Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE08-13-2021

    Prevalence of psychotropic drug use and conformity of therapeutic dose among mental health users

    Revista Brasileira de Enfermagem. 2021;74(6):e20200679

    Abstract

    ORIGINAL ARTICLE

    Prevalence of psychotropic drug use and conformity of therapeutic dose among mental health users

    Revista Brasileira de Enfermagem. 2021;74(6):e20200679

    DOI 10.1590/0034-7167-2020-0679

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    ABSTRACT

    Objectives:

    to identify the prevalence of psychotropic drug use according to their Anatomical Therapeutic Chemical classification among Psychosocial Care Center users and assess their prescription compliance based on the recommended therapeutic dose.

    Methods:

    this is an analytical study, based on documents, from the study of 389 records between September 2017 and May 2018. Associations between the presence of underdose or overdose and participants’ characteristics were assessed using the chi-square test, adopting a significant value of p <0.05.

    Results:

    the most used drugs were antipsychotics (74.7%), 16.0% of users with at least one medication with a dose below the therapeutic level and another 3.6% above the recommended therapeutic dose.

    Conclusions:

    greater nonconformities in the prescribed dose were related to antihistamines, antipsychotics and antidepressants, with underdosage associated with females and overdose with the report of hearing voices.

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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 ARTICLE05-09-2022

    Beyond technology: Can artificial intelligence support clinical decisions in the prediction of sepsis?

    Revista Brasileira de Enfermagem. 2022;75(5):e20210586

    Abstract

    ORIGINAL ARTICLE

    Beyond technology: Can artificial intelligence support clinical decisions in the prediction of sepsis?

    Revista Brasileira de Enfermagem. 2022;75(5):e20210586

    DOI 10.1590/0034-7167-2021-0586

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    ABSTRACT

    Objective:

    To analyze the critical alarms predictors of clinical deterioration/sepsis for clinical decision making in patients admitted to a reference hospital complex.

    Methods:

    An observational retrospective cohort study. The Machine Learning (ML) tool, Robot Laura®, scores changes in vital parameters and lab tests, classifying them by severity. Inpatients and patients over 18 years of age were included.

    Results:

    A total of 122,703 alarms were extracted from the platform, classified as 2 to 9. The pre-selection of critical alarms (6 to 9) indicated 263 urgent alerts (0.2%), from which, after filtering exclusion criteria, 254 alerts were delimited for 61 inpatients. Patient mortality from sepsis was 75%, of which 52% was due to sepsis related to the new coronavirus. After the alarms were answered, 82% of the patients remained in the sectors.

    Conclusions:

    Far beyond technology, ML models can speed up assertive clinical decisions by nurses, optimizing time and specialized human resources.

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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 ARTICLE09-26-2022

    Participatory development of educational technology in seeking patient safety in maternity hospitals

    Revista Brasileira de Enfermagem. 2022;75(5):e20210701

    Abstract

    ORIGINAL ARTICLE

    Participatory development of educational technology in seeking patient safety in maternity hospitals

    Revista Brasileira de Enfermagem. 2022;75(5):e20210701

    DOI 10.1590/0034-7167-2021-0701

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    ABSTRACT

    Objectives:

    to develop a booklet as an educational technology, together with health professionals, patients and companions, aiming at their involvement in patient safety in maternity hospitals.

    Methods:

    a qualitative convergent care study, carried out in three stages at a maternity hospital in Belo Horizonte. The booklet construction took place between February and April 2021, with 13 professionals, 06 companions and 11 patients.

    Results:

    data content analysis was performed, creating three categories: Knowledge and experiences about patient and newborn safety in maternity hospitals; Challenges for involving patient and companion in safety actions; Assessment of patients, companions and professionals on the booklet construction process. The booklet construction involved the participation of health professionals, users and companions in all stages of the process.

    Final considerations:

    the participatory process enabled the creation of educational technology for the involvement of patients and companions in patient safety 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.
    Participatory development of educational technology in seeking patient safety in maternity hospitals
  • ORIGINAL ARTICLE06-04-2021

    Information that (de)motivate women’s decision making on Planned Home Birth

    Revista Brasileira de Enfermagem. 2021;74(4):e20200404

    Abstract

    ORIGINAL ARTICLE

    Information that (de)motivate women’s decision making on Planned Home Birth

    Revista Brasileira de Enfermagem. 2021;74(4):e20200404

    DOI 10.1590/0034-7167-2020-0404

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    ABSTRACT

    Objective:

    To understand how information about Planned Home Birth motivates or discourages women’s decisions on this location of birth.

    Method:

    Descriptive exploratory study, qualitative approach. Data collection carried out from February to April 2019, through semi-structured interviews with 14 women and documentary sources. The data were analyzed using Bardin’s content analysis process, with the help of ATLAS.ti 8.0.

    Results:

    The motivations for choosing Planned Home Birth are: respect for the autonomy and natural process of childbirth and delivery, support from a partner and trust in professionals. Aspects that discourage this choice are fear of complications, the need for a hospital medical structure, opinions that value risk.

    Conclusion:

    Women’s choices are based not only on information, but also on how that information is processed. This study demonstrated that the perception pertaining to the safety of Planned Home Birth is essential for making this decision.

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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 ARTICLE12-13-2019

    Associated factors for acute kidney injury in preterm infants

    Revista Brasileira de Enfermagem. 2019;72:118-124

    Abstract

    ORIGINAL ARTICLE

    Associated factors for acute kidney injury in preterm infants

    Revista Brasileira de Enfermagem. 2019;72:118-124

    DOI 10.1590/0034-7167-2018-0231

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    ABSTRACT

    Objective:

    to analyze the prevalence and factors associated with acute kidney injury in preterm newborns.

    Method:

    a cross-sectional study based on records data of preterm newborns hospitalized in two neonatal units in northwest Paraná State in 2015. For data analysis, the logistic regression model was used by the stepwise forward method and Fisher’s Exact Test.

    Results:

    132 preterm newborns, with a prevalence of 7.5% of acute kidney injury, were hospitalized. Majority of males, extremely preterm and very low birth weight. Associated factors were the use of non-nephrotoxic antibiotics and the presence of mechanical pulmonary ventilation, increasing the chance of developing acute kidney damage by 2.98 and 1.33/day, respectively. Hospitalization days constituted a protection factor.

    Conclusion:

    this study was able to identify the prevalence, and outline the variables associated with acute kidney injury in preterm newborns in a particular care situation.

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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 ARTICLE09-09-2022

    Primary care nurses’ learning styles in the light of David Kolb

    Revista Brasileira de Enfermagem. 2022;75(6):e20210986

    Abstract

    ORIGINAL ARTICLE

    Primary care nurses’ learning styles in the light of David Kolb

    Revista Brasileira de Enfermagem. 2022;75(6):e20210986

    DOI 10.1590/0034-7167-2021-0986

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    ABSTRACT

    Objectives:

    to identify primary care nurses’ learning styles in the light of David Kolb’s Experiential Learning Theory.

    Methods:

    a descriptive and exploratory qualitative study. A semi-structured interview script was used for data collection and content analysis for data processing.

    Results:

    primary care nurses showed different learning styles: diverging, which combines active experimentation and reflective observation; assimilating, which combines reflective observation and abstract conceptualization; converging, which associates abstract conceptualization and concrete experience; and accommodating, which unites concrete experience and active experimentation.

    Final Considerations:

    learning through experience requires that knowledge be understood and transformed. Nurses learn in different ways, as they have different learning styles. Therefore, recognizing nurses’ learning styles is important to foster ongoing professional development and ensure safe nursing 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.
  • 01-29-2021

    Information about COVID-19 for deaf people: an analysis of Youtube videos in Brazilian sign language

    Revista Brasileira de Enfermagem. 2021;74:e20200291

    Abstract

    Information about COVID-19 for deaf people: an analysis of Youtube videos in Brazilian sign language

    Revista Brasileira de Enfermagem. 2021;74:e20200291

    DOI 10.1590/0034-7167-2020-0291

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    ABSTRACT

    Objective:

    to analyze YouTube videos with information about COVID-19 in Brazilian sign language.

    Methods:

    a cross-sectional study conducted with 402 videos from the YouTube sharing platform. Chi-square, Fisher’s exact, Mann-Whitney and Spearman’s correlation tests were used.

    Results:

    the videos mainly covered COVID-19 prevention (20.6%). There was a positive correlation between video length and number of views (p<0.001). The length of more than 20 minutes was associated with narration only in BSL (p=0.37) and in BSL with audio (p<0.001), while videos with less than 20 minutes were associated with simultaneous narration in BSL, audio and subtitles. Those with narration only in BSL had a similar number of views to those narrated with subtitles and/or audio (p=0.998).

    Conclusion:

    the videos were mostly short and included COVID-19 prevention. The longer the video, the greater the number of views. Regardless the presentation of narrations, the videos had a similar number of views.

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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.
    Information about COVID-19 for deaf people: an analysis of Youtube videos in Brazilian sign language
  • ORIGINAL ARTICLE06-18-2021

    Association between social network and functional disability in brazilian elderly

    Revista Brasileira de Enfermagem. 2021;74(3):e20200770

    Abstract

    ORIGINAL ARTICLE

    Association between social network and functional disability in brazilian elderly

    Revista Brasileira de Enfermagem. 2021;74(3):e20200770

    DOI 10.1590/0034-7167-2020-0770

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    ABSTRACT

    Objective:

    to verify the association between social network and functional disability in elderly Brazilians.

    Methods:

    a cross-sectional study with secondary data of 11,177 elderly people, available on Brazilian Institute of Geography and Statistics’ website. Social network components were having trusted friends/relative, living with their spouse, practicing social activity, performing voluntary or paid work. The outcome was functional disability, measured by the difficulty in performing instrumental and basic activities of daily living. Logistic regression models were used.

    Results:

    disability prevalence for instrumental activities was 28.0% (95%CI: 26.7-29.4), and for basic activities, 15.5% (95%CI: 14.4-16.6). Not having components social network components was associated with greater chances of functional disability, especially among women.

    Conclusion:

    there was an association between not having social network components with functional disability. There are differences in this association according to sex. Strengthening actions that expand social network can reduce the chance of this outcome in elderly people.

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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.
    Association between social network and functional disability in brazilian elderly

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