Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE06-24-2022

    Factors associated with the incidence of pressure wounds in critical patients: a cohort study

    Revista Brasileira de Enfermagem. 2022;75(6):e20210267

    Abstract

    ORIGINAL ARTICLE

    Factors associated with the incidence of pressure wounds in critical patients: a cohort study

    Revista Brasileira de Enfermagem. 2022;75(6):e20210267

    DOI 10.1590/0034-7167-2021-0267

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    ABSTRACT

    Objectives:

    to identify the incidence of pressure wound in critical patients and its associated factors.

    Methods:

    retrospective cohort study, based on the analysis of 369 critical patients’ records. Descriptive and inferential statistics were used, as well as logistic regression.

    Results:

    the incidence of pressure wounds was 11.4%. Patients who had been hospitalized for four days or more (OR 2.99; CI95% 1.15-7.78), used nasoenteric tubes (OR: 3.81; CI95%: 1.4010.38), vesical drainage catheters (OR: 4.78; CI95%: 1.31-17.38) and tracheostomy (OR: 3.64; CI95%: 1.48-8.97) had a higher chance of developing pressure wounds. The mean score of the Braden scale among participants who developed (14.2 points) pressure wounds was statistically different (p<0.001) than that of those who did not (12.3 points).

    Conclusions:

    the incidence of pressure wounds was associated with a higher time in the unit, the use of nasoenteric tubes, vesical drainage catheters, and tracheostomies were associated with a higher time of hospitalization in the unit.

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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.
  • ORIGINAL ARTICLE11-26-2022

    Mental health assistance in Primary Care: the perspective of professionals from the Family Health Strategy

    Revista Brasileira de Enfermagem. 2022;75:e20190326

    Abstract

    ORIGINAL ARTICLE

    Mental health assistance in Primary Care: the perspective of professionals from the Family Health Strategy

    Revista Brasileira de Enfermagem. 2022;75:e20190326

    DOI 10.1590/0034-7167-2019-0326

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    ABSTRACT

    Objective:

    To learn about the perceptions of the professionals who work in Primary Health Care about mental health care.

    Methods:

    Descriptive and qualitative study, carried out with 29 health workers through open and individual interviews. The IRaMuTeQ® software was used to organize the data which, then, was submitted to a content analysis process in the thematic modality.

    Results:

    Three classes emerged from the content analysis: “Perceptions about the mental health care provided in the city”, “The biomedical paradigm in mental healthcare”, and “Elements for the construction of a new way for professionals to act in mental health”.

    Final considerations:

    It was found that, despite the good infrastructure of the services and the elements pointed at by the professionals to create a new way to act, they do not do so, and the responsibility falls, mostly, on the psychologist to carry out these activities.

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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.
    Mental health assistance in Primary Care: the perspective of professionals from the Family Health Strategy
  • ORIGINAL ARTICLE10-25-2022

    COVID-19 pandemic and nursing week: analysis from software Iramuteq

    Revista Brasileira de Enfermagem. 2022;75:e20200690

    Abstract

    ORIGINAL ARTICLE

    COVID-19 pandemic and nursing week: analysis from software Iramuteq

    Revista Brasileira de Enfermagem. 2022;75:e20200690

    DOI 10.1590/0034-7167-2020-0690

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    ABSTRACT

    Objective:

    to analyze the themes of publications on the Federal Council of Nursing (Cofen) website during Nursing Week 2020.

    Method:

    documentary, qualitative research, whose data sources were publications on the Cofen website from May 12 to 20, 2020. Data were processed by software IRAMUTEQ®, through the Descending Hierarchical Classification and analyzed under the historical materialism framework.

    Results:

    thirty publications were analyzed, giving rise to five classes.

    Final considerations:

    the themes published in the period investigated pointed to the grief experienced by the category, due to the death of its members, and the fight for better working conditions. Overcoming the pandemic involves recognizing science and the Unified Health System, protecting nursing workers’ health and fighting misinformation and fake news.

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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.
    COVID-19 pandemic and nursing week: analysis from software Iramuteq
  • REFLECTION09-29-2022

    Hemodialysis in the context of COVID-19: care, nursing protagonism and quality

    Revista Brasileira de Enfermagem. 2022;75:e20201077

    Abstract

    REFLECTION

    Hemodialysis in the context of COVID-19: care, nursing protagonism and quality

    Revista Brasileira de Enfermagem. 2022;75:e20201077

    DOI 10.1590/0034-7167-2020-1077

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    ABSTRACT

    Objective:

    To reflect on the need to reorganize satellite dialysis units to ensure the safety of patients and workers, focusing on minimizing the risk of contamination by SARS-CoV-2.

    Methods:

    Reflection considering the guidelines of international and Brazilian institutions and scientific articles, with a view to possible adaptations to the Brazilian reality.

    Results:

    The actions suggested and adapted by Dialysis Units from different countries during the pandemic focus on the quality of care and safety of the patient and workers. There was an opportunity to reflect on these actions using the Donabedian Model for quality of care and highlight the nursing team’s role in this context.

    Final considerations:

    The focus on quality and safety related to institutionalized processes and the assessment through indicators can contribute to the management of the outpatient dialysis unit in the context of COVID 19.

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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.
    Hemodialysis in the context of COVID-19: care, nursing protagonism and quality
  • ORIGINAL ARTICLE11-29-2022

    Reflections on nursing and COVID-19 in light of health education

    Revista Brasileira de Enfermagem. 2022;75:e20201305

    Abstract

    ORIGINAL ARTICLE

    Reflections on nursing and COVID-19 in light of health education

    Revista Brasileira de Enfermagem. 2022;75:e20201305

    DOI 10.1590/0034-7167-2020-1305

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    ABSTRACT

    Objective:

    To reflect on the nursing and pandemic of COVID-19 considering health education, health promotion, and the Ottawa Charter action areas.

    Methods:

    A theoretical-reflexive study on health education and health promotion concepts and the areas of action presented in the Ottawa Charter.

    Results:

    Educational actions are present in the contexts of epidemics and pandemics, as well as in the work of nurses, who need to be increasingly based on dialogue and individual and collective empowerment to enable users to adopt healthy and preventive behaviors – in this case, concerning COVID19. However, this professional needs effective and efficient public policy actions and measures based on scientific assumptions of health promotion. Final considerations: The actions of health education need to be increasingly valued because knowledge can be considered the first “vaccine” to combat any pandemic.

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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.
    Reflections on nursing and COVID-19 in light of health education
  • REVIEW10-18-2022

    Decision making by health professionals during COVID-19: an integrative review

    Revista Brasileira de Enfermagem. 2022;75:e20210067

    Abstract

    REVIEW

    Decision making by health professionals during COVID-19: an integrative review

    Revista Brasileira de Enfermagem. 2022;75:e20210067

    DOI 10.1590/0034-7167-2021-0067

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    ABSTRACT

    Objective:

    To analyze the scientific production on the decision making of health workers during the COVID-19 pandemic.

    Methods:

    Integrative review in the databases CINAHL, MEDLINE, Scopus, ScienceDirect, WoS, and BVS. Inclusion criteria: original articles available in full, in any language, related to the object investigated.

    Results:

    During this pandemic, health workers have been making decisions based on ethical/bioethical principles (utility, beneficence, non-maleficence, autonomy, justice, proportionality, flexibility, clinical prognosis, duration of the need, and fair health attention), values (solidarity, equality, equity, utilitarianism, relational autonomy, reliability, reciprocity, maximization of the benefits and resources, and prioritization of those in worse conditions), beliefs and personal motivation, protocols, directives, tools, algorithms, recommendations, and criteria.

    Final considerations:

    Decision making has never been so necessary as in this pandemic. This article is not a recipe for the professionals, since decision making is based on numerous factors. However, it provides them with a foundation that can be helpful in this difficult process.

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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.
    Decision making by health professionals during COVID-19: an integrative review
  • REVIEW08-26-2022

    Health literacy of adolescents in the COVID-19 pandemic: an integrative review

    Revista Brasileira de Enfermagem. 2022;75:e20210956

    Abstract

    REVIEW

    Health literacy of adolescents in the COVID-19 pandemic: an integrative review

    Revista Brasileira de Enfermagem. 2022;75:e20210956

    DOI 10.1590/0034-7167-2021-0956

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    ABSTRACT

    Objective:

    to analyze the scientific production on health literacy (HL) of adolescents during the COVID-19 pandemic.

    Method:

    an integrative review, in the MEDLINE, LILACS, CINAHL and Web of Science databases, between March 2020 and August 2021. Original articles in English, Spanish and Portuguese were included.

    Results:

    of the 65 studies found in the search, eight were included for analysis, with no publication in Brazil, with five publications in 2021, predominantly in English (n=7) and all classified with level of evidence VI. Of the instruments used, eHealth literacy was the most applied instrument (n=2). Television, family and the internet were identified as the main sources of health information during the pandemic.

    Final considerations:

    the literature has indicated that HL can interfere with adolescents’ decision making and that a low HL can lead to decisions and physical and mental exposure actions of adolescents.

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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.
    Health literacy of adolescents in the COVID-19 pandemic: an integrative review

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