Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE03-06-2023

    Construct elaboration and validity of the Pregnancy Depression Risk Scale

    Revista Brasileira de Enfermagem. 2023;76(2):e20220306

    Abstract

    ORIGINAL ARTICLE

    Construct elaboration and validity of the Pregnancy Depression Risk Scale

    Revista Brasileira de Enfermagem. 2023;76(2):e20220306

    DOI 10.1590/0034-7167-2022-0306

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    ABSTRACT

    Objectives:

    to elaborate and analyze the Pregnancy Depression Risk Scale psychometric properties.

    Methods:

    methodological research, in six steps: theoretical model empirical definition; elaboration of scale items with literature review; consultation with five professional health experts and 15 pregnant women; content validity with six experts; pre-test-semantic validity with 24 pregnant women; scale factor structure definition with 350 pregnant women; pilot study with 100 pregnant women, totaling 489 pregnant women and 11 experts. Data were analyzed by content analysis, exploratory factor analysis, multitrait-multimethod analysis and internal consistency.

    Results:

    sixty-eight risk factors were identified for item formulation. The final version of the scale consisted of 24 items in five domains. The scale demonstrated satisfactory construct content, semantic, validity and reliability.

    Conclusions:

    the scale proved to be valid in terms of content and semantics, with a factor structure defined according to the adopted theoretical model and satisfactory psychometric properties.

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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 ARTICLE03-06-2023

    Medication reconciliation in pediatrics: a validation of instruments to prevent medication errors

    Revista Brasileira de Enfermagem. 2023;76(2):e20210755

    Abstract

    ORIGINAL ARTICLE

    Medication reconciliation in pediatrics: a validation of instruments to prevent medication errors

    Revista Brasileira de Enfermagem. 2023;76(2):e20210755

    DOI 10.1590/0034-7167-2021-0755

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    ABSTRACT

    Objectives:

    to develop and validate the content of two instruments for promoting medication reconciliation for the transition of care of hospitalized children.

    Methods:

    methodological study, conducted in five stages: scope review for conceptual structure; elaboration of the initial version; content validation with five specialists using the Delphi technique; reassessment; and construction of the final version of the instruments. A content validity index of at least 0.80 was adopted.

    Results:

    three rounds of evaluation were carried out to reach the validity index of the proposed contents, whereas a new analysis of 50% of the 20 items of the instrument aimed at families, and 28.5% of the 21 items aimed at professionals was necessary. The instrument aimed at families reached an index of 0.93, and the instrument for professionals, 0.90.

    Conclusions:

    the proposed instruments were validated. It is now possible to proceed with practical implementation studies to identify their influence on safety during medication reconciliation at transition of 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.
    Medication reconciliation in pediatrics: a validation of instruments to prevent medication errors
  • REVIEW03-06-2023

    Nursing protocols to reduce urinary tract infection caused by indwelling catheters: an integrative review

    Revista Brasileira de Enfermagem. 2023;76(2):e20220067

    Abstract

    REVIEW

    Nursing protocols to reduce urinary tract infection caused by indwelling catheters: an integrative review

    Revista Brasileira de Enfermagem. 2023;76(2):e20220067

    DOI 10.1590/0034-7167-2022-0067

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    ABSTRACT

    Objectives:

    to analyze the production of knowledge in research articles about the effectiveness of nursing protocols for reducing indwelling urinary catheter dwell time and catheter-associated urinary tract infection rate in hospitalized adult and older patients.

    Methods:

    an integrative review of three full articles, available in the MEDLINE Complete – EBSCO, Scopus and Web of Science databases, from 01/01/2015 to 04/26/2021.

    Results:

    the three protocols reduced infection rates, and from the review/synthesis of their knowledge, a level IV body of evidence emerged to compose the nursing care process aimed at reducing indwelling urinary catheter dwell time and catheter-associated urinary tract infection.

    Final Considerations:

    this process gathers scientific evidence to support the elaboration of nursing protocols and, consequently, the conduction of clinical trials on its effectiveness in reducing urinary tract infection by indwelling urinary catheter.

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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.
    Nursing protocols to reduce urinary tract infection caused by indwelling catheters: an integrative review
  • ORIGINAL ARTICLE03-06-2023

    Organizational politics and professional struggles in nursing

    Revista Brasileira de Enfermagem. 2023;76(1):e20220180

    Abstract

    ORIGINAL ARTICLE

    Organizational politics and professional struggles in nursing

    Revista Brasileira de Enfermagem. 2023;76(1):e20220180

    DOI 10.1590/0034-7167-2022-0180

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    ABSTRACT

    Objective:

    to analyze the professional struggles between nursing organizational entities, in Rio de Janeiro, during the Regional Nursing Council’s electoral process (1990-1993 administration).

    Method:

    historical study. We used journalistic articles, normative documents, legislation and semi-structured interviews with five nursing professionals who participated in this process. Interpretation of findings was supported by Bourdieu’s concepts of habitus, field, capital, and symbolic power.

    Results:

    Electoral Code changes of the aforementioned council, under the influence of administration (1987-1990), candidate for re-election, influenced the disclosure and eligibility criteria, making it difficult for broad participation, especially of Associação Brasileira de Enfermagem Rio de Janeiro Section.

    Final considerations:

    nursing, in this period, generated a field of disputes related to positions of power and gender, which was evidenced in the electoral process studied, which highlighted using limiting strategies by a group, making it difficult for the entire category to participate.

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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 ARTICLE03-06-2023

    The pandemic changes daily life and ways of living: technosociality and user/families experiences

    Revista Brasileira de Enfermagem. 2023;76:e20220177

    Abstract

    ORIGINAL ARTICLE

    The pandemic changes daily life and ways of living: technosociality and user/families experiences

    Revista Brasileira de Enfermagem. 2023;76:e20220177

    DOI 10.1590/0034-7167-2022-0177

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    ABSTRACT

    Objectives:

    understand the changes imposed by the COVID-19 pandemic in the daily lives of users of Primary Health Care and their families and its impact on self-care and health promotion.

    Methods:

    this is a holistic-qualitative multiple case study, based on the Comprehensive Sociology of Everyday Life, in which 61 users participated.

    Results:

    experiencing a new daily life in COVID-19 pandemic times, users express their feelings, adaptation to new habits and ways of living. Health technologies and virtual social networks stand out in helping with everyday tasks, in communicating with loved ones and health professionals, and in validating dubious information. Faith and spirituality arise in the face of uncertainty and suffering.

    Final Considerations:

    it is imperative to pay close attention to the changes in daily life caused by the COVID-19 pandemic, in order to offer care directed to the singular and collective needs.

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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.
    The pandemic changes daily life and ways of living: technosociality and user/families experiences
  • ORIGINAL ARTICLE03-06-2023

    The self-care process of community-dwelling older adults during the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76:e20220644

    Abstract

    ORIGINAL ARTICLE

    The self-care process of community-dwelling older adults during the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76:e20220644

    DOI 10.1590/0034-7167-2022-0644

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    ABSTRACT

    Objectives:

    to understand the self-care process of community-dwelling older adults during the COVID-19 pandemic.

    Methods:

    this is an explanatory study with a qualitative approach based on the constructivist Grounded Theory, carried out with 18 community-dwelling older adults. Data collection took place through interviews and content was analyzed through initial and focused coding.

    Results:

    two categories were obtained: “Building connections to support self-care practices” and “Living with the risk group stigma”. From their interaction, the phenomenon “Performing self-care in old age during the COVID-19 pandemic” emerged.

    Final Considerations:

    it was possible to identify how older adults’ experiences curing the COVID-19 pandemic had repercussions on their self-care process, being influenced by factors such as information about the disease and the impacts of risk group stigmas.

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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.
    The self-care process of community-dwelling older adults during the COVID-19 pandemic
  • 03-06-2023

    Palliative care strategies in the management of people with serious cases of COVID-19

    Revista Brasileira de Enfermagem. 2023;76:e20220308

    Abstract

    Palliative care strategies in the management of people with serious cases of COVID-19

    Revista Brasileira de Enfermagem. 2023;76:e20220308

    DOI 10.1590/0034-7167-2022-0308

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    ABSTRACT

    Objectives:

    to analyze the assistance strategies in palliative care developed in the COVID-19 pandemic for critically ill patients and their families.

    Methods:

    an integrative review carried out in August 2021 and updated in April 2022 in the Base de Dados de Enfermagem (BDENF), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), US National Library of Medicine (PubMed), Web of Science databases, and presented in the PRISMA flowchart.

    Results:

    thirteen works were selected for reading and content analysis, from which emerged the two main themes that reflect the reality evidenced in this context: The sudden advent of COVID-19 with impacts on palliative care; and The strategies used in palliative care to mitigate these impacts.

    Final Considerations:

    palliative care is the best strategy for providing health care, used as a comfort to bring relief and comfort to patients and families.

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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.
    Palliative care strategies in the management of people with serious cases of COVID-19
  • 02-06-2023

    The challenge of university teaching in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76(2):e760201

    Abstract

    The challenge of university teaching in times of the COVID-19 pandemic

    Revista Brasileira de Enfermagem. 2023;76(2):e760201

    DOI 10.1590/0034-7167.2023760201

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    This planet’s history has been a long and sometimes tortuous one. To date, a total of five disappearances of life on Earth have been distinguished: the great oxidation; the Ordovician-Silurian extinction; the Devonian extinction; the Permian-Triassic extinction; the Triassic-Jurassic extinction; and the Cretaceous-Tertiary extinction. The causes? Very varied and diverse: anoxia phenomena in the marine […]
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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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