Articles - Revista Brasileira de Enfermagem

  • RESEARCH01-01-2018

    Nursing care to patients with diabetes based on King’s Theory

    Revista Brasileira de Enfermagem. 2018;71(3):1092-1098

    Abstract

    RESEARCH

    Nursing care to patients with diabetes based on King’s Theory

    Revista Brasileira de Enfermagem. 2018;71(3):1092-1098

    DOI 10.1590/0034-7167-2016-0268

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    ABSTRACT

    Objective:

    To verify the effectiveness of nursing interventions based on the Imogene King’s Theory of Goal Attainment, on improving care for people with diabetes and adherence to treatment.

    Method:

    Quasi-experimental, longitudinal, randomized, simple study in a Primary Health Care Unit, in the city of Fortaleza, Ceará state, Brazil. The sample consisted of 60 people with diabetes, divided into intervention and control groups, whose collection occurred from February to August 2013.

    Results:

    In the intervention group, a significant adherence of the patients to the goals defined in the study was found. In the control, there was improvement in some aspects of the treatment.

    Conclusion:

    With these results, it was possible to conclude the feasibility of using Theory of Goal Attainment in the positive aspects for adherence to diabetes treatment and improvement of quality of life.

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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.
  • RESEARCH01-01-2018

    Intervention in social skills and bullying

    Revista Brasileira de Enfermagem. 2018;71(3):1085-1091

    Abstract

    RESEARCH

    Intervention in social skills and bullying

    Revista Brasileira de Enfermagem. 2018;71(3):1085-1091

    DOI 10.1590/0034-7167-2017-0151

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    ABSTRACT

    Objective:

    to verify if the improvement of social and emotional skills reduces bullying victimization in 6th grade students 12 months after the end of the intervention.

    Method:

    Quasi-experimental study with 78 students who were bullying victims. A cognitive behavioral intervention based on social skills was conducted with the intervention group. The eight sessions addressed politeness, making friendships, self-control, emotional expressiveness, empathy, assertiveness and solution of interpersonal problems. Data were analyzed using Poisson regression with random effect.

    Results:

    Quasi-experimental study with 78 students who were bullying victims. A cognitive behavioral intervention based on social skills was conducted with the intervention group. The eight sessions addressed politeness, making friendships, self-control, emotional expressiveness, empathy, assertiveness and solution of interpersonal problems. Data were analyzed using Poisson regression with random effect.

    Conclusion:

    Social skills are important in anti-bullying interventions and can be the basis for intersectoral interventions in the health area, aimed at favoring the empowerment of victims by improving their social interactions and quality of life in school.

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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.
  • RESEARCH01-01-2018

    Structuring methodology of the Computerized Nursing Process in Emergency Care Units

    Revista Brasileira de Enfermagem. 2018;71(3):1079-1084

    Abstract

    RESEARCH

    Structuring methodology of the Computerized Nursing Process in Emergency Care Units

    Revista Brasileira de Enfermagem. 2018;71(3):1079-1084

    DOI 10.1590/0034-7167-2016-0619

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    ABSTRACT

    Objective:

    To structure the Computerized Nursing Process using the International Classification for Nursing Practice (ICNP®) version 2.0 to emergency care units in a computerized structure.

    Method:

    This is a methodological and technological research that followed the stages: (1) establishment of the development team and resources; (2) adequacy of clinical situations, diagnoses and nursing interventions for the emergency area; (3) association of diagnoses and interventions based on ICNP®; (4) organization and codification of clinical evaluation, diagnoses and nursing interventions; (5) transfer of data to the a computerized platform.

    Results:

    Readjustment and construction of 1,445 possibilities of clinical evaluations associated with 961 different diagnoses and their corresponding interventions to the most frequent situations in emergency services.

    Conclusion:

    ICNP® has a strong and solid form for the development of the computerized nursing process able to support nurses in safe decision-making to improve the quality of health 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.
    Structuring methodology of the Computerized Nursing Process in Emergency Care Units
  • RESEARCH01-01-2018

    Competencies for educational actions of Family Health Strategy nurses

    Revista Brasileira de Enfermagem. 2018;71(3):1072-1078

    Abstract

    RESEARCH

    Competencies for educational actions of Family Health Strategy nurses

    Revista Brasileira de Enfermagem. 2018;71(3):1072-1078

    DOI 10.1590/0034-7167-2017-0390

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    ABSTRACT

    Objective:

    To create competencies for the educational actions of nurses in the care and management work processes at the Family Health Strategy.

    Method:

    This is an exploratory, descriptive research, with a qualitative approach, on nurses of the Family Health Strategy (FHS) from a municipality in the Greater São Paulo. It was performed through semi-structured interviews and workshops.

    Results:

    There is a set of specific competencies for the educational actions of the nurse in care work, geared towards meeting the health needs of users/community; and for educational actions in management work, focused on work organization of the health team, indicating the importance of this work to FHS.

    Final considerations:

    Creating competencies proved to be significant to reflect on the educational actions of the FHS nurses and can be used as a strategy in permanent education processes.

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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.
  • RESEARCH01-01-2018

    Longitudinality in Primary Health Care: a comparison between care models

    Revista Brasileira de Enfermagem. 2018;71(3):1063-1071

    Abstract

    RESEARCH

    Longitudinality in Primary Health Care: a comparison between care models

    Revista Brasileira de Enfermagem. 2018;71(3):1063-1071

    DOI 10.1590/0034-7167-2017-0014

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    ABSTRACT

    Objective:

    to evaluate the attribute longitudinality in different models of assistance in Primary Health Care and observe its association with demographic, socioeconomic and health care characteristics.

    Method:

    a cross-sectional study, carried out in 2015 with 1076 adult users of primary care services in the 32 cities of the 4th Regional Health Care Core of Rio Grande do Sul State. The Primary Care Assessment Tool was used with definition of low (<6.6) or high (≥6.6) score for longitudinality. The association with independent variables was observed through the Poisson regression.

    Results:

    the attribute was better assessed in the Family Health Strategy and associate with age, housing health region and care model.

    Conclusion:

    the study points out the Family Health Strategy as a promoter of longitudinal care, and so, it suggests the expansion of this assistance model coverage for quality improvement in health 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.
  • RESEARCH01-01-2018

    Effectiveness of an educational intervention on knowledge-attitude-practice of older adults’ caregivers

    Revista Brasileira de Enfermagem. 2018;71(3):1055-1062

    Abstract

    RESEARCH

    Effectiveness of an educational intervention on knowledge-attitude-practice of older adults’ caregivers

    Revista Brasileira de Enfermagem. 2018;71(3):1055-1062

    DOI 10.1590/0034-7167-2017-0100

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    ABSTRACT

    Objective:

    To compare the knowledge, attitude and practice of older adults’ caregivers before and after an educational intervention in the domains of the care between caregiver and older adult, feeding, bathing, hygiene and mobility and transportation.

    Method:

    Quasi-experimental study carried out with 82 caregivers, of which 34 participated in the intervention. Interviews were conducted through a knowledge, attitude and practice research on the older adults` care

    Results:

    The educational intervention led to improvements in knowledge, attitude and practice, with statistical significance of attitude (p <0.020) and practice (p <0.001), in the domain of the care between caregiver and older adult; knowledge (p <0.001) and practice (p <0.003) in feeding; Knowledge (p <0.001) and practice (p <0.001) in bathing and hygiene; and knowledge (p <0.001), attitude (p <0.001) and practice (p <0.001) in mobility and transportation. The analysis of the 34 caregivers who started and completed the study showed an improvement in attitude in most of the domains.

    Conclusion:

    the educational intervention is an effective and viable strategy for older adults’ caregivers.

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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.
  • RESEARCH01-01-2018

    Environmental variables and errors in the preparation and administration of medicines

    Revista Brasileira de Enfermagem. 2018;71(3):1046-1054

    Abstract

    RESEARCH

    Environmental variables and errors in the preparation and administration of medicines

    Revista Brasileira de Enfermagem. 2018;71(3):1046-1054

    DOI 10.1590/0034-7167-2016-0041

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    ABSTRACT

    Objective:

    to identify the relationship between environmental factors and errors in the preparation and administration of antibacterial.

    Method:

    an observational, cross-sectional study conducted between August and December, 2014 in two clinical units. The sample consisted of 265 doses of medication, observed in different shifts that through a form had the environmental conditions of noise, illumination, humidity, temperature and physical space measured in the preparation and administration stages.

    Results:

    the physical dimension for the preparation was inadequate in one unit (3.8m2), and the items illumination, temperature and noise were extremely oscillating in the three shifts and in the two clinics, with averages generally higher than the recommended for the hospital environment, however, variations in illumination and noise were not statistically significant to cause dose errors or erroneous medicine choice (p> 0.05).

    Conclusion:

    the environmental variables analyzed may favor medication errors in both the preparation and administration stages.

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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.
  • RESEARCH01-01-2018

    The use of gamification to teach in the nursing field

    Revista Brasileira de Enfermagem. 2018;71(3):1038-1045

    Abstract

    RESEARCH

    The use of gamification to teach in the nursing field

    Revista Brasileira de Enfermagem. 2018;71(3):1038-1045

    DOI 10.1590/0034-7167-2017-0023

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    ABSTRACT

    Objectives:

    To investigate whether the course offer with elements of gamification contributes to the formation of competences in Informatics in Nursing; and evaluate it based on teaching and learning criteria and content structure.

    Method:

    Exploratory, applied and technological innovation research, with a qualitative and quantitative approach, developed at a university in the southern region of the country between February and November 2016. Participants were professors (5) and nursing students (10).

    Results:

    The adoption of gamification was considered an interesting and innovative approach, as an alternative to traditional practices and applicable to Nursing teaching. In the quantitative analysis, it was observed that the course contemplates the set of evaluated criteria.

    Final considerations:

    Gamification contributes to the formation of competences among Nursing students for positively influencing the teaching-learning process. It can be understood as one more resource in the teaching work with a view to student motivation and meaningful learning.

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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.

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