Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE12-13-2019

    Accessibility of children with special health needs to the health care network

    Revista Brasileira de Enfermagem. 2019;72:65-71

    Abstract

    ORIGINAL ARTICLE

    Accessibility of children with special health needs to the health care network

    Revista Brasileira de Enfermagem. 2019;72:65-71

    DOI 10.1590/0034-7167-2017-0899

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    ABSTRACT

    Objective:

    To know how children with special health needs access the health care network.

    Method:

    This is a qualitative research of descriptive-exploratory type, developed using semi-structured interviews mediated by the Talking Map design. Participants were 19 family caregivers of these children in two Brazilian municipalities. Data were submitted to inductive thematic analysis.

    Results:

    Difficulties were mentioned from the diagnosis moment to the specialized follow-up, something represented by the itinerary of the c hild and his/her family in the search for the definition of the medical diagnosis and the access to a specialized professional; a gap between the children’s needs and the care offered was observed in primary health care.

    Conclusion:

    The access of children with special health needs is filled with obstacles such as slowness in the process of defining the child’s diagnosis and referral to a specialist. Primary health care services were replaced by care in emergency care units.

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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.
    Accessibility of children with special health needs to the health care network
  • 08-19-2019

    Humor intervention in the nurse-patient interaction

    Revista Brasileira de Enfermagem. 2019;72(4):1078-1085

    Abstract

    Humor intervention in the nurse-patient interaction

    Revista Brasileira de Enfermagem. 2019;72(4):1078-1085

    DOI 10.1590/0034-7167-2018-0609

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    ABSTRACT

    Objective:

    To describe the factors influencing the use of humor in nursing care, its applicability and benefits.

    Method:

    A scoping review was performed using the Arksey and O’Mally methodology. A search for articles published between 2008 and 2018 was performed using the platforms EBSCO Host, Virtual Health Library and Google Scholar.

    Results:

    From the initial 465 articles found, 17 were included for final revision. Data allowed to retrieve information on humor definition; its applicability as a nursing intervention; humor as a tool to improve nurse-patient communication and relationship; influence factors; type of humor interventions; humor benefits in health care context and; limitations and precautions of humor intervention.

    Conclusion:

    The use of humor promotes both communication and human interaction; it promotes well-being; helps deal/cope with difficult and unpleasant situations, reduces tension, discomfort and stress; and strengthens the immune system. This intervention should be used with caution.

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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.
    Humor intervention in the nurse-patient interaction
  • ORIGINAL ARTICLE07-13-2020

    Incontinence-associated dermatitis in elderly patients: prevalence and risk factors

    Revista Brasileira de Enfermagem. 2020;73:e20180475

    Abstract

    ORIGINAL ARTICLE

    Incontinence-associated dermatitis in elderly patients: prevalence and risk factors

    Revista Brasileira de Enfermagem. 2020;73:e20180475

    DOI 10.1590/0034-7167-2018-0475

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    ABSTRACT

    Objective:

    To determine the prevalence and risk factors for incontinence-associated dermatitis in the elderly.

    Method:

    Cross-sectional exploratory study carried out in public hospitals. The dermatitis prevalence and associations were obtained by calculating the ratio. The effect dimension was estimated by the odds ratio with a 95% confidence interval and statistical significance p <0.05.

    Results:

    138 elderly people were included, with an average age of 77.2 years old (± 9.3); 69 (50%) had combined fecal and urinary incontinence. The dermatitis prevalence was 36.2% (50); 28% (14) had pressure injuries; 14% (7), candidiasis. Risk factors were: longer hospital stay (Odds Ratio = 5.8 [2.6-12.9]), obesity (Odds Ratio = 3.6 [1.2-10.4]), high level of dependence (Odds Ratio = 2.4 [1,1-5,0]) and high risk for pressure injury (Odds Ratio = 6.1 [1,4-26,9]).

    Conclusion:

    The study found a high prevalence of dermatitis associated with incontinence. The early recognition of risk factors favors effective preventive actions.

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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.
    Incontinence-associated dermatitis in elderly patients: prevalence and risk factors
  • ORIGINAL ARTICLE10-21-2019

    Workloads and burnout of nursing workers

    Revista Brasileira de Enfermagem. 2019;72(6):1435-1441

    Abstract

    ORIGINAL ARTICLE

    Workloads and burnout of nursing workers

    Revista Brasileira de Enfermagem. 2019;72(6):1435-1441

    DOI 10.1590/0034-7167-2017-0659

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    ABSTRACT

    Objective:

    to identify workloads in nursing work and its association with nursing worker burnout.

    Method:

    a cross-sectional study, including 211 nursing workers from a university hospital, between July and August 2016. For the analysis, the descriptive statistics, Chi-Square Test, Fisher’s Exact Test and Mann Whitney U-Test were used.

    Results:

    the most evidenced loads were biological. A significant association was found between workloads and workers’ occupation, as well as a significant association between workloads and worker burnout. Burnout caused upper limb pain, neck and lumbar pain, lower limb pain, muscle spasm, lower limb edema, mental fatigue, headache, nervousness, and forgetfulness.

    Conclusion:

    workloads identification is a subsidy for the promotion of interventions that minimize the burnout generated to the health of the nursing worker.

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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 ARTICLE10-21-2019

    Nursing care systematization: perceptions and knowledge of the Brazilian nursing

    Revista Brasileira de Enfermagem. 2019;72(6):1547-1553

    Abstract

    ORIGINAL ARTICLE

    Nursing care systematization: perceptions and knowledge of the Brazilian nursing

    Revista Brasileira de Enfermagem. 2019;72(6):1547-1553

    DOI 10.1590/0034-7167-2018-0606

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    ABSTRACT

    Objective:

    to present the perception and knowledge of Brazilian nursing nurses and academics regarding Nursing Care Systematization.

    Method:

    a descriptive study, carried out in the first half of 2018.

    Results:

    of the 596 respondents, 86% perceived Nursing Care Systematization as very important, but only 60.9% used it in their care practice. Its use was statistically associated with a higher level of training. Non-utilization was associated with the perception that it is irrelevant and with little knowledge on the Nursing Process, even in the face of recognition of its obligation. Among professionals who wish to learn more about the subject, understanding the application of the process, especially the planning step, is perceived as a necessity.

    Conclusion:

    the relevance perception of systematization and levels of knowledge of the professional/academic are directly related to the use or not of Nursing Care Systematization principles.

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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 systematization: perceptions and knowledge of the Brazilian nursing
  • REVIEW12-05-2019

    Vulnerability of the elderly: a conceptual analysis

    Revista Brasileira de Enfermagem. 2019;72:337-344

    Abstract

    REVIEW

    Vulnerability of the elderly: a conceptual analysis

    Revista Brasileira de Enfermagem. 2019;72:337-344

    DOI 10.1590/0034-7167-2018-0728

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    ABSTRACT

    Objective:

    To analyze the concept of vulnerability of the elderly.

    Method:

    A concept analysis, according to the method proposed by Walker and Avant, operationalized through integrative review through search in scientific data portals using the

    Descriptors:

    Health vulnerability, aged, health services for the aged, health of the elderly, vulnerable populations and geriatric health services. To compose the literary corpus, 36 studies were selected.

    Results:

    Concept antecedents, as well as its attributes, were identified in individual, social and programmatic characteristics, which make up the characteristics of “vulnerability of the elderly”, besides consequences of the phenomenon. These characteristics were analyzed with emphasis on aspects that contribute to the process of vulnerability of the elderly.

    Conclusion:

    The study demonstrated the multidimensionality of the phenomena studied, highlighting the peculiarities of vulnerability during aging. However, there is a need for further studies on the construct.

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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.
    Vulnerability of the elderly: a conceptual analysis
  • 01-20-2021

    Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses

    Revista Brasileira de Enfermagem. 2021;74:e20190535

    Abstract

    Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses

    Revista Brasileira de Enfermagem. 2021;74:e20190535

    DOI 10.1590/0034-7167-2019-0535

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    ABSTRACT

    Objective:

    to estimate prevalence and factors associated with Burnout Syndrome in intensive care nurses in a city in the state of Bahia.

    Methods:

    a cross-sectional, population-based study carried out with 65 intensive care nurses through a self-administered questionnaire, from July to November 2016, containing sociodemographic data, lifestyle, work characteristics. To define burnout syndrome, the Maslach Burnout Inventory was used.

    Results:

    Burnout Syndrome prevalence was 53.6%, an association was observed with age, tobacco consumption, alcohol use, weekly night shift hours, employment relationship, having an intensive care specialist title, number of patients on duty, monthly income and considering active or high-strain job.

    Conclusion:

    the results of this study can contribute to expanding the discussion on stressful working conditions in Intensive Care Units.

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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.
  • 08-19-2019

    Clinical simulation in nursing education in intensive therapy: an integrative review

    Revista Brasileira de Enfermagem. 2019;72(4):1061-1070

    Abstract

    Clinical simulation in nursing education in intensive therapy: an integrative review

    Revista Brasileira de Enfermagem. 2019;72(4):1061-1070

    DOI 10.1590/0034-7167-2018-0217

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    ABSTRACT

    Objective:

    to analyze the publications on clinical simulation practices for education in Nursing in Intensive Care.

    Method:

    an integrative review carried out through LILACS, PubMed, Cochrane Library, CINAHL and SciELO databases, of articles published from 2008 to 2017.

    Results:

    29 articles were selected, of which 76% discuss the use of simulation in continuing education of nursing professionals, while the others describe their use for student education. There is a higher prevalence of studies with a level of evidence 6 (17), with 28 international publications. There was an increase in scientific production, with 16 articles published in the last three years.

    Conclusion:

    variables after simulation use, such as confidence, communication skills, efficiency in the identification of clinical worsening of patients, development of technical skills, teamwork and clinical decision-making, presented a significant improvement, demonstrating that this tool is effective in qualifying care for critical patients.

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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.
    Clinical simulation in nursing education in intensive therapy: an integrative review

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