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RESEARCH01-01-2018
Minor psychiatric disorders in nursing: prevalence and associated factors
Revista Brasileira de Enfermagem. 2018;71:2176-2183
Abstract
RESEARCHMinor psychiatric disorders in nursing: prevalence and associated factors
Revista Brasileira de Enfermagem. 2018;71:2176-2183
DOI 10.1590/0034-7167-2018-0028
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Objective:
to investigate the prevalence of Minor Psychiatric Disorders and associated factors in nursing workers.
Method:
observational and analytical sectional study. Data were collected from 285 nursing workers. A questionnaire containing sociodemographic, occupational, psychosocial aspects of work and mental health was used. Bivariate and multivariate analysis were performed by binary logistic regression.
Results:
the global prevalence of suspected Minor Psychiatric Disorders among nursing workers was 32.6%. Higher prevalence rates were found among female, young, married/common-law married individuals, in the nursing assistant/technician categories, with income up to four minimum wages, developing high-demand work with low social support, high effort-reward imbalance, and over-commitment.
Conclusion:
the variables that remained associated with the mental health outcome in the final model were: female gender, married/common-law married, high-demand work, high effort-reward imbalance, and over-commitment.
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RESEARCH01-01-2018
Prevalence of anxious and depressive symptoms in college students of a public institution
Revista Brasileira de Enfermagem. 2018;71:2169-2175
Abstract
RESEARCHPrevalence of anxious and depressive symptoms in college students of a public institution
Revista Brasileira de Enfermagem. 2018;71:2169-2175
DOI 10.1590/0034-7167-2017-0752
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Objective:
Identify the prevalence of anxious and depressive symptoms and their correlations with sociodemographic and occupational characteristics in university students.
Method:
This is census, cross-sectional and analytical study, developed with nursing students of a federal public university in the Northeast of Brazil in the months of September and October 2016. 205 university students of all the periods of the course attended the study. Beck’s inventories for anxiety and depression were applied.
Results:
Most of the participants were female, single, native of the state capital and living with his parents. The prevalence of depression was 30.2% and of anxiety, 62.9%. Association between the level of depressive symptoms, work, sex and leisure was identified.
Conclusion:
The prevalence of symptoms of anxiety and depression was quite expressive, lacking, thus, more attention to the promotion of mental health of nursing students.
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RESEARCH01-01-2018
Contribution of transference to the psychiatric nursing process
Revista Brasileira de Enfermagem. 2018;71:2161-2168
Abstract
RESEARCHContribution of transference to the psychiatric nursing process
Revista Brasileira de Enfermagem. 2018;71:2161-2168
DOI 10.1590/0034-7167-2016-0640
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Objective:
to describe the contribution of the concept of transference to the application of the nursing process in the care of patients with psychical suffering.
Method:
Theoretical study, structured from the following question: Is it possible to develop the nursing process in the care of patients with psychical suffering by using transference?
Result:
The patient is considered as a subject of the unconscious and has a demand he/she is unaware of.
Discussion:
The transference guides the nursing process and favors the elaboration of what has no meaning in the symptom.
Final considerations:
As an implication for practice, the nursing process will articulate the transference function through the nursing diagnosis, which will promote the capture of subsidies for the planning and implementation of care, in which the purpose will be the symbolization of the symptom. To highlight speech as a means to therapeutic relation will offer the patients the condition to dictate the pace of articulation between their signifiers, which will dynamically temporalize the process.
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RESEARCH01-01-2018
Nursing Appointment in Mental Health: experience of nurses of the network
Revista Brasileira de Enfermagem. 2018;71:2154-2160
Abstract
RESEARCHNursing Appointment in Mental Health: experience of nurses of the network
Revista Brasileira de Enfermagem. 2018;71:2154-2160
DOI 10.1590/0034-7167-2017-0678
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Objective:
To know the experience of nurses of the Psychosocial Care Networks on the development of Nursing Appointment in Mental Health.
Method:
Qualitative study, with interview of 20 nurses, through the analysis of the statements in the search of the meaning core.
Results:
was unveiled as meaning core: lack of preparation for Mental Health Care, Non-identification of the work of the nurse in Mental Health; and Performance of Nursing Appointment as bureaucratic fulfillment.
Final considerations:
Nurses understand Nursing Appointment as an individualized and bureaucratic activity, to consider professional regulations, and not as a work process in the multiprofessional work, thus, the Projeto Terapêutico Singular (freely translated as Unique Therapeutic Project) is not cited as a possibility of work process. It was identified necessary space for discussion of actuation and updates of the nurse in Mental Health Care in the health services studied, with emphasis on their performance in a multiprofessional team in consonance with the Mental Health Policy.
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RESEARCH01-01-2018
Experiencing suicide in the family: from mourning to the quest for overcoming
Revista Brasileira de Enfermagem. 2018;71:2146-2153
Abstract
RESEARCHExperiencing suicide in the family: from mourning to the quest for overcoming
Revista Brasileira de Enfermagem. 2018;71:2146-2153
DOI 10.1590/0034-7167-2017-0679
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Objective:
to understand the family’s experience of losing a family member by suicide.
Method:
study with qualitative approach with reference of the Constructivist Grounded Theory. The theoretical sample consisted of 20 participants, among health professionals and family members of people who committed suicide. Data were collected through intensive and coded interviews from initial and focused coding.
Results:
three categories were obtained: Being in a “state of shock”; Living with the suffering and effects of the loss of the family member; and, Rebuilding life. From the articulation of these categories emerged the phenomenon: “Experiencing the loss of a family member by suicide: from mourning to the quest for overcoming”.
Final considerations:
each category represents a stage in the family’s experience of losing a family member by suicide. The results provide support for suicide prevention and postvention actions developed by health professionals.
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RESEARCH01-01-2018
Severe Maternal Morbidity: post-traumatic suffering and social support
Revista Brasileira de Enfermagem. 2018;71:2139-2145
Abstract
RESEARCHSevere Maternal Morbidity: post-traumatic suffering and social support
Revista Brasileira de Enfermagem. 2018;71:2139-2145
DOI 10.1590/0034-7167-2017-0271
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Objective:
To assess the relationship of post-traumatic stress symptoms and the perception of social support in women submitted to Severe Maternal Morbidity (SMM).
Method:
A prospective cohort study, with 549 women from public hospitals. The Impact of Events and Social Support scales were used.
Results:
Women with SMM were from the State countryside (p=0.046), with low schooling (p=0.039) and did not work (p<0.001). They presented higher consumption of alcoholic beverages (p<0.001), did not perform prenatal (p<0.001), and were older (28.15 ± 28 years). Women with SMM had higher mean values of avoidance behavior (24.32, SD: 4.16), intrusive thinking (18.28, SD: 3.80), lower social support (0.11, SD: 0.001) with large effect size and lower social support satisfaction (0.69; SD: 0.19), with small effect size.
Conclusion:
SMM is a differential and negative factor for women’s mental health, and social support can favor their coping.
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RESEARCH01-01-2018
The multiprofessional work in the Psychosocial Care Centers of São Paulo State
Revista Brasileira de Enfermagem. 2018;71:2131-2138
Abstract
RESEARCHThe multiprofessional work in the Psychosocial Care Centers of São Paulo State
Revista Brasileira de Enfermagem. 2018;71:2131-2138
DOI 10.1590/0034-7167-2017-0300
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Objective:
Analyze how professionals understood the multi, inter and transprofessionality and how these practices happened in the CAPS (Psychossocial Care Centers) of São Paulo/SP.
Method:
Qualitative, exploratory, descriptive study, and use of Content Analysis. We interviewed 27 professionals from nine CAPS.
Results:
Organized in two categories: definition of multiprofessional, interprofessional and transprofessional work in Mental Health; and specific aspects of professions and Conceptions about multi, inter and transprofessional teamwork in daily life. There were difficulties in conceptualizing modalities of disciplinary integration, little problematization in the reality of workers, and questions of specific practices of each area. The devices have been problematized, in which the distancing of Public Policies happen.
Final considerations:
There is coexistence of the biomedical, of insane asylum and Psychosocial Care paradigms in the discourses and actions of the teams, to compromise the effectiveness of the Psychiatric Reform. The practice was close to the ideas of integration and of auxiliary interdisciplinarity and not of the effective construction of shared therapeutic knowledge and projects.
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RESEARCH01-01-2018
Lifeworld: socio-environmental influence on crack cocaine use by teenagers
Revista Brasileira de Enfermagem. 2018;71:2123-2130
Abstract
RESEARCHLifeworld: socio-environmental influence on crack cocaine use by teenagers
Revista Brasileira de Enfermagem. 2018;71:2123-2130
DOI 10.1590/0034-7167-2017-0007
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Objective:
To understand the influence of the lifeworld on crack cocaine use by teenagers undergoing treatment at the Psychosocial Care Center for users of alcohol and other drugs.
Method:
Qualitative research carried out with thirteen teenagers attended at the Psychosocial Care Center for users of alcohol and other drugs, from a municipality in the South of Brazil. The data were collected through semi-structured interviews and the Comprehensive Analysis was carried out from the Phenomenology of the Social World of Alfred Schütz.
Results:
In the lifeworld, there is influence of the community to which the teenager belongs; of the family, by the excess of permissibility and being in an environment of drug use and violence; and the school, where it is influenced by individuals to consume them.
Conclusion:
Elements from the lifeworld influence the teenager for the consumption of crack cocaine, being necessary actions contextualized with their world of life.
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ORIGINAL ARTICLE05-15-2020
Stress and quality of sleep in undergraduate nursing students
Revista Brasileira de Enfermagem. 2020;73:e20180227
Abstract
ORIGINAL ARTICLEStress and quality of sleep in undergraduate nursing students
Revista Brasileira de Enfermagem. 2020;73:e20180227
DOI 10.1590/0034-7167-2018-0227
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Objective:
to analyze the level of stress and sleep quality in nursing students according to terms of the nursing program.
Method:
descriptive and cross-sectional research developed in a higher education institution in Northeastern Brazil on 167 students. We used data collection, sociodemographic information, and a scale for assessing stress and sleep quality in nursing students.
Results:
we identified a statistically significant difference between domains of the stress scale and the terms of the undergraduate program, and between the quality of sleep and such terms such as as in the fourth and sixth semesters.
Conclusion:
different stress scores show that the semester which concerns students the most is the fifth. Quality of sleep was deemed good for the first, third, fifth, seventh, and eighth semesters; and poor for the fourth and sixth terms.
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ORIGINAL ARTICLE09-21-2020
Clinical judgment and diagnostic reasoning of nursing students in clinical simulation
Revista Brasileira de Enfermagem. 2020;73(6):e20180878
Abstract
ORIGINAL ARTICLEClinical judgment and diagnostic reasoning of nursing students in clinical simulation
Revista Brasileira de Enfermagem. 2020;73(6):e20180878
DOI 10.1590/0034-7167-2018-0878
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Objectives:
to determine the degree of association between clinical judgment and diagnostic reasoning of nursing students in clinical simulation.
Methods:
this is a correlational research design using a quantitative approach. The sample consisted of 41 nursing students who assisted a patient with vaso-occlusive crisis in a high-fidelity clinical simulation setting. The instruments used included the Lasater Clinical Judgment Rubric – Brazilian Version and the Diagnostic Thinking Inventory.
Results:
clinical judgment was associated with diagnostic reasoning (r=0.313; p=0.046), as well as the “noticing” aspect of clinical judgment with diagnostic reasoning (r=0.312; p=0.047).
Conclusions:
the results show that skills to interpret patient data are associated with diagnostic reasoning skills. Teaching clinical judgment skills is necessary to develop the diagnostic reasoning of nursing students.
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ORIGINAL ARTICLE12-05-2019
Quality of life of institutionalized aged with and without symptoms of depression
Revista Brasileira de Enfermagem. 2019;72:127-133
Abstract
ORIGINAL ARTICLEQuality of life of institutionalized aged with and without symptoms of depression
Revista Brasileira de Enfermagem. 2019;72:127-133
DOI 10.1590/0034-7167-2018-0316
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Objective:
compare the quality of life (QOL) of aged residents in homes for aged people with or without symptoms of depression, and identify social, physical activity; leisure; health and basic activities of daily living (ADL) variables that correlate with QOL scores.
Method:
cross-sectional study conducted with 101 institutionalized aged. Multiple linear regression was used for data analysis.
Results:
symptoms of depression changed negatively the QOL in the domains: autonomy; present, past and future activities; social participation; intimacy and total score. Dependent aged presented lower QOL for the performance of ADL in the domains: autonomy; social participation and total score; dancing without limitation of movement; liking the residential and not presenting symptoms of depression were the variables that positively influenced the QOL of the aged.
Conclusion:
social and psychological support, good living conditions and stimulating assistance can improve the QOL of institutionalized elderlies.
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ORIGINAL ARTICLE07-08-2020
Spirituality and religiousity in the experience of suffering, guilt, and death of the elderly with cancer
Revista Brasileira de Enfermagem. 2020;73:e20190034
Abstract
ORIGINAL ARTICLESpirituality and religiousity in the experience of suffering, guilt, and death of the elderly with cancer
Revista Brasileira de Enfermagem. 2020;73:e20190034
DOI 10.1590/0034-7167-2019-0034
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Objective:
to understand spirituality and religiosity in the experience of suffering, guilt, and death of the elderly with cancer.
Method:
qualitative research based on Viktor Frankl’s Existential Analysis. Twenty phenomenological interviews were conducted with people over 60 years old undergoing chemotherapy treatment at an oncology unit of a hospital in the city of Salvador, Bahia State, Brazil, between August and October 2018.
Results:
the following categories emerged: Experiences spirituality and religiosity in the face of the tragic triad and existential emptiness; Uses spirituality/religiosity as resilience strategies. After apprehension of ontic aspects, it was possible the ontological understanding of spirituality and religiosity in the face of suffering, guilt, and death experienced in the elderly with cancer’s daily life.
Final considerations:
spirituality and religiosity were understood as coping strategies used in the unstable experience of the elderly with cancer, providing comfort and resilience.
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ORIGINAL ARTICLE02-10-2020
Mental health profile of the elderly community: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73(1):e20180191
Abstract
ORIGINAL ARTICLEMental health profile of the elderly community: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73(1):e20180191
DOI 10.1590/0034-7167-2018-0191
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Objective:
to describe the mental health profile of the elderly registered in a Family Health Unit in the city of Recife, Pernambuco State.
Method:
it was a descriptive quantitative study, conducted with 159 elderly through the scales Geriatric Depression, Resilience, Social Support, Life Satisfaction, and Positive and Negative Affects, Mini-Mental State Examination, Stressful Events Inventory and Brazil Old Age Shedule.
Results:
females, young and literate elderly predominated. Most were satisfied with life, 52.2% without depressive symptoms, 68.6% without cognitive impairment, 67.9% high resilience and 95.8% high social support, but 62% of elderly with depressive symptoms showed cognitive deficit. Negative correlation was identified between depression and cognitive impairment, resilience, social support and life satisfaction.
Conclusion:
assessment of these indicators identifies triggers of psychological distress, assisting the nursing staff in the development of preventive and care actions.
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EXPERIENCE REPORT10-26-2020
Collaborative practices from health care teams to face the covid-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200470
Abstract
EXPERIENCE REPORTCollaborative practices from health care teams to face the covid-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200470
DOI 10.1590/0034-7167-2020-0470
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Objective:
To report the experience of collaborative practices facing the COVID-19 pandemic.
Methods:
This is a report about the experience of collaborative practices conducted by health care teams in emergency service in the Emergency Care Units facing of COVID-19 pandemic in the city of Fortaleza, State of Ceará, in the first semester of 2020.
Results:
Collaborative actions, cooperation and effective communication among nursing and medical team contribute to the management of mild and complex cases of COVID-19, as well as qualify them in suitable and necessary care and confrontation measures.
Final considerations:
The report shows the need for collaborative practices to minimize negative effects on the population in the face of the new coronavirus pandemic.
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ORIGINAL ARTICLE11-25-2020
Family experiences in discovering Autism Spectrum Disorder: implications for family nursing
Revista Brasileira de Enfermagem. 2020;73:e20190489
Abstract
ORIGINAL ARTICLEFamily experiences in discovering Autism Spectrum Disorder: implications for family nursing
Revista Brasileira de Enfermagem. 2020;73:e20190489
DOI 10.1590/0034-7167-2019-0489
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Objectives:
to describe the family’s experience in the process of discovering the diagnosis and initiation of treatment of children with Autism Spectrum Disorder.
Methods:
this qualitative and descriptive study interviewed nine relatives of eight children on autism spectrum. They were inserted in health services, public education, and Association of Parents and Friends of The Exceptional of cities in the countryside of the Center-West. Data were collected through open interviews from July to September 2017. Data was submitted to thematic analysis.
Results:
at the beginning, the family was difficult to perceive the first atypical signs presented by the children. Families experience situations of vulnerability, since support networks are insufficient. The school played a significant role in recognizing unexpected behaviors.
Final Considerations:
support, offered by nurses, health professionals, school and social support devices, is important to family and children in this trajectory.
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ORIGINAL ARTICLE10-21-2019
Nurses defending the autonomy of the elderly at the end of life
Revista Brasileira de Enfermagem. 2019;72(6):1639-1645
Abstract
ORIGINAL ARTICLENurses defending the autonomy of the elderly at the end of life
Revista Brasileira de Enfermagem. 2019;72(6):1639-1645
DOI 10.1590/0034-7167-2018-0768
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Objective:
to understand how nurses deal with the elderly’s autonomy at the end of life.
Method:
qualitative, exploratory study, guided by the Grounded Theory. Ten nurses, eight doctors and 15 nursing technicians were interviewed between November 2016 and May 2017 at a university hospital in Rio de Janeiro/Brazil.
Results:
nurses deal with the elderly’s autonomy in compliance with the code of ethics and exercise leadership in actions and interactions to defend this right, evaluating, guiding and listening to the preferences of the elderly; interacting with the family; and sharing information with the health team.
Final considerations:
the elderly’s autonomy must be ensured in care planning, based on patient-centered communication and developed in the interaction among agents involved in care. The discussion on “Living Wills” Health Care Directives and principles of palliative care must be encouraged.
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