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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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REVIEW03-07-2022
Gender violence perpetrated against trans women
Revista Brasileira de Enfermagem. 2022;75:e20210173
Abstract
REVIEWGender violence perpetrated against trans women
Revista Brasileira de Enfermagem. 2022;75:e20210173
DOI 10.1590/0034-7167-2021-0173
Views0See moreABSTRACT
Objectives:
to identify scientific evidence on gender violence perpetrated against trans women.
Methods:
integrative review, carried out in June 2020, without time frame, in the Scopus, MEDLINE, Embase, CINAHL, WoS, PsycInfo and LILACS databases. The controlled descriptors of DeCS, MeSH and their entry terms were used: “Transgender People”, “Transgender”, “Gender Identity”, “Transsexuality”, “Gender Violence”, “Aggression”, “Sexual Offenses”, “Rape”, “Violence”, “Domestic Violence”. The presentation and synthesis of the results were presented in the PRISMA-2009 flowchart.
Results:
the final sample, consisting of 16 articles, identified different types of violence (sexual, physical, verbal, psychological and financial), perpetrated by family members, strangers, police officers, intimate partners, health professionals, acquaintances, or friends.
Conclusions:
trans women suffer violence and social exclusion that result from stigma and discrimination due to gender identity and result in unrestricted damage to physical health.
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ORIGINAL ARTICLE07-01-2020
Quality of life and osteomuscular symptoms in workers of primary health care
Revista Brasileira de Enfermagem. 2020;73(5):e20190054
Abstract
ORIGINAL ARTICLEQuality of life and osteomuscular symptoms in workers of primary health care
Revista Brasileira de Enfermagem. 2020;73(5):e20190054
DOI 10.1590/0034-7167-2019-0054
Views1See moreABSTRACT
Objectives:
to evaluate the quality of life and musculoskeletal symptoms in primary care workers.
Methods:
descriptive, correlational and cross-sectional study with 85 workers using the WHOQOL-Bref and Nordic Osteomuscular Symptoms Questionnaire.
Results:
lower quality of life for the Environment domain and higher for Social Relationships. Workers reported pain in lower back, neck, shoulders, wrists/hands/fingers and knees. Neck pain influenced Physical (p=0.015) and Psychological (p=0.030) domains; shoulder pain (p=0.004) and dorsal region (p=0.013) influenced the Physical domain; pain in knees influenced Physical (p=0.000) and Environment (p=0.032) domains; pain in the ankles/feet influenced Physical (p=0.000), Psychological (p=0.032) and Environment (p=0.007) domains; pain in the dorsal region influenced the Physical domain (p=0.013).
Conclusions:
workers evaluated their quality of life as good or very good and reported to be satisfied or very satisfied with their health. They also reported pains in lower back, neck, shoulders, wrists/hands/fingers and knees. Pain has influenced the quality of life.
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ORIGINAL ARTICLE10-01-2022
Factors associated with presenteeism in nursing workers
Revista Brasileira de Enfermagem. 2022;75(1):e20201290
Abstract
ORIGINAL ARTICLEFactors associated with presenteeism in nursing workers
Revista Brasileira de Enfermagem. 2022;75(1):e20201290
DOI 10.1590/0034-7167-2020-1290
Views0See moreABSTRACT
Objective:
to analyze factors associated with presenteeism in nursing workers with sociodemographic variables, health and work conditions, productivity and musculoskeletal symptoms.
Methods:
this is a cross-sectional, descriptive and analytical study, with 306 nursing workers from a hospital and municipal emergency room in a Brazilian capital. The Stanford Presenteeism Scale, the Work Limitations Questionnaire, the Nordic Musculoskeletal Questionnaire and a demographic questionnaire on nursing professionals’ working conditions and health were used. Bivariate and multivariate analyzes were performed, respecting a significance level of 5%.
Results:
presenteeism was found in 43.8% of professionals and significant associations with CLT work (p=0.002), workplace – Intensive Care Units (p=0.008), physical exercise twice a week (p=0.008), presence of musculoskeletal symptoms, with low back pain being representative (p=0.001). The productivity loss was 8.8.
Conclusions:
the study confirms a high rate of presenteeism among nursing workers.
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EXPERIENCE REPORT04-03-2020
Use of webQDA software on qualitative nursing research: an experience report
Revista Brasileira de Enfermagem. 2020;73(3):e20180411
Abstract
EXPERIENCE REPORTUse of webQDA software on qualitative nursing research: an experience report
Revista Brasileira de Enfermagem. 2020;73(3):e20180411
DOI 10.1590/0034-7167-2018-0411
Views0See moreABSTRACT
Objectives:
to report the user experience of the webQDA software in the support of qualitative data analysis about health literacy of older adults.
Methods:
quasi-experimental research developed from January 2014 to January 2015, with 118 older adults, all of whom were interviewed to assess the level of health literacy. Interviews were carried out before and after four educational interventions, according to Freire’s method named Culture Circle. The interviews were transcribed and entered in the software, which highlighted the analytical categories.
Results:
the systems of sources, interpretative encoding and questioning of the data available in the software allowed the construction of three categories for the literacy levels and four categories for their dimensions.
Final considerations:
We concluded that the webQDA software enables the structured encoding of qualitative materials, ensuring faster and effective management of data with systematization and analytical transparency.
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03-03-2021
Concept analysis of Perioperative Thirst for the development of a new nursing diagnosis
Revista Brasileira de Enfermagem. 2021;74(1):e20200065
Abstract
Concept analysis of Perioperative Thirst for the development of a new nursing diagnosis
Revista Brasileira de Enfermagem. 2021;74(1):e20200065
DOI 10.1590/0034-7167-2020-0065
Views1See moreABSTRACT
Objectives:
to analyze the perioperative thirst concept for the development of a new diagnostic structure according to NANDA International.
Methods:
a concept analysis study based on the framework proposed by Walker and Avant, instrumentalized through an integrative literature review based on SCOPUS, CINAHL, PUBMED, LILACS, and WOS. The elaboration of the diagnostic structure followed NANDA International guidelines.
Results:
41 studies were analyzed revealing that perioperative thirst is prevalent and intense, having visceral and behavioral attributes as the core of the concept. Antecedents indicate that surgical patients are vulnerable to thirst; and consequents 16 signs and symptoms were organized and model cases were developed. A diagnostic structure has been developed for perioperative thirst.
Final Considerations:
concept analysis allowed language standardization that describes thirsty patients, helping the identification, planning of actions and communication of perioperative nursing care.
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ORIGINAL ARTICLE02-25-2022
Factors associated with stress, anxiety and depression in nursing professionals in the hospital context
Revista Brasileira de Enfermagem. 2022;75:e20210263
Abstract
ORIGINAL ARTICLEFactors associated with stress, anxiety and depression in nursing professionals in the hospital context
Revista Brasileira de Enfermagem. 2022;75:e20210263
DOI 10.1590/0034-7167-2021-0263
Views0See moreABSTRACT
Objective:
to determine the factors associated with stress, anxiety and depression, concomitantly, in nursing professionals who work in the hospital context.
Methods:
a quantitative and cross-sectional study with 353 nursing professionals from a hospital. A sociodemographic questionnaire and the Depression, Anxiety and Stress Scale-21 were used. Data were subjected to descriptive statistical analysis, difference and correlation tests.
Results:
the main factors associated with stress, anxiety and depression, concomitantly, were being female, compromised family and social support, lack of autonomy at work, hostile relationship with colleagues, lack of professional recognition and satisfaction, feeling of being overwhelmed and insecurity.
Conclusions:
demographic, physiological, social and work factors impact the levels of stress, anxiety and depression in nursing professionals. The adoption of coping strategies for modifiable factors should be considered, in order to provide better quality of life for these professionals.
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ORIGINAL ARTICLE09-06-2022
Evaluating the psychometric properties of the eHealth Literacy Scale in Brazilian adults
Revista Brasileira de Enfermagem. 2022;75(1):e20201320
Abstract
ORIGINAL ARTICLEEvaluating the psychometric properties of the eHealth Literacy Scale in Brazilian adults
Revista Brasileira de Enfermagem. 2022;75(1):e20201320
DOI 10.1590/0034-7167-2020-1320
Views0See moreABSTRACT
Objective:
To translate and adapt the eHealth Literacy Scale for the cultural reality of Brazil and to evaluate the psychometric properties of its Brazilian Portuguese version.
Methods:
The instrument was translated and adapted to Brazilian Portuguese and applied to a sample of 502 individuals from 18 to 80 years old who lived in the surrounding areas of six Family Health Units of a city in the countryside of the state of São Paulo, Brazil. The data was evaluated using exploratory and confirmatory factor analysis, item response theory, and instrument reliability measures (Cronbach’s alpha and McDonald’s omega).
Results:
The eHealth Literacy Scale – Brazilian version (eHEALS-Br) presented an excellent internal consistency (α = 0.95 e ω = 0.95), with only one dimension and an explained variation of 81.79%.
Conclusions:
The Brazilian version of the instrument showed excellent psychometric properties to measure the levels of digital health literacy in adults from the country.
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ORIGINAL ARTICLE03-07-2022
Women’s perception of labor and birth care: obstacles to humanization
Revista Brasileira de Enfermagem. 2022;75:e20210215
Abstract
ORIGINAL ARTICLEWomen’s perception of labor and birth care: obstacles to humanization
Revista Brasileira de Enfermagem. 2022;75:e20210215
DOI 10.1590/0034-7167-2021-0215
Views0See moreABSTRACT
Objectives:
to understand women’s perception regarding the care received during labor and birth.
Methods:
this is a descriptive-exploratory, qualitative study carried out with 54 postpartum women from hospitals in the Metropolitan Region II of the state of Rio de Janeiro, from January to December 2018, using semi-structured interviews submitted to content analysis.
Results:
puerperal women’s perceptions about the childbirth care they received indicated the use of interventions, such as pressure maneuvers on the uterine fundus during the expulsion period – Kristeller maneuver, episiotomy and repeated vaginal examination and without consent. The use of institutional routines, such as zero diet, horizontal birth and disrespect.
Final Considerations:
despite the encouragement of public humanization policies, the technocratic model is still present in obstetric care during childbirth. The humanization of obstetric care requires changes in attitudes and care paradigms, in order to guarantee respect and the right to quality care.
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