-
ORIGINAL ARTICLE10-01-2022
Mental health assistance: identification of nursing diagnoses in a community mental health service
Revista Brasileira de Enfermagem. 2022;75(2):e20201175
Abstract
ORIGINAL ARTICLEMental health assistance: identification of nursing diagnoses in a community mental health service
Revista Brasileira de Enfermagem. 2022;75(2):e20201175
DOI 10.1590/0034-7167-2020-1175
Views0See moreABSTRACT
Objective:
to map and identify nursing diagnoses targeted at night care users in a Psychosocial Care Center according to NANDA-I Taxonomy.
Method:
this is a descriptive-exploratory study, of documentary research type of 319 records in medical records. It was held in a Psychosocial Care Center III in Goiás, from 2014-2018. Nursing diagnoses and records were extracted with non-standardized language.
Results:
813 records of nursing diagnoses identified in 53 different titles, in 10 domains, were identified. The most frequent diagnosis was risk for self-extermination. The domain with the highest number of diagnostic records was activity/rest. There was a predominance of diagnoses focused on the problem.
Final considerations:
mapping contributes to the planning of evidence-based nursing interventions and to the strengthening of professional identity in mental health. It is evident the need for practices that go beyond the symptoms in a preventive perspective, with a view to comprehensiveness.
-
ORIGINAL ARTICLE10-01-2022
Training-professional profile of nurses teaching at the Technical Schools of the Unified Health System
Revista Brasileira de Enfermagem. 2022;75(2):e20201142
Abstract
ORIGINAL ARTICLETraining-professional profile of nurses teaching at the Technical Schools of the Unified Health System
Revista Brasileira de Enfermagem. 2022;75(2):e20201142
DOI 10.1590/0034-7167-2020-1142
Views0See moreABSTRACT
Objective:
to describe the training-professional profile of nursing professors in the vocational course in nursing at the Technical Schools of the Unified Health System.
Methods:
a quantitative descriptive research, carried out with 61 nurses who are professors of technical courses in nursing at five technical schools in three Brazilian regions. Data were collected through an online questionnaire and submitted to descriptive analysis.
Results:
only 36% of teaching nurses were licensed and 80% had a specialization in nursing or health. Although 95.1% of participants considered training for teaching necessary, 44.2% did not have qualifications for this job. The average length of work in care was 8 years, focusing on the hospital network.
Conclusion:
the need for professor training and investment in it is evidenced, as the training of essential workers for nursing care and consolidation of the Unified Health System is on the agenda.
-
ORIGINAL ARTICLE10-01-2022
Continuing health education for qualification of professional practice in Psychosocial Care Centers
Revista Brasileira de Enfermagem. 2022;75(2):e20210155
Abstract
ORIGINAL ARTICLEContinuing health education for qualification of professional practice in Psychosocial Care Centers
Revista Brasileira de Enfermagem. 2022;75(2):e20210155
DOI 10.1590/0034-7167-2021-0155
Views0See moreABSTRACT
Objective:
to describe and analyze a strategy of continuing health education to manage the quality of professionals’ work in Psychosocial Care Centers.
Method:
this is a research-intervention carried out in Psychosocial Care Centers in the state of Goiás, Brazil, with the participation of 58 professionals. Data were collected in 2016 through seminars and workshops. Thematic content analysis was carried out.
Results:
professionals associated the Singular Therapeutic Project to the record of performed procedures and described the need to develop skills for correct completion and interpretation of procedures, use of a record software and computerization of processes. The qualification strategy used was considered to be effective in making improvements to the work carried out feasible.
Final Considerations:
the study presents a qualification strategy for community mental health service teams to guide the care model for territorial care centered on users.
-
ORIGINAL ARTICLE10-01-2022
Frailty in the elderly: screening possibilities in Primary Health Care
Revista Brasileira de Enfermagem. 2022;75(2):e20200973
Abstract
ORIGINAL ARTICLEFrailty in the elderly: screening possibilities in Primary Health Care
Revista Brasileira de Enfermagem. 2022;75(2):e20200973
DOI 10.1590/0034-7167-2020-0973
Views0See moreABSTRACT
Objectives:
to evaluate two instruments for screening frailty in the elderly in Primary Health Care.
Methods:
this is an observational, cross-sectional study, with a quantitative approach, with 396 elderly people. SPSS software helped to perform the statistical analyses. The study used the kappa coefficient and Spearman’s correlation.
Results:
the kappa coefficient between the Clinical-Functional Vulnerability Index 20 and the Edmonton Frailty Scale was 0.496, considered moderate. There was a positive and significant correlation (r = 0.77; p < 0.001) between the frailty conditions and the total score of the two instruments.
Conclusions:
when this article assessed fragility through the kappa coefficient, both instruments presented positive correlation and agreement. However, the identification of frailty was higher when it used the Edmonton Frailty Scale.
-
ORIGINAL ARTICLE10-01-2022
Factors associated with vulnerability and fragility in the elderly: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(2):e20200399
Abstract
ORIGINAL ARTICLEFactors associated with vulnerability and fragility in the elderly: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(2):e20200399
DOI 10.1590/0034-7167-2020-0399
Views0See moreABSTRACT
Objectives:
to assess factors associated with vulnerability and fragility in the elderly.
Methods:
crosssectional study with 384 elderly people in Fortaleza, Ceará. The Vulnerable Elders Survey and Clinical-Functional Vulnerability Index – 20 were used. Chi-square and Fisher’s exact tests were used for associations. In the analysis of the combined influence of risk factors, the stepwise logistic regression and multinomial regression methods were adopted.
Results:
251 (65.4%) non-vulnerable and 133 (34.6%) vulnerable elders. From the vulnerable elders analyzed, 42 (30.9%) are at high risk for frailty. Factors associated with vulnerability: age, gender, presence of comorbidities, hypertension, diabetes, osteoporosis and use of polypharmacy. There is a 30% increase in the chance of vulnerability for each additional drug. Physical activity reduces the chance of vulnerability by 60%. Factors associated with frailty: educational level; self-perception of health; comorbidities; polypharmacy.
Conclusions:
it is important to pay attention to the presence of arterial hypertension, osteoporosis, polypharmacy, and encourage the practice of physical activity.
-
10-01-2022
Sintomas musculoesqueléticos em cuidadores formais e informais de idosos
Revista Brasileira de Enfermagem. 2022;75(2):e20210249
Abstract
Sintomas musculoesqueléticos em cuidadores formais e informais de idosos
Revista Brasileira de Enfermagem. 2022;75(2):e20210249
DOI 10.1590/0034-7167-2021-0249
Views0See moreRESUMEN
Objetivo:
Evaluar los síntomas musculoesqueléticos en cuidadores formales e informales de los ancianos y verificar la asociación con factores personales y laborales. Métodos: Estudio transversal. Los instrumentos para la evaluación fueron el Cuestionario Internacional de Actividad Física (IPAQ), Self-Reporting Questionnaire-20, Escala de Percepción del Esfuerzo de Borg y el Cuestionario Nórdico de Síntomas Musculoesqueléticos.
Resultados:
Los cuidadores informales trabajaron más tiempo (60,2% vs. 41%), tuvieron más horas de trabajo (37,4% >12h por día), menos tiempo libre (85,4% vs. 2,5%) y falta de pautas de atención (90,2%). La región con más síntomas musculoesqueléticos fue la columna vertebral y, cuanto mayor la dependencia de los ancianos, mayores son las posibilidades de desarrollar síntomas musculoesqueléticos (OR= 1.3, 95% CI= 1.1-1.6, p <0.05).
Conclusión:
Factores personales y relacionados con el trabajo fueron más frecuentes en los cuidadores informales y la dependencia de los ancianos interfiere con el aumento de los síntomas musculoesqueléticos en cuidadores.
-
ORIGINAL ARTICLE10-01-2022
ICNP® terminology subset for the care of people with heart failure
Revista Brasileira de Enfermagem. 2022;75(2):e20210196
Abstract
ORIGINAL ARTICLEICNP® terminology subset for the care of people with heart failure
Revista Brasileira de Enfermagem. 2022;75(2):e20210196
DOI 10.1590/0034-7167-2021-0196
Views0See moreABSTRACT
Objective:
to develop an ICNP® terminology subset for the care of people with heart failure.
Methods:
this is a methodological study, which used the theoretical framework of the Mid-Range Nursing Theory for Cardiovascular Rehabilitation, with the steps: Construction of nursing diagnoses/outcomes and interventions statements and Cross-mapping of statements constructed.
Results:
forty-two diagnosis/outcome statements and 179 nursing intervention statements were constructed, organized based on five theory concepts, with a higher prevalence of statements related to “Rehabilitative care”, “Psychosocial support for patients and families” and “Supervised cardiovascular rehabilitation program”.
Final considerations:
it was possible to build nursing diagnosis/outcome and intervention statements for developing a terminology subset for the care of people with heart failure, based on the chosen theory.
-
10-01-2022
Kangaroo Method: potentialities, barriers and difficulties in humanized care for newborns in the Neonatal ICU
Revista Brasileira de Enfermagem. 2022;75(2):e20201121
Abstract
Kangaroo Method: potentialities, barriers and difficulties in humanized care for newborns in the Neonatal ICU
Revista Brasileira de Enfermagem. 2022;75(2):e20201121
DOI 10.1590/0034-7167-2020-1121
Views0See moreABSTRACT
Objective:
To identify the potentialities, barriers and difficulties for the implementation of humanized care from the perspective of the Kangaroo Method.
Methods:
Integrative literature review with a time cut from 02/01/2015 to 06/01/2019, totaling ten articles in the final sample.
Results:
The findings were categorized into two categories: Potentialities for humanized care from the perspective of the Kangaroo Method; Barriers or difficulties to the implementation of the Kangaroo Method. Several potentialities for humanized care allied to technology and continuing education were identified, as well as several barriers to the implementation of the Kangaroo Method, such as lack of physical space, lack of professionals and team training, lack of knowledge, lack of adherence and professional demotivation.
Final considerations:
There are still few studies that address the potentialities, barriers and difficulties for the implementation of humanized care from the perspective of the Kangaroo Method, and most of those included in this review were conducted in Brazil and present a qualitative approach.
-
ORIGINAL ARTICLE08-10-2020
Transformational leadership in nursing practice: challenges and strategies
Revista Brasileira de Enfermagem. 2020;73(6):e20190364
Abstract
ORIGINAL ARTICLETransformational leadership in nursing practice: challenges and strategies
Revista Brasileira de Enfermagem. 2020;73(6):e20190364
DOI 10.1590/0034-7167-2019-0364
Views0INTRODUCTIONLeadership stands out as one of the managerial skills necessary to nurses’ practice, especially in the current scenario of frequent overcrowding and scarcity of beds, material resource deficits and insufficient staffing. The reality of some public health services has weaknesses in serving the population and lacks nurses with the knowledge, skills and attitudes to act […]See more -
ORIGINAL ARTICLE10-05-2020
Factors associated with the performance of episiotomy
Revista Brasileira de Enfermagem. 2020;73:e20190899
Abstract
ORIGINAL ARTICLEFactors associated with the performance of episiotomy
Revista Brasileira de Enfermagem. 2020;73:e20190899
DOI 10.1590/0034-7167-2019-0899
Views0See moreABSTRACT
Objective:
To analyze the factors associated with the performance of episiotomy.
Methods:
Cross-sectional study, developed with data from the research “Born in Belo Horizonte: Labor and birth survey, “conducted with 577 women who had their children via vaginal birth. In order to verify the magnitude of the association between episiotomy and its possible determinants, logistic regression models were constructed to estimate the odds ratio.
Results:
Episiotomy was performed in 26.34% of women, and 59.21% knew they had been subjected to it. We observed that younger women, primiparous women, women assisted by a professional other than the obstetric nurse and women who had their babies in a private hospital have an increased chance of being submitted to this procedure.
Conclusion:
Considering the rates of episiotomy, this study highlights the need for the absolute contraindication to indiscriminate performing it.
-
ORIGINAL ARTICLE01-27-2020
Factors associated with depressive symptoms in elderly caregivers with chronic pain
Revista Brasileira de Enfermagem. 2020;73(1):e20170782
Abstract
ORIGINAL ARTICLEFactors associated with depressive symptoms in elderly caregivers with chronic pain
Revista Brasileira de Enfermagem. 2020;73(1):e20170782
DOI 10.1590/0034-7167-2017-0782
Views0See moreABSTRACT
Objective:
to identify factors associated with depressive symptoms in elderly caregivers with chronic pain.
Method:
the study included people 60 years of age or older who reported chronic pain and cared for another elderly person living in the same household (n=186). Statistical analyzes were performed using the Mann-Whitney test, univariate and multiple logistic regression.
Results:
most participants had no depressive symptoms (70.4%), 24.2% had mild depressive symptoms and 5.4% had severe symptoms. Univariate analysis showed that the variables family income, number of diseases, number of medications in use, pain intensity, overload and perceived stress were associated with depressive symptoms. Multivariate analysis found an association with perceived stress (95% CI 1.101-1207) and number of medications (95% CI 1.139-1.540) in use.
Conclusion:
factors associated with depressive symptoms in elderly caregivers with chronic pain were stress and the number of medications in use.
-
04-14-2021
COVID-19 patients in prone position: validation of instructional materials for pressure injury prevention
Revista Brasileira de Enfermagem. 2021;74:e20201185
Abstract
COVID-19 patients in prone position: validation of instructional materials for pressure injury prevention
Revista Brasileira de Enfermagem. 2021;74:e20201185
DOI 10.1590/0034-7167-2020-1185
Views0See moreABSTRACT
Objective:
to perform the content and face validation of a checklist and a banner on pressure injury prevention in patients in prone position.
Method:
this is a methodological study of content and face validation with 26 nurses with specialization. Professionals assessed the checklist and the banner in relation to clarity, theoretical relevance, practical relevance, relation of the figures to the text and font size. The Content Validity Index was calculated for each item, considering one with a value equal to or greater than 0.8 as valid.
Results:
all the actions described in the checklist and in the banner had a Content Validity Index greater than 0.80, with standardization of verbal time and esthetic adjustments in the banner’s layout, as suggested.
Conclusions:
the checklist and the banner were validated and can be used in clinical practice to facilitate pressure injury preventions in patients in prone position.
-
REVIEW03-09-2020
Singular therapeutic project in mental health: an integrative review
Revista Brasileira de Enfermagem. 2020;73(2):e20180508
Abstract
REVIEWSingular therapeutic project in mental health: an integrative review
Revista Brasileira de Enfermagem. 2020;73(2):e20180508
DOI 10.1590/0034-7167-2018-0508
Views0See moreABSTRACT
Objectives:
to analyze the Singular Therapeutic Projects’ characteristics in mental health care used to assist the subject with psychological distress.
Methods:
it is an Integrative Literature Review study conducted in July 2017. The following databases used to collect the data were LILACS, MEDLINE and BDENF. After applying the inclusion and exclusion criteria, 12 articles were selected.
Results:
there was divergence between what was recommended by the Ministry of Health for PTS elaboration with that described in the studies analyzed. Emphasis is placed on the low participation and co-responsibility between team/user in PTS elaboration, excessive referrals to specialized mental health services, fragmentation of knowledge within the multidisciplinary team, and difficulty sharing and discussing information about cases.
Final considerations:
it is pointed out the need to adapt PTS elaboration, and its respective steps, to the needs of each individual.
-
ORIGINAL ARTICLE12-13-2019
Obstetric Nursing in best practices of labor and delivery care
Revista Brasileira de Enfermagem. 2019;72:235-242
Abstract
ORIGINAL ARTICLEObstetric Nursing in best practices of labor and delivery care
Revista Brasileira de Enfermagem. 2019;72:235-242
DOI 10.1590/0034-7167-2018-0561
Views0See moreABSTRACT
Objective:
to evaluate the association of Obstetric Nursing in the best practices of delivery and birth care in maternity hospitals.
Method:
a cross-sectional study, with 666 women selected for delivery. Parturition obstetric practices performed by professionals were categorized into: clearly useful practices that should be encouraged, practices that are clearly harmful or ineffective and that should be eliminated and practices used inappropriately at the time of parturition.
Results:
clearly useful practices were used in greater proportions in the hospitals that had Obstetric Nursing working, while clearly harmful practices and those used inappropriately were practiced in smaller proportions in hospitals that had Obstetric Nursing, both with statistical difference.
Conclusion:
institutions with Obstetric Nursing adopt better practices of delivery and birth care, based on scientific evidence, when compared to those that do not act.
-
REVIEW08-20-2021
Assessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review
Revista Brasileira de Enfermagem. 2021;74(6):e20201315
Abstract
REVIEWAssessment of patient safety culture in Brazilian hospitals through HSOPSC: a scoping review
Revista Brasileira de Enfermagem. 2021;74(6):e20201315
DOI 10.1590/0034-7167-2020-1315
Views0See moreABSTRACT
Objectives:
to describe, from literature, the characteristics of patient safety culture in Brazilian hospitals that applied the Hospital Survey on Patient Safety Culture.
Methods:
this is a scoping review. A search was performed in the databases LILACS, PubMed, SciELO, CINAHL, Web of Science, Scopus and in the CAPES Dissertations and Theses Database in September and October 2020.
Results:
thirty-six studies were identified. Nine studies identified strengthened areas such as: “teamwork within the units”, “expectations of supervisor/boss and actions promoting safety”, “organizational learning”, “support of hospital management for patient safety” and “frequency of report of events”. As a critical area, the dimension “non-punitive response to error” was evidenced in 30 of 36 studies.
Conclusions:
the identification of areas of strength and critical areas of safety culture is relevant to encourage improvement of patient safety problems in an institution.
-
ORIGINAL ARTICLE07-31-2020
Maternal and child health care: adequacy index in public health services
Revista Brasileira de Enfermagem. 2020;73:e20170757
Abstract
ORIGINAL ARTICLEMaternal and child health care: adequacy index in public health services
Revista Brasileira de Enfermagem. 2020;73:e20170757
DOI 10.1590/0034-7167-2017-0757
Views0See moreABSTRACT
Objectives:
to analyze the adequacy of maternal and child-care in prenatal care, childbirth and the puerperal period, in the public health service.
Methods:
longitudinal study carried out in a city in Paraná with 357 puerperal women in a public maternity ward, outpatient clinic for immediate puerperal return and home visit 42 days postpartum. Four care domains were grouped (1 – Prenatal, 2 – Maternity, 3 – Immediate puerperal return, 4 – Late puerperal return). Mean, median, standard deviation and coefficient of variance were calculated considering adequate assistance when ≥ 70%; and inadequate, inferior.
Results:
lowest suitability average in Domain 3 (39.37%) and highest for Domain 4 (74.82%); median of 50.00% at 3 and 76.90% at 4. The largest standard deviation, in Domain 3 (25.18%); and high coefficient of variance for 1 and 3.
Conclusions:
in maternal and child follow-up, rates close to adequate in maternity care and higher in late puerperal return, meanwhile prenatal and immediate puerperal return were below the recommended in the health care network.
Search
Search in:
Nuvem de Tags
Adolescente (85) Atenção Primária à Saúde (239) COVID-19 (91) Criança (91) Cuidados de Enfermagem (269) Educação em Enfermagem (151) Educação em Saúde (139) Enfermagem (930) Enfermagem Pediátrica (86) Estudantes de Enfermagem (77) Estudos de Validação (131) Família (87) Idoso (208) Promoção da Saúde (99) Qualidade de Vida (104) Saúde do Trabalhador (86) Saúde Mental (145) Saúde Pública (82) Segurança do Paciente (150) Tecnologia Educacional (100)