPD) in socio-educational agents.

    Method:

    it is a cross-sectional study with 381 socio-educational agents the Centers for Socio-Educational Services in the State of Rio Grande do Sul, Brazil. The Brazilian versions of the Scale of Demand-control-social support at work and the Self Reporting Questionnaire-20 have been applied.

    Results:

    the results showed a prevalence of suspicion MPD of 50.1%. They showed to be related to suspicion of MPD : being female (55.7%), having age up to 44 years old (58.5%), no physical activity (57.4%), do not have time for leisure (75%), make use of medication (61.4%), require medical attention (56.9%) and psychological counseling (72.7%), not being satisfied with the workplace (61.7%) and need for time off from work (65.6%).

    Conclusion:

    the study provides important data about the mental health of agents, showing the need for the involvement of managers and of the health service of worker’s health in planning actions to promote health of these workers.

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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.

  • REVIEW12-21-2020

    Lean Six Sigma methodology application in health care settings: an integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190861

    Abstract

    REVIEW

    Lean Six Sigma methodology application in health care settings: an integrative review

    Revista Brasileira de Enfermagem. 2020;73:e20190861

    DOI 10.1590/0034-7167-2019-0861

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    ABSTRACT

    Objective:

    to analyze the scientific production on the results of Lean Six Sigma methodology in health care institutions.

    Methods:

    an integrative literature review, with the following question: what are the results in health institutions using Lean Six Sigma and Six Sigma methodology? The search was carried out at MEDLINE, LILACS, BDENF, CINAHL, Web of Science, and Scopus, with no time frame.

    Results:

    thirty-four articles were included, published between 2005 and 2019, of which 52.9% came from the United States of America. The most commonly found improvements were in hospital institutions and from the perspective of customers and internal processes.

    Conclusion:

    using Lean Six Sigma methodology proved to be effective in the different health care settings, evidencing a gap in its application regarding people engagement and training.

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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.
    Lean Six Sigma methodology application in health care settings: an integrative review
  • REFLECTION06-29-2020

    Recommendations in covid-19 times: a view for home care

    Revista Brasileira de Enfermagem. 2020;73:e20200310

    Abstract

    REFLECTION

    Recommendations in covid-19 times: a view for home care

    Revista Brasileira de Enfermagem. 2020;73:e20200310

    DOI 10.1590/0034-7167-2020-0310

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    ABSTRACT

    Objective:

    To suggest recommendations for the practice of Home Nursing in the context of COVID-19.

    Method:

    Reflective study, originated from readings associated with the theme, available in current guidelines from the Pan American Health Organization, World Health Organization and the Ministry of Health.

    Results:

    Recommendations were developed from current scientific evidence for prevention of infections, control of epidemics and pandemics in the Brazilian home scenario.

    Final considerations:

    the reflections achieved contribute to guiding actions for better assistance to the patient, family caregivers and the community in the perspective of safe home care with COVID-19, and it is characterized as an introductory discussion on the theme, encouraging new studies to be carried out from the unfolding of the current scenario.

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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 ARTICLE06-16-2021

    Patient participation in care safety: Primary Health Care professionals’ perception

    Revista Brasileira de Enfermagem. 2021;74(2):e20200773

    Abstract

    ORIGINAL ARTICLE

    Patient participation in care safety: Primary Health Care professionals’ perception

    Revista Brasileira de Enfermagem. 2021;74(2):e20200773

    DOI 10.1590/0034-7167-2020-0773

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    ABSTRACT

    Objectives:

    to analyze health professionals’ perception about the meaning and practice of patient involvement in care safety in Primary Health Care.

    Methods:

    this is an exploratory, qualitative study, developed with 22 professionals in the Federal District, Brazil. A semi-structured interview was conducted between October and November/2018. Content analysis was carried out according to Bardin.

    Results:

    nurses, physicians, dentists, among others, participated. The following categories emerged: Meaning of patient involvement in care safety; Factors intervening in patient involvement in care safety; Strategies for patient involvement in care safety; Qualification for patient involvement in care safety.

    Final Considerations:

    the meaning of patient involvement for care safety was associated with co-responsibility and patient-centered care. Professionals’ practice revealed intervening factors and the use of involvement strategies. A gap was identified in training on patient involvement in care safety.

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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.
  • REVIEW03-30-2020

    Nursing care in mental health based on the TIDAL MODEL: an integrative review

    Revista Brasileira de Enfermagem. 2020;73(2):e20180177

    Abstract

    REVIEW

    Nursing care in mental health based on the TIDAL MODEL: an integrative review

    Revista Brasileira de Enfermagem. 2020;73(2):e20180177

    DOI 10.1590/0034-7167-2018-0177

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    ABSTRACT

    Objectives:

    to identify the applicability of the Phil Barker’s Tidal Model in mental health nursing care.

    Methods:

    an integrative literature review carried out by LILACS, MEDLINE, Scopus and Web of Science. Data were collected from December 2017 to March 2018. After selecting the studies, the sample totaled 24 articles.

    Results:

    the articles are in English (91.7%), were published in nursing journals (87.5%), are reflective and/or theoretical (50%) and have level of evidence VII (79.2%). The model brings contributions to nursing science, enabling person-centered care, with an emphasis on interdisciplinary work, nurses’ protagonism and the empowerment of subjects in mental suffering.

    Final considerations:

    the use of the Tidal Model enables changes in nurses practice working in the context of mental health. Its application by nurses who work in mental health services in Brazil is recommended.

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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.
    Nursing care in mental health based on the TIDAL MODEL: an integrative review
  • ORIGINAL ARTICLE12-05-2019

    Perception of body image and nutritional status in adolescents of public schools

    Revista Brasileira de Enfermagem. 2019;72:229-235

    Abstract

    ORIGINAL ARTICLE

    Perception of body image and nutritional status in adolescents of public schools

    Revista Brasileira de Enfermagem. 2019;72:229-235

    DOI 10.1590/0034-7167-2018-0644

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    ABSTRACT

    Objective:

    To assess body image dissatisfaction among adolescents from Northern Minas Gerais.

    Method:

    This is a cross-sectional study with adolescents of both sexes, enrolled in the sixth to ninth year in the municipal public education network. A questionnaire was used, composed of sociodemographic and body image variables, which was obtained through a scale of silhouette figures. The anthropometric measurements of weight and height were performed to estimate body mass index. The correlation between the classification of the body mass index and the body image of adolescents was estimated through weighted Kappa.

    Results:

    A total of 535 adolescents participated, and 24.5% had different classifications between the real and ideal body image. The Kappa index for the classification of body image was 0.51, 0.58 and 0.32 for the total of adolescents, girls and boys, respectively.

    Conclusion:

    Public school adolescents are dissatisfied with their self-body image.

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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.
    Perception of body image and nutritional status in adolescents of public schools
  • 04-14-2021

    Child behavior during the social distancing in the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2021;74:e20200762

    Abstract

    Child behavior during the social distancing in the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2021;74:e20200762

    DOI 10.1590/0034-7167-2020-0762

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    ABSTRACT

    Objective:

    To describe the daily activities performed by children from 6 to 12 years of age incomplete and analyze children’s behavior during social distancing in the face of the COVID-19 pandemic.

    Methods:

    Cross-sectional study with children in a learning stage living in Brazil. The data were collected via online form. Fisher’s exact test was applied to analyze the association of categorical variables with child behavior; when significant, it was used the odds ratio. It was considered results considered statistically significant those presenting values of p < 0.05.

    Results:

    Data from 530 children were analyzed: 50.3% female, 71.3% from the Southeast Region, 73% in fulltime social distancing, 52% presented anxiety, which was significantly associated with changes in sleep and appetite.

    Conclusion:

    The results indicate the need for parents/caretakers to stimulate moments for the child to express themselves, not minimizing their feelings and providing emotional support to mitigate the negative impact of these feelings on the child’s mental and physical 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.
  • 04-14-2021

    Emotional labor of nurses in the front line against the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2021;74:e20200660

    Abstract

    Emotional labor of nurses in the front line against the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2021;74:e20200660

    DOI 10.1590/0034-7167-2020-0660

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    ABSTRACT

    Objective:

    To analyze nurses’ experiences in the front line of the fight against the COVID-19 pandemic regarding the performance of emotional labor (EL), aiming at its characterization and identification of support strategies and development opportunities of nurses and practices.

    Methods:

    Qualitative, descriptive, and exploratory study, with content analysis of eleven written narratives and reports from a focus group composed of nurses with experience in caring for patients with COVID-19 from different Hospital Centers in Lisbon, Portugal.

    Results:

    Five themes were extracted: 1) Challenges experienced by nurses in the frontline; 2) Emotions experienced by nurses in service care; 3) Emotional responses of nurses and patients: impact on care; 4) EL of nurses in the patient care process; 5) Opportunities for development in the face of the emotional challenge required of nurses in combating COVID-19.

    Final considerations:

    The nurses demonstrated the ability to transform this profoundly emotional experience positively.

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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.
    Emotional labor of nurses in the front line against the COVID-19 pandemic
  • ORIGINAL ARTICLE10-19-2020

    Factors associated with suicide risk among nurses and physicians: a cross-section study

    Revista Brasileira de Enfermagem. 2020;73:e20200352

    Abstract

    ORIGINAL ARTICLE

    Factors associated with suicide risk among nurses and physicians: a cross-section study

    Revista Brasileira de Enfermagem. 2020;73:e20200352

    DOI 10.1590/0034-7167-2020-0352

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    ABSTRACT

    Objective:

    to estimate the prevalence and factors associated with suicide risk among nurses and physicians.

    Method:

    a cross-sectional study carried out at a university hospital with 216 health professionals, who answered a socio-demographic-labor questionnaire, the Mini International Neuropsychiatric Interview (MINI) for assessing suicide risk, and the Depression, Anxiety and Stress Scale (DASS 21). The Poisson Regression Model was used for multiple analysis.

    Results:

    it was identified that variables such as not having a partner, history of attempted suicide, stress and depression symptoms were statistically associated with suicide risk. The prevalence of lifelong suicide attempts among nurses was 9.41%, and among physicians, 2.29%.

    Conclusion:

    the findings of this investigation enable the understanding of suicidal behavior among hospital nurses and physicians, in addition to enabling the development of prevention strategies in order to reduce suicide risk prevalence in this population group.

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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.

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