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RESEARCH01-01-2018
Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547
Abstract
RESEARCHIntroduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547
DOI 10.1590/0034-7167-2017-0188
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Objective:
to understand the introduction of the School Health Program in the city of Cascavel, Paraná State, as opposed to the report of nurses.
Method:
a qualitative study with fifteen participants. The data were collected from April to August 2015, through semi-structured interviews, analyzed by content analysis and thematic modality.
Results:
the category “Introduction process” of the School Health Program integrates the subcategories “Identified health problems” and the “Challenges of intersectoriality”. The program was implemented quickly, with a fragile training of professionals to perform in the phases that compose it. Structural conditions of schools, human and material resources, and emerging intersectoral interaction were identified obstacles. The integration of the health, school, and family constitutes the program’s potentiality.
Final considerations:
it is understood that the actions of the program were based on health assessments of students, and it is necessary for professionals and managers to discuss and analyze the obstacles identified to achieve all the proposed objectives.
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RESEARCH01-01-2018
Teaching-learning tendencies and strategies used in the leadership development of nurses
Revista Brasileira de Enfermagem. 2018;71:1531-1539
Abstract
RESEARCHTeaching-learning tendencies and strategies used in the leadership development of nurses
Revista Brasileira de Enfermagem. 2018;71:1531-1539
DOI 10.1590/0034-7167-2017-0455
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Objective:
To identify the tendencies and teaching-learning strategies used for leadership development in the discipline Nursing Administration in higher education institutions in Brazil.
Method:
Non-experimental, type survey, descriptive and exploratory, cross-sectional, with quantitative approach.
Results:
The dialogued lecture strategy was cited as used by 241 (91%) professors, followed by research, by 237 (89%), and discussion or group work, by 221 (83%). Strategies not used were: spiral learning, 166 (63%), and online programs, 151 (57%) professors. The strategy that presents higher tendency of use is that of online courses, 104 (39%).
Conclusion:
among the strategies mentioned, all are aligned with the directions given in the literature for nursing education, but these strategies and methodologies influence the formation of leader nurses differently.
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RESEARCH01-01-2018
Plataforma PEnsinar®: a learning tool for teaching the nursing process
Revista Brasileira de Enfermagem. 2018;71:1522-1530
Abstract
RESEARCHPlataforma PEnsinar®: a learning tool for teaching the nursing process
Revista Brasileira de Enfermagem. 2018;71:1522-1530
DOI 10.1590/0034-7167-2016-0411
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Objective:
to describe the construction and transition phases undertaken in the development of a virtual learning environment named Plataforma PEnsinar® (PEnsinar Platform®). This platform aims at teaching the nursing process and the nursing classifications NANDA International, NIC, NOC and ICNP®.
Method:
this is a methodological and technological development research that used construction and transition phases of the software development process named Rational Unified Process.
Results:
the software was developed in the construction phase. Unit and integration tests of components of interfaces were held. In the transition phase, the complete system was showed to the users. It was completely working considering the applicability and employment, under conditions to be implemented and evaluated.
Conclusion:
the study showed how the construction and transition phases of the Plataforma PEnsinar® were developed. It was based on a proposal that inserts the student as an active agent in the nursing process and the professor as a mediator, providing tools that will contribute to a better learning.
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RESEARCH01-01-2018
Clinical and management skills for hospital nurses: perspective of nursing university students
Revista Brasileira de Enfermagem. 2018;71:1514-1521
Abstract
RESEARCHClinical and management skills for hospital nurses: perspective of nursing university students
Revista Brasileira de Enfermagem. 2018;71:1514-1521
DOI 10.1590/0034-7167-2017-0452
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Objective:
to analyze nursing university students’ perception of the professional skills to act in the hospital setting developed during their academic training, and what strategies are being created for the development of these skills during their performance.
Method:
an exploratory, qualitative study in which 40 nursing university students participated. The data were collected from September to December 2016 and conducted thematic inductive analysis.
Results:
clinical skills were identified that could be learned and previously developed at the undergraduate level; and management skills learned during undergraduate education and developed only in the hospital environment. Strategies for the development of skills were identified, such as individual study and Permanent Education, by the employing institution.
Final considerations:
it was evidenced that college contributed in significant proportions for learning and development of some clinical and management skills in the hospital. Still, despite the identified strategies, managers and training centers need to continuously implement strategies for the development of new skills in nurses.
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RESEARCH01-01-2018
Nursing educational intervention for the identification of Adverse Events in hemodialysis
Revista Brasileira de Enfermagem. 2018;71:1507-1513
Abstract
RESEARCHNursing educational intervention for the identification of Adverse Events in hemodialysis
Revista Brasileira de Enfermagem. 2018;71:1507-1513
DOI 10.1590/0034-7167-2017-0843
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Objective:
To develop an educational program aimed at the qualification of the nursing technicians that makes possible the understanding of Adverse Events (AE), aiming to adapt the data records; to elaborate tools for the records of the AE in hemodialysis patients; and to assess the knowledge before and after the educational program.
Method:
An educational intervention was conducted through a classroom and online course on how to recognize and record AE in hemodialysis. The effectiveness of the program was assessed through the gain of knowledge measured through online record of the AE in fictitious problem cases before and after the course.
Result:
Sixteen nursing technicians participated in the study. In the initial test, the mean score was 3.7 ± 0.3 points and in the final assessment was 4.2 ± 0.3 points (p=0.0002).
Conclusion:
It was possible to verify that the educational intervention contributed to increase the knowledge of the participants and that the training of these can be achieved with classroom and online learning courses.
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RESEARCH01-01-2018
Nursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506
Abstract
RESEARCHNursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506
DOI 10.1590/0034-7167-2017-0339
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Objective:
to analyze the contribution of the laboratory of nursing to the critical education of nurses.
Method:
qualitative study, conducted among 18 professors of higher education institutions, being one public and the other private. Data were collected between February and November of 2016 by means of semi-structured interview. To analyze data, it was used a content analysis in the thematic modality.
Results:
it was observed the emphasis in the technical skills development by propagation of behavior and practices; the creation of bonds between professors and students happens on the limit of good interpersonal relationship; the laboratory of nursing may help the critical reflection about the practice, being a place that allows the learning of ethics.
Final considerations:
the nurse education, carried out by the laboratory of nursing, have to overcome the emphasis in the uncritical reproduction of practices and to observe the nurse’s power to think about the reality in the meaning of its modification.
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RESEARCH01-01-2018
Students’ knowledge of metabolic syndrome after educational intervention
Revista Brasileira de Enfermagem. 2018;71:1493-1499
Abstract
RESEARCHStudents’ knowledge of metabolic syndrome after educational intervention
Revista Brasileira de Enfermagem. 2018;71:1493-1499
DOI 10.1590/0034-7167-2017-0342
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Objective:
To analyze the knowledge of children and adolescents about risk factors for metabolic syndrome (MS) before and after educational interventions.
Method:
A quasi-experimental, comparative, prospective and intervention study conducted in 2015 and 2016 with 43 students in the city of Picos (state of Piauí-PI). Five health education meetings were held. For the knowledge analysis, was applied a questionnaire at three different moments.
Results:
Participants’ mean age was 12.6 years (± 2.1), of which 60.5% were female. The ‘More than good’ level of knowledge went from 20.9% to 55.8% after interventions. When evaluated late, students maintained a higher level of knowledge compared to before the interventions. Most said they were able to change their lifestyle after educational meetings.
Conclusion:
The educational intervention promoted increase of knowledge and stimulated changes in attitudes related to risk factors associated with MS.
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RESEARCH01-01-2018
Work engagement among participants of residency and professional development programs in nursing
Revista Brasileira de Enfermagem. 2018;71:1487-1492
Abstract
RESEARCHWork engagement among participants of residency and professional development programs in nursing
Revista Brasileira de Enfermagem. 2018;71:1487-1492
DOI 10.1590/0034-7167-2017-0278
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Objective:
to assess the levels of engagement at work of nurses enrolled in multi-professional residency and professional development programs in health care of a Brazilian public institution.
Method:
a cross-sectional study with 36 professionals. The data were collected in September 2013, with use of the Utrecht Work Engagement Scale (UWES), composed of seventeen self-evaluation items with the dimensions vigor, dedication and absorption, as well as an overall score.
Results:
the levels of engagement ranged from 3.8 to 4.3, and the standard deviations, between 1.1 and 1.3. Nurses showed average levels on vigor (3.8) and absorption (3.9) dimensions, and high levels on dedication (4,3) and engagement (4.0).
Conclusion:
the professionals presented good levels of energy, resilience, enthusiasm and involvement with the work. They are satisfied with the activity and are dedicated to it, which promotes the acquisition of skills and competences along the in-service training, ensuring a future professional practice of quality.
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ORIGINAL ARTICLE03-30-2022
Nursing Theories and Models as theoretical references for Brazilian theses and dissertations: a bibliometric study
Revista Brasileira de Enfermagem. 2022;75(4):e20210201
Abstract
ORIGINAL ARTICLENursing Theories and Models as theoretical references for Brazilian theses and dissertations: a bibliometric study
Revista Brasileira de Enfermagem. 2022;75(4):e20210201
DOI 10.1590/0034-7167-2021-0201
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Objectives:
to map the use of Nursing models and theories utilized as theoretical references in graduate academic Nursing research in Brazil.
Methods:
bibliometrics, performed in the Theses and Dissertations database of the Coordination for the Improvement of Higher Education Personnel, in November, 2020. Data analysis was performed using simple descriptive statistics and lexical analysis, performed using the software: IRAMUTEQ.
Results:
the 50 selected studies were from the field of Nursing, 15 (30%) of which were theses and 35 (70%) were dissertations. 13 Nursing theories and models were identified, used as theoretical references, highlighting Roy’s Adaptation Model in 10 (20%) of the researches. Final Considerations: the study found a great diversity in the use of nursing theories and models as a theoretical framework, which allowed us to identify the areas most researched by nurses and confirmed their application in different specialties and health contexts.
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REVIEW08-05-2020
Communication of bad news in pediatrics: integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190059
Abstract
REVIEWCommunication of bad news in pediatrics: integrative review
Revista Brasileira de Enfermagem. 2020;73:e20190059
DOI 10.1590/0034-7167-2019-0059
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Objectives:
to identify the scientific evidence of the elements of communication in the process of communicating bad news in pediatrics.
Methods:
integrative review searched in the LILACS, PubMed and WoS databases. Primary studies in Portuguese, Spanish or English were included.
Results:
the evidence from the 40 studies were organized according to the elements of communication: sender (family and/or professional), receiver (family and/or child), message (bad or difficult news about diagnosis/prognosis; empathetically, honestly, objective, hopeful and available), channel (materials, quality, quantity and pace), context and effects (social and emotional changes), noise (feelings and language) and failures (silencing and misleading information).
Conclusions:
there is a need to prepare the institution and team, as well as the family and the child, in order to promote co-responsibility in this process, to minimize suffering and communication noise and to avoid failures, recognizing the child’s right to know their condition.
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ORIGINAL ARTICLE10-28-2020
Conflict management strategies used by Portuguese nurse managers
Revista Brasileira de Enfermagem. 2020;73:e20190336
Abstract
ORIGINAL ARTICLEConflict management strategies used by Portuguese nurse managers
Revista Brasileira de Enfermagem. 2020;73:e20190336
DOI 10.1590/0034-7167-2019-0336
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Objectives:
to analyze the perception and conflict management strategies used by nurses in the management of people in Portuguese health services.
Methods:
descriptive, correlational study, carried out in Portuguese health services, with an intentional non-probabilistic sample, totaling 95 nurse managers. A questionnaire and Conflict Management Scale were used, analyzing the variables of managerial activities and conflict management, with the aid of software.
Results:
it was identified that 60% of the managers, report having to mediate conflicts daily, and the majority report adopting dialogue in conduct. However, through the Kruskal-Wallis test, it was shown that enforcement strategies in conflict management prevail (p = 0.008), with collaborative ones being more restricted to monthly intervals (p = 0.049).
Conclusions:
managers perceive the importance of collaboration in the mediation of conflicts, however, in their daily lives; they tend to maintain imposing behaviors, signaling for a little transformational leadership style.
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ORIGINAL ARTICLE05-09-2022
Factors associated with the skills of informal caregivers in home care
Revista Brasileira de Enfermagem. 2022;75(4):e20210744
Abstract
ORIGINAL ARTICLEFactors associated with the skills of informal caregivers in home care
Revista Brasileira de Enfermagem. 2022;75(4):e20210744
DOI 10.1590/0034-7167-2021-0744
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Objective:
To identify factors associated with cognitive, emotional, psychomotor, and relational skills of informal caregivers in home care.
Methods:
A cross-sectional study carried out with a sample of 216 informal caregivers residing in a municipality in the state of Paraná. Data collection took place between February and July 2019, with an instrument developed and validated to assess the skills of informal caregivers. Descriptive and inferential analyses were used.
Results:
The factors associated with a greater competence of informal caregivers were being female, having training in the field, and having more than five years home care experience. The lowest competence was observed in caregivers who had health problems and belonged to the lowest strata of family purchasing power. Participants had lower scores in psychomotor competence and had better results in cognitive competence.
Conclusion:
It was found that women with experience in care had higher levels of competence to provide quality care at home assistance services.
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ORIGINAL ARTICLE08-15-2022
Construction and validation of an educational video for patients in the perioperative period of robotic surgery
Revista Brasileira de Enfermagem. 2022;75(5):e20210952
Abstract
ORIGINAL ARTICLEConstruction and validation of an educational video for patients in the perioperative period of robotic surgery
Revista Brasileira de Enfermagem. 2022;75(5):e20210952
DOI 10.1590/0034-7167-2021-0952
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Objectives:
to build and validate educational technology, of the video type, aimed at teaching about the perioperative period of robotic surgery.
Methods:
methodological development study, following the integrative review phases: pre-production, production, post-production, and validation. The video was evaluated for content and appearance by 14 judges. Content validity (CVI) and appearance (AVI) and agreement (CI) indices were calculated, and the exact binomial test was applied, considering p>0.05 and a proportion of 0.80 of agreement.
Results:
the video included 13 themes, with a duration of seven minutes and 33 seconds. The items of the three dimensions evaluated presented excellent CVI, ranging between 0.86 and 1.00 (p>0.05), with a total CVI of 0.95, VAT of 0.94 and CI equal to 61.5%.
Conclusions:
the video included 13 themes, with a duration of seven minutes and 33 seconds. The items of the three dimensions evaluated presented excellent CVI, ranging between 0.86 and 1.00 (p>0.05), with a total CVI of 0.95, VAT of 0.94 and CI equal to 61.5%.
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03-05-2021
Moral suffering in health professionals: portrait of the work environment in times of COVID-19
Revista Brasileira de Enfermagem. 2021;74:e20200653
Abstract
Moral suffering in health professionals: portrait of the work environment in times of COVID-19
Revista Brasileira de Enfermagem. 2021;74:e20200653
DOI 10.1590/0034-7167-2020-0653
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Objective:
To analyze potential triggers of moral suffering experiences of health professionals, reported in the media, during the COVID-19 pandemic and to propose a theoretical construct of analysis.
Methods:
Study with qualitative approach whose data source were 50 reports published online, collected passively and actively, submitted to Content Analysis with the help of ATLAS.ti software.
Results:
The potential moral problems that trigger moral suffering are related to the threat to moral integrity, infrastructure/logistics and teamwork problems, and emotional aspects, revealing their articulation with damage to the foundations of a healthy work environment, which generated the proposal of a construct.
Final considerations:
The articulation between the experiences of moral suffering and the commitment of the fundamentals of a healthy work environment has brought important contributions to the adoption of strategies to protect and stimulate moral deliberation by professionals in favor of practice and society.
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05-28-2021
Are symptoms of depression and anxiety in nursing students associated with their sociodemographic characteristics?
Revista Brasileira de Enfermagem. 2021;74:e20200503
Abstract
Are symptoms of depression and anxiety in nursing students associated with their sociodemographic characteristics?
Revista Brasileira de Enfermagem. 2021;74:e20200503
DOI 10.1590/0034-7167-2020-0503
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Objective:
to investigate symptoms of depression and anxiety and their association with the sociodemographic characteristics of undergraduate nursing students.
Methods:
a cross-sectional analytical study carried out with students from the Faculty of Nursing at Universidade Federal de Juiz de Fora from June to July 019. Data were collected through a sociodemographic questionnaire and the Beck Depression and Anxiety Inventories.
Results:
192 students participated, with a mean age of 21.44 (±3.56) years. 85.93% of participants were female. The mean depression score was 22.40 (±12.35), and anxiety was 17.56 (±11.98). There was a difference in the mean of the scales for sex and psychotropic drugs (p<0.05). Women presented moderate and severe classification for both scales. Severe symptoms prevailed among students from the 6th to the 10th semester (18.22%).
Conclusion:
there was an association between depression and anxiety symptoms related to gender and psychotropic drugs.
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ORIGINAL ARTICLE03-30-2020
Stomized children care practices: narratives of relatives
Revista Brasileira de Enfermagem. 2020;73(2):e20180370
Abstract
ORIGINAL ARTICLEStomized children care practices: narratives of relatives
Revista Brasileira de Enfermagem. 2020;73(2):e20180370
DOI 10.1590/0034-7167-2018-0370
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Objectives:
to understand the practices adopted by relatives regarding ostomized children care.
Methods:
qualitative approach, conducted with 11 relatives of ostomized children. Methodological framework was used as narrative technique; NVivo® software for data categorization and information analysis; content analysis technique.
Results:
participants revealed unpreparedness in dealing with children, lack of knowledge about handling materials and equipment inherent to ostomy and challenges faced in the daily life of children in school. They are unanimous in telling they feel encouraged and strengthened by receiving support from nurses in child care. They suggested the development of strategies to guide ostomized children care, such as educational material use.
Conclusions:
to understand family members’ experience made it possible to support training and qualification of nursing professionals, and to establish priorities in care. Evidence found may contribute to reflections that aid health promotion and prevention of complications in ostomized children care.
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