Articles - Revista Brasileira de Enfermagem

RESEARCH01-01-2018

Developmental Care: assistance of nurses from Neonatal Intensive Care Units
Revista Brasileira de Enfermagem. 2018;71:2758-2766

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Abstract
RESEARCH
Developmental Care: assistance of nurses from Neonatal Intensive Care Units
Revista Brasileira de Enfermagem. 2018;71:2758-2766
DOI 10.1590/0034-7167-2017-0912
Bruna de Souza Lima Marski,
Beatriz Castanheira Facio,
Sueli Mutsumi Tsukuda Ichisato,
Patricia Carla de Souza Della Barba,
Monika Wernet
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ABSTRACT

Objective:

to analyze the Developmental Care in nursing care for Newborns in critical Neonatal Intensive Care Units.

Method:

a qualitative study with 11 nurses from Neonatal Intensive Care Units of a city in the State of São Paulo countryside, based on the Developmental Care. Data collection was based on non-participant observation, documentary research in medical records and semi-structured interviews. The Symbolic Interactionism was adopted as theoretical framework, and the Bardin Content Analysis, as method of analysis.

Results:

nurses have knowledge about Developmental Care; however, there are dissonances with doing them. The analysis is presented from two thematic categories: “Nurses’ performance in the Developmental Care” and “Nurse, Family and Developmental Care”.

Final considerations:

it is necessary to encourage reflections on the care of nurses regarding Developmental Care, and to foster sensitivity and perception in relation to the executed and registered.

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RESEARCH01-01-2018

The production of the professional master’s degree in nursing of the Federal University of Santa Catarina, 2013-2016
- Cláudio José de Souza,
- Zenith Rosa Silvino
Revista Brasileira de Enfermagem. 2018;71:2751-2757

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Abstract
RESEARCH
The production of the professional master’s degree in nursing of the Federal University of Santa Catarina, 2013-2016
Revista Brasileira de Enfermagem. 2018;71:2751-2757
DOI 10.1590/0034-7167-2018-0153
Cláudio José de Souza,
Zenith Rosa Silvino
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ABSTRACT

Objective:

To summarize the production of the Professional Master’s Program in Nursing Care Management of the Federal University of Santa Catarina, between 2013 and 2016.

Method:

electronic documental research. After data collection, we analyzed the numbers of defenses in relation to what was predicted by the respective public notices; as well as sex, training time and professional area of the authors; scenario, context and research line; general objective, analysis support model, methodological approach, instruments/techniques of data collection, and technique of analysis; and, finally, technological productions.

Results:

57 dissertations were found and subjected to analysis. The highest number of defenses took place in 2016, in the public scenario, in a care context, with a qualitative approach and having assistance protocols as a final product.

Conclusion:

Although the country has weaknesses in its educational system, results of the post-graduate level stand out through the technological productions of professional master’s studies in nursing.

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RESEARCH01-01-2018

Electroconvulsive therapy: historical construction of nursing care (1989-2002)
Revista Brasileira de Enfermagem. 2018;71:2743-2750

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Abstract
RESEARCH
Electroconvulsive therapy: historical construction of nursing care (1989-2002)
Revista Brasileira de Enfermagem. 2018;71:2743-2750
DOI 10.1590/0034-7167-2018-0168
Juliana Cabral da Silva Guimarães,
Bárbara Lima dos Santos,
Pacita Geovana Gama de Souza Aperibense,
Gizele da Conceição Soares Martins,
Maria Angélica de Almeida Peres,
Tania Cristina Franco Santos
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ABSTRACT

Objective:

to describe the nursing care performed by the nursing team to the person with mental disorder submitted to ECT and to analyze the implications of the Psychiatric Reform in this care.

Method:

socio-historical study, which uses the Thematic Oral History method.

Results:

the nursing team is present in a continuous way in the monitoring of people submitted to ECT, performing care before, during and after the same, as well as visualizing the evolution of the technique and also of nursing care itself, however, does not recognize the Psychiatric Reform as agent for this change.

Final considerations:

the Brazilian Psychiatric Reform triggered a process of humanization of nursing knowledge, influencing the care of the person with mental disorder submitted to ECT, with this, care practices also changed, a law was approved, regulating its practice, and its application was decreasing.

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RESEARCH01-01-2018

Nurses’ perspective on health education in Diabetes Mellitus Care
Revista Brasileira de Enfermagem. 2018;71:2735-2742

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Abstract
RESEARCH
Nurses’ perspective on health education in Diabetes Mellitus Care
Revista Brasileira de Enfermagem. 2018;71:2735-2742
DOI 10.1590/0034-7167-2018-0396
Elen Ferraz Teston,
Dandara Novakowski Spigolon,
Edilaine Maran,
Aliny de Lima Santos,
Laura Misue Matsuda,
Sonia Silva Marcon
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ABSTRACT

Objective:

to grasp the perspective of nurses on health education in the process of caring for people with Diabetes Mellitus in Primary Care.

Method:

a descriptive study of a qualitative nature carried out with 13 nurses from the Family Health Strategy in Southern Brazil. The data were collected in November and December of 2017, through recorded interviews, which were submitted to content analysis, thematic modality.

Results:

three categories emerged, which show from the perspective of nurses, the influence of structural and assistance characteristics in the development of educational actions; outcomes of these actions, and possibilities to increase their quality as central to the nursing action.

Final considerations:

there are still gaps in the structuring of public health policies, especially in the process of managing and caring for people with diabetes, which limits quantitatively and qualitatively the development of educational actions in Primary Care.

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RESEARCH01-01-2018

Nursing professionals’ knowledge regarding the management of waste produced in primary health care
Revista Brasileira de Enfermagem. 2018;71:2728-2734

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Abstract
RESEARCH
Nursing professionals’ knowledge regarding the management of waste produced in primary health care
Revista Brasileira de Enfermagem. 2018;71:2728-2734
DOI 10.1590/0034-7167-2018-0308
Matheus Costa Brandão Matos,
Layze Braz de Oliveira,
Artur Acelino Francisco Luz Nunes Queiroz,
Álvaro Francisco Lopes Sousa,
Andreia Rodrigues Moura da Costa Valle,
Denise de Andrade,
Maria Eliete Batista Moura
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ABSTRACT

Objective:

To evaluate the knowledge of Nursing professionals regarding waste management in primary healthcare services.

Method:

Descriptive study with a mixed approach, developed with 42 nursing professionals who worked in basic health units of a capital in the Brazilian Northeast Region. Quantitative variables were analyzed by the SPSS 20.0 program. Reports were processed by the IRaMuTeQ software, analyzed according to the descending hierarchical classification, and grounded on the Collective Subject Discourse.

Results:

Low knowledge scores were obtained, associated with specific socioeconomic and training variables. Analysis of collected reports allowed to identify three classes: “Inadequate waste disposal: first and main step”; “Correct disposal improves service quality and prevents diseases”; and “Consequences associated with incorrect disposal”.

Conclusion:

The knowledge of professionals falls short of the expectations to adequately manage waste produced in primary health care and is concentrated on the initial steps, mainly the disposal process.

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RESEARCH01-01-2018

Between State, society and family: the care of female caregivers
Revista Brasileira de Enfermagem. 2018;71:2720-2727

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Abstract
RESEARCH
Between State, society and family: the care of female caregivers
Revista Brasileira de Enfermagem. 2018;71:2720-2727
DOI 10.1590/0034-7167-2018-0111
Irene Duarte Souza,
Jéssica de Aquino Pereira,
Eliete Maria Silva
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ABSTRACT

Objective:

to investigate the care provided by family female caregivers of elderly dependents who have been monitored by public home care and its social repercussions, discussing the facets between State, society and families.

Method:

descriptive cross-sectional study, with 45 caregivers of elderly patients accompanied by Home Care Services. Data were collected by means of a structured script. The discussion was elaborated in light of the works “Cuidado e cuidadoras: as várias faces do trabalho do ‘care'” (Care and female caregivers: the several faces of the care work) and “Gênero e trabalho na França e no Brasil” (Gender and work in France and Brazil).

Results:

Most caregivers were women (95%) who performed home care at several places and incorporated hospital equipment into everyday life. They have been caregivers for four and a half years, working 18 hours a day on average; they presented average age of 55 years; 82% were ill, and 43% had no income.

Conclusion:

the study demonstrated the relevance of the care of female caregivers to society as well as their invisibility to public health and social policies.

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RESEARCH01-01-2018

Quality of Primary Health Care in Brazil: patients’view
Revista Brasileira de Enfermagem. 2018;71:2713-2719

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Abstract
RESEARCH
Quality of Primary Health Care in Brazil: patients’view
Revista Brasileira de Enfermagem. 2018;71:2713-2719
DOI 10.1590/0034-7167-2017-0656
Daniela Cristina Moreira Marculino de Figueiredo,
Helena Eri Shimizu,
Walter Massa Ramalho,
Alexandre Medeiros de Figueiredo,
Kerle Dayana Tavares de Lucena
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ABSTRACT

Objective:

To describe the evaluation of patients that participated in the National Program for Improving the Access and Quality in Primary Health Care (Programa Nacional de Melhoria do Acesso e da Qualidade na Atenção Básica) for the comprehensive healthcare, the bond and the coordination of care in the country’s macro-regions.

Method:

A descriptive, transversal study, from interviews with 65,391 patients of Primary Health Care, in 3,944 municipalities regarding the use of health services.

Results:

The professionals seek to solve the patients’ problems in their unit (73.1%) but focused mainly on the scope of the appointment (65.6%) and offering care away from the population’s reality (69.4%). Difficulties in the rescue of clinical history were referred (50.3%) and in the care performed in other health services (29.2%).

Conclusion:

The comprehensive health care, the bond and the coordination of care remain challenges to the Primary Health Care in the country, requiring reflections on the implementation of national policies, especially considering the regional diversities in Brazil.

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RESEARCH01-01-2018

Role-playing: teaching strategy that encourages reflections on nursing care
Revista Brasileira de Enfermagem. 2018;71:2706-2712

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Abstract
RESEARCH
Role-playing: teaching strategy that encourages reflections on nursing care
Revista Brasileira de Enfermagem. 2018;71:2706-2712
DOI 10.1590/0034-7167-2017-0733
Luciara Fabiane Sebold,
Julia Estela Willrich Boell,
Vivian Costa Fermo,
Juliana Balbinot Reis Girondi,
José Luís Guedes dos Santos
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ABSTRACT

Objective:

Describe the reflections of nursing students on nursing care through the use of role-playing.

Method:

Qualitative research with descriptive-exploratory approach and documentary base. The data were collected from portfolios of 32 students from an undergraduate course in the Southern Brazil. The analysis of the data followed the steps of sorting, classification in structures of relevance, synthesis and interpretation.

Results:

Two empirical categories were obtained: (1) Feelings in the act of taking care and receiving care and (2) Reversing roles: benefits to the nurse in the act of caring.

Final considerations:

The use of role-playing as a strategy for teaching the theme of care to undergraduate students encouraged reflections about the skills and abilities necessary for the act of taking care and favored the students’ self-perception as nurses, appropriating the essence of their future profession: care.

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ORIGINAL ARTICLE07-14-2021

Impact of the contamination time by Escherichia coli on biofilm formation in surgical instruments
Revista Brasileira de Enfermagem. 2021;74(3):e20200759

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Abstract
ORIGINAL ARTICLE
Impact of the contamination time by Escherichia coli on biofilm formation in surgical instruments
Revista Brasileira de Enfermagem. 2021;74(3):e20200759
DOI 10.1590/0034-7167-2020-0759
Síntia de Souza Evangelista ,
Simone Gonçalves dos Santos ,
Adriana Cristina de Oliveira
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ABSTRACT

Objectives:

to evaluate the microbial load and adherence of Escherichia coli in different areas of the surgical instrument surface exposed to experimental contamination over time.

Methods:

experimental study in which fragments of crile forceps (serrated, rod and rack) were contaminated by immersion in Tryptic Soy Broth, containing 10⁶ CFU/mL of E. coli, for 1, 2, 4, 6, 8, 12 and 24 hours. Microbial load and bacterial adherence were evaluated using microbiological culture and scanning electron microscopy, respectively.

Results:

there was an increase in the microbial load on the surgical instrument, proportional to the contamination interval, ranging from 10² after 1 hour to 10⁵ CFU/cm² in 24 hours. The presence of exopolysaccharide was detected after two hours of contamination.

Conclusions:

microbial load and adhesion of E. coli increased over time, reaching 10⁵ CFU/cm² after 24 hours of contamination, starting biofilm formation after two hours.

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REVIEW07-09-2021

Breast cancer screening in Primary Health Care in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2021;74(3):e20200995

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Abstract
REVIEW
Breast cancer screening in Primary Health Care in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2021;74(3):e20200995
DOI 10.1590/0034-7167-2020-0995
Danila Cristina Paquier Sala ,
Meiry Fernanda Pinto Okuno ,
Monica Taminato ,
Cristiane Pereira de Castro ,
Marília Cristina Prado Louvison ,
Oswaldo Yoshimi Tanaka
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ABSTRACT

Objectives:

to analyze care strategies for breast cancer screening in Primary Health Care in Brazil.

Methods:

this is a systematic review following the Cochrane Collaboration recommendations.

Results:

among 355 manuscripts, five were eligible. The patient navigation program by Community Health Agent stood out with the best result, among the strategies: flexibility of goals considering viability; community engagement; team training; active search of the target population by Community Health Agent; request for mammography by physicians; actions integrated to women’s health; monitoring of mammography results, absent users, and population coverage by physician and nurse; and assessment of criteria for requesting screening mammography by means of an information system. The population coverage rate in the program ranged from 23% to 88%.

Conclusions:

Primary Health Care in Brazil presents devices with potential to induce the production of care for breast cancer screening.

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ORIGINAL ARTICLE06-18-2021

Spatial-temporal analysis of leprosy in a priority Brazilian northeast municipality for disease control
Revista Brasileira de Enfermagem. 2021;74(3):e20201101

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Abstract
ORIGINAL ARTICLE
Spatial-temporal analysis of leprosy in a priority Brazilian northeast municipality for disease control
Revista Brasileira de Enfermagem. 2021;74(3):e20201101
DOI 10.1590/0034-7167-2020-1101
Fernanda de Castro Lopes ,
Giana Gislanne da Silva de Sousa ,
Weslei Melo da Silva ,
Ana Cristina Pereira de Jesus Costa ,
Floriacy Stabnow Santos ,
Lívia Maia Pascoal ,
Marcelino Santos Neto
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ABSTRACT

Objectives:

to analyze the spatial-temporal distribution of leprosy in a priority municipality for leprosy control.

Methods:

ecological study, conducted in a city in the Northeast of Brazil, whose analysis units were census sectors. The study used compulsory notification data for cases registered between 2008 and 2017. TerraView software and the Batch Geocode tool was used for geocoding. The detection of spatial-temporal agglomerations of high relative risks was done by scanning statistics.

Results:

the spatial-temporal distribution of cases was heterogeneous, creating four agglomerations of high relative risks in the urban area of the municipality between the years 2008 and 2012; and annual prevalence rates classified from high to hyperendemic.

Conclusions:

areas of higher risk and concentration of the disease in space-time were linked to the characteristics of high population density and social vulnerability of these spaces, raising the prioritization of health professionals’ actions, systems, and services for control, and monitoring the disease.

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ORIGINAL ARTICLE06-18-2021

Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department
Revista Brasileira de Enfermagem. 2021;74(3):e20201303

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Abstract
ORIGINAL ARTICLE
Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department
Revista Brasileira de Enfermagem. 2021;74(3):e20201303
DOI 10.1590/0034-7167-2020-1303
Marcia Boessio dos Santos ,
Cristiana Maria Toscano ,
Ruth Ester Assayag Batista ,
Elena Bohomol
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ABSTRACT

Objectives:

to assess the implementation of a nurse-initiated pain management protocol for patients triaged as semi-urgent, and its impact in pain intensity, in the Emergency Department.

Methods:

a prospective cohort study for adult patients with pain who had been triaged as semi-urgent and admitted to the hospital’s Emergency Department. Patients who received the intervention (pain-management protocol with analgesic administration) were compared to those who were managed using the conventional approach (physician evaluation prior to analgesic administration).

Results:

of the 185 patients included, 55 (30%) received the intervention, and 130 (70%) were managed conventionally. Patients in the intervention group were more likely to have taken pain medication in the 4 hours prior to admission, and reported higher levels of pain at admission and more significant reductions in pain level.

Conclusions:

despite low protocol adherence, the intervention resulted in higher reported pain relief.

Keywords:Emergencies Emergency Nursing Nurses Pain Management Triage
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ORIGINAL ARTICLE09-10-2021

Contradicting perceptions of nursing teachers on the neoliberal context of labor
Revista Brasileira de Enfermagem. 2021;74(4):e20200056

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Abstract
ORIGINAL ARTICLE
Contradicting perceptions of nursing teachers on the neoliberal context of labor
Revista Brasileira de Enfermagem. 2021;74(4):e20200056
DOI 10.1590/0034-7167-2020-0056
Camila Arantes Ferreira Brecht D’ Oliveira ,
Márcia Tereza Luz Lisboa ,
Carolina Cabral Pereira da Costa ,
Sheila Nascimento Pereira de Farias ,
Thereza Christina Mó y Mó Loureiro Varella ,
Ellen Marcia Peres ,
Norma Valéria Dantas de Oliveira Souza
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ABSTRACT

Objectives:

To identify and analyze the perceptions of nursing teachers on the new configurations of the job world and the repercussions for their labor activities.

Methods:

Qualitative, descriptive, exploratory research, carried out at two federal nursing colleges in Rio de Janeiro. Data collection occurred with 27 nursing teachers, between May and June 2016, through semi-structured interviews. The data were treated using the thematic content analysis technique.

Results:

The results showed contradictions in the teachers’ perceptions about the job world, which has been guided by neoliberal precepts. Such contradictions are characterized by manifestations in favor of incorporating these precepts, highlighting their negative effects on nursing teaching work.

Final considerations:

There are incongruities in the way of perceiving the current configuration of the job world, proposing more and profound reflections on such a work scenario.

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ORIGINAL ARTICLE06-04-2021

Association between early pregnant hospitalization and use of obstetric interventions and cesarean: a cross-sectional study
Revista Brasileira de Enfermagem. 2021;74(4):e20200397

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Abstract
ORIGINAL ARTICLE
Association between early pregnant hospitalization and use of obstetric interventions and cesarean: a cross-sectional study
Revista Brasileira de Enfermagem. 2021;74(4):e20200397
DOI 10.1590/0034-7167-2020-0397
Tamara Lopes Terto ,
Thales Philipe Rodrigues da Silva ,
Thamara Gabriela Fernandes Viana ,
Ana Maria Magalhães Sousa ,
Eunice Francisca Martins ,
Kleyde Ventura de Souza ,
Fernanda Penido Matozinhos
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ABSTRACT

Objective:

Evaluate the association between early pregnant hospitalization and the use of obstetric interventions and cesarean delivery route.

Methods:

Cross-sectional study, with 758 women selected at the time of childbirth. It was assumed as early hospitalization when the woman was admitted to the hospital having less than 6 cm of cervical dilation. Logistic regression models were constructed in order to estimate the odds ratio for each obstetric intervention, adjusted by sociodemographic and obstetric variables.

Results:

73.22% of women were early hospitalized. On average, they had 1.97 times the chance to undergo Kristeller’s maneuver, 2.59 and 1.80 times the chance to receive oxytocin infusion and analgesia, respectively, and 8 times more chances to having their children by cesarean delivery when compared to women that had timely hospitalization.

Conclusion:

Early hospitalized women were submitted to a higher number of obstetric intervention and had increased chances of undergoing cesarean sections.

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ORIGINAL ARTICLE07-30-2021

Meaning of aging for caregivers of senile elderly people
Revista Brasileira de Enfermagem. 2021;74(4):e20201240

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Abstract
ORIGINAL ARTICLE
Meaning of aging for caregivers of senile elderly people
Revista Brasileira de Enfermagem. 2021;74(4):e20201240
DOI 10.1590/0034-7167-2020-1240
Sara Ingrid de Rezende Ferreira ,
Elen Ferraz Teston ,
Sonia Silva Marcon ,
Bianca Cristina Ciccone Giacon-Arruda ,
Juliete Bispo dos Santos Mandu ,
Josiel Elisandro Werle ,
Sueli Aparecida Frari Galera
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ABSTRACT

Objectives:

to understand the meaning of aging for caregivers of senile elderly people.

Methods:

qualitative study carried out with 12 caregivers of elderly people registered in the Home Care Service, adopting the Explanatory Model of Kleinman’s Disease as a theoretical framework. Data were collected from April to June 2019, through semi-structured, audio-recorded interviews, carried out at home and submitted to content analysis.

Results:

taking care of senile elderly people triggers reflections on aging that sometimes lead to a new meaning of this process, besides stimulating the recognition of the factors that influence it, with emphasis on the life history, occupation and deleterious behaviors adopted throughout life.

Final Considerations:

the care experience influences the meaning attributed to aging, favoring: the identification of modifiable and non-modifiable aspects and behaviors that make it healthy; reflection on aging itself, with a new meaning of habits and behaviors to be adopted.

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ORIGINAL ARTICLE07-30-2021

Curricular reforms in the transformation of nursing teaching in a federal university
Revista Brasileira de Enfermagem. 2021;74(4):e20201242

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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.
Abstract
ORIGINAL ARTICLE
Curricular reforms in the transformation of nursing teaching in a federal university
Revista Brasileira de Enfermagem. 2021;74(4):e20201242
DOI 10.1590/0034-7167-2020-1242
Stéfany Petry ,
Maria Itayra Padilha ,
Roberta Costa ,
Joel Rolim Mancia
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ABSTRACT

Objectives:

to discuss the curricular reforms adopted for nursing teaching in Brazil, from 1969 to 2019.

Methods:

historical, qualitative approach using the thematic oral history and document research. 13 interviews were carried out with graduation nursing professors from a federal university in the South of Brazil. The document sources were the political-pedagogical projects of the course and their associated documents. Minayo’s thematic analysis was used.

Results:

nursing curricula delineates the profile of the professional that must be formed and are reviewed in order to be adapted to social and educational changes, showing the scientific and professional potential of the nurse. Curricular reforms consider the quality of nursing formation.

Final Considerations:

the structure of the curriculum and the reforms that took place emerged according to the historical, political, epidemiological and social context demanded from the profession, to attend to the demands of society and to the work market.

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04-14-2021

Child behavior during the social distancing in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200762

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Abstract
Child behavior during the social distancing in the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2021;74:e20200762
DOI 10.1590/0034-7167-2020-0762
Eny Dórea Paiva ,
Luciana Rodrigues da Silva ,
Maria Estela Diniz Machado ,
Rosane Cordeiro Burla de Aguiar ,
Karina Rangel da Silva Garcia ,
Paloma Gonçalves Martins Acioly
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ABSTRACT

Objective:

To describe the daily activities performed by children from 6 to 12 years of age incomplete and analyze children’s behavior during social distancing in the face of the COVID-19 pandemic.

Methods:

Cross-sectional study with children in a learning stage living in Brazil. The data were collected via online form. Fisher’s exact test was applied to analyze the association of categorical variables with child behavior; when significant, it was used the odds ratio. It was considered results considered statistically significant those presenting values of p < 0.05.

Results:

Data from 530 children were analyzed: 50.3% female, 71.3% from the Southeast Region, 73% in fulltime social distancing, 52% presented anxiety, which was significantly associated with changes in sleep and appetite.

Conclusion:

The results indicate the need for parents/caretakers to stimulate moments for the child to express themselves, not minimizing their feelings and providing emotional support to mitigate the negative impact of these feelings on the child’s mental and physical health.

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REFLECTION07-10-2020

Psychosocial risks and the health of health workers: reflections on Brazilian labor reform
Revista Brasileira de Enfermagem. 2020;73:e20190092

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Abstract
REFLECTION
Psychosocial risks and the health of health workers: reflections on Brazilian labor reform
Revista Brasileira de Enfermagem. 2020;73:e20190092
DOI 10.1590/0034-7167-2019-0092
Leni de Lima Santana ,
Leila Maria Mansano Sarquis ,
Fernanda Moura D’ Almeida Miranda
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ABSTRACT

Objective:

to reflect on the psychosocial risks and their impacts on the health of health workers in light of the Brazilian economic context and Labor Reform.

Method:

reflective study on the Brazilian Labor Reform and its impacts on health of health workers.

Results:

although the changes observed in the labor sphere have contributed to improvements in health and safety policies for, these changes have also contributed to the emergence of new risks arising from work activities, including psychosocial risks, which affect all occupational categories.

Final considerations:

we understand that the Brazilian Labor Reform carried out in 2017 leads to the weakening of labor relations, increases workers’ exposure to risks in the workplace, increases the risk of illness, and opposes the global movement of international organizations aimed at the prevention of aggravation in workers’ health and also at preserving their health.

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ORIGINAL ARTICLE03-30-2020

Best Safety Practices in nursing care in Neonatal Intensive Therapy
Revista Brasileira de Enfermagem. 2020;73(2):e20180482

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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.
Abstract
ORIGINAL ARTICLE
Best Safety Practices in nursing care in Neonatal Intensive Therapy
Revista Brasileira de Enfermagem. 2020;73(2):e20180482
DOI 10.1590/0034-7167-2018-0482
Sabrina da Costa Machado Duarte ,
Sílvia Schoenau de Azevedo ,
Gabrielle da Costa de Muinck ,
Tainara Ferreira da Costa ,
Maria Manuela Vila Nova Cardoso ,
Juliana Rezende Montenegro Medeiros de Moraes
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ABSTRACT

Objectives:

to identify the perception of nursing professionals on human errors in nursing care at a Neonatal Intensive Care Unit and to assess Best Practices strategies proposed by these professionals for patient safety in nursing care.

Methods:

this is a quantitative-qualitative, descriptive study. Setting: Neonatal Intensive Care Unit. Participants: 22 nursing professionals. Data collection was performed through interviews and sent to the thematic analysis.

Results:

human errors in nursing care, such as wasted catheters; errors in the medication process; causes for error in nursing care, with a focus on work overload; Best Practices for patient safety in nursing care, such as professional training and improved working conditions.

Conclusions:

it is of utmost importance to invest in Best Practices strategies for Patient Safety, aimed at consolidating the culture of organizational safety and encouraging an adequate environment to manage errors.

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ORIGINAL ARTICLE02-10-2020

Nursing team knowledge on care for patients with fungating wounds
Revista Brasileira de Enfermagem. 2020;73(1):e20170738

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Abstract
ORIGINAL ARTICLE
Nursing team knowledge on care for patients with fungating wounds
Revista Brasileira de Enfermagem. 2020;73(1):e20170738
DOI 10.1590/0034-7167-2017-0738
Fernanda Mateus Queiroz Schmidt ,
Flávia Firmino ,
Nariman de Felício Bortucan Lenza ,
Vera Lúcia Conceição de Gouveia Santos
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ABSTRACT

Objective:

to evaluate the nursing team knowledge of a cancer hospital on care for patients with Malignant Fungating Wounds (MFW) and to analyze associated sociodemographic and educational factors.

Method:

an observational and cross-sectional study, conducted between September and October 2015, after approval by the Research Ethics Committee. A questionnaire was applied containing sociodemographic, educational and related components to the accomplishment of dressings, dressings choice and orientation. Data were analyzed by using Chi-square, Fisher’s exact test, Student’s t-Test and Pearson’s correlation.

Results:

37 professionals participated in the study, most of whom were technicians (56.8%), women (91.9%) and with a mean age of 32 years. The professionals presented 56.5% of correct answers. There were no statistically significant associations between sociodemographic/educational variables and number of correct answers.

Conclusion:

there was a lack of important knowledge about care for patients with MFW, which should guide strategies for the oncology staff training.

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ORIGINAL ARTICLE08-07-2020

Quality of life of high risk pregnant women during prenatal care
Revista Brasileira de Enfermagem. 2020;73:e20190595

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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.
Abstract
ORIGINAL ARTICLE
Quality of life of high risk pregnant women during prenatal care
Revista Brasileira de Enfermagem. 2020;73:e20190595
DOI 10.1590/0034-7167-2019-0595
Ivyna Pires Gadelha ,
Priscila de Souza Aquino ,
Marianne Maia Dutra Balsells ,
Flaviane Fabrício Diniz ,
Ana Karina Bezerra Pinheiro ,
Samila Gomes Ribeiro ,
Régia Christina Moura Barbosa Castro
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ABSTRACT

Objective:

to analyze the quality of life of high-risk pregnant women.

Methods:

an observational and cross-sectional study, carried out in a tertiary maternity hospital located in Fortaleza, with 276 high-risk pregnant women. A questionnaire was applied containing socioddemographic, clinical and obstetric data and The Mother-Generated Index. Descriptive analyzes were performed using the Jamovi statistical program^®, version 0.9.

Results:

most areas were negatively influenced by pregnancy. “Satisfaction with pregnancy”, “family relationship” and “relationship with the partner” obtained the highest means of primary score, while “physical condition/disposition” and “financing” obtained the lowest means. The highest secondary scores were in “satisfaction with pregnancy”, “family relationship” and “relationship with the partner”, while the lowest were in “financing” and “psychological/emotional”.

Conclusion:

the total primary score mean was 6.03, suggesting a good quality of life. The Mother Generated Index made it possible to identify aspects of life that go beyond pre-formulated assessments of the construct.

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REFLECTION02-10-2020

Effectiveness of clinical surface cleaning and disinfection: evaluation methods
Revista Brasileira de Enfermagem. 2020;73(1):e20180623

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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.
Abstract
REFLECTION
Effectiveness of clinical surface cleaning and disinfection: evaluation methods
Revista Brasileira de Enfermagem. 2020;73(1):e20180623
DOI 10.1590/0034-7167-2018-0623
Oleci Pereira Frota ,
Adriano Menis Ferreira ,
Marcelo Alessandro Rigotti ,
Denise de Andrade ,
Nájla Moreira Amaral Borges ,
Marcos Antonio Ferreira Júnior
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ABSTRACT

Objective:

To discuss the methods employed to evaluate the effectiveness of clinical surface cleaning and disinfection (C&D).

Method:

This is a theoretical reflection based on scientific studies and the experience of the authors. Knowledge and current gaps, the need for further studies, and practical application of the methods were approached.

Results:

There are four main methods used to evaluate the effectiveness of clinical surface C&D: visual inspection, fluorescent markers, microbiological cultures, and adenosine triphosphate (ATP) bioluminescence. The first two are used to evaluate the process and to predict adherence to protocols by the staff, and the last two are employed to evaluate the results, therefore being the most relevant to assess the risk of infection.

Final considerations:

The ideal method was not found, because all of them showed limitations. There is a need for strategies to optimize the precision of these methods.

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ORIGINAL ARTICLE03-09-2020

Quality of life at work in a central sterile processing department
Revista Brasileira de Enfermagem. 2020;73(2):e20180792

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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.
Abstract
ORIGINAL ARTICLE
Quality of life at work in a central sterile processing department
Revista Brasileira de Enfermagem. 2020;73(2):e20180792
DOI 10.1590/0034-7167-2018-0792
Gliccia Morguethe Vieira Rego ,
Isaura Letícia Tavares Palmeira Rolim ,
Aurean D’Eça Júnior ,
Ana Hélia de Lima Sardinha ,
Geysa Santos Góis Lopes ,
Nair Portela Silva Coutinho
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ABSTRACT

Objectives:

to evaluate the quality of life of nursing professionals who work in a central sterile processing department.

Methods:

a descriptive, quantitative, exploratory study, conducted with 82 nursing professionals working in the Central Sterile Processing Department of a University Hospital, from September to November 2017. A semi-structured instrument and the questionnaire “Medical Outcomes Study Short-Form 36” were used. Results: most of the participants were female, married, aged 31-40 years; 47.6% with 6-10 years of profession, and 82.9% reported working in CSPD for 1-5 years. The most affected quality of life domains were Pain, Vitality, General Health Status and Social Aspects.

Conclusions:

This study showed a need for rethinking and re-creating the labor dynamics in CSPD to improve the quality of life of these nursing professionals.

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REVIEW01-29-2021

Epidemiological profile of children and adolescents with COVID-19: a scoping review
Revista Brasileira de Enfermagem. 2021;74:e20200624

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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.
Abstract
REVIEW
Epidemiological profile of children and adolescents with COVID-19: a scoping review
Revista Brasileira de Enfermagem. 2021;74:e20200624
DOI 10.1590/0034-7167-2020-0624
Fabiane Blanco Silva Bernardino ,
Lidiane Cristina da Silva Alencastro ,
Ronaldo Antonio da Silva ,
Antonia Dinágila do Nascimento Ribeiro ,
Geovane Roberto de Campos Castilho ,
Maria Aparecida Munhoz Gaíva
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ABSTRACT

Objective:

to map the epidemiological profile of children and adolescents with COVID-19 in the world literature.

Methods:

a scoping review systematized by the Joanna Briggs Institute protocol in the PubMed/MEDLINE, CINAHL, Web of Science, Scopus, Science direct and Google Scholar databases. Articles with children and/or adolescents with laboratory diagnosis of COVID-19 were used.

Results:

thirty-two articles were included in the review. Most children and adolescents were male, with contamination by family transmission. The most frequent clinical manifestations were fever, cough and diarrhea. Ten studies cited pre-existing condition/disease, and hospital length ranged from one to twenty days. Three deaths were reported and no study presented race/color, education and socioeconomic conditions.

Conclusion:

it was possible to screen the epidemiological profile with information about age group, sex, probable contamination of the disease, clinical manifestations, presence of pre-existing disease/condition, hospitalization and deaths among children and adolescents with COVID-19.

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Developmental Care: assistance of nurses from Neonatal Intensive Care Units

ABSTRACT

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Final considerations:

The production of the professional master’s degree in nursing of the Federal University of Santa Catarina, 2013-2016

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Conclusion:

Electroconvulsive therapy: historical construction of nursing care (1989-2002)

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Final considerations:

Nurses’ perspective on health education in Diabetes Mellitus Care

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Final considerations:

Nursing professionals’ knowledge regarding the management of waste produced in primary health care

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Between State, society and family: the care of female caregivers

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Quality of Primary Health Care in Brazil: patients’view

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Conclusion:

Role-playing: teaching strategy that encourages reflections on nursing care

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Objective:

Method:

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Final considerations:

Impact of the contamination time by Escherichia coli on biofilm formation in surgical instruments

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Conclusions:

Breast cancer screening in Primary Health Care in Brazil: a systematic review

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Conclusions:

Spatial-temporal analysis of leprosy in a priority Brazilian northeast municipality for disease control

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Methods:

Results:

Conclusions:

Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department

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Methods:

Results:

Conclusions:

Contradicting perceptions of nursing teachers on the neoliberal context of labor

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Objectives:

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Final considerations:

Association between early pregnant hospitalization and use of obstetric interventions and cesarean: a cross-sectional study

ABSTRACT