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ORIGINAL ARTICLE07-31-2023
Parenting of mothers of children in early childhood during the COVID-19 pandemic: qualitative research
Revista Brasileira de Enfermagem. 2023;76:e20220478
Abstract
ORIGINAL ARTICLEParenting of mothers of children in early childhood during the COVID-19 pandemic: qualitative research
Revista Brasileira de Enfermagem. 2023;76:e20220478
DOI 10.1590/0034-7167-2022-0478
Views0See moreABSTRACT
Objectives:
to understand practices of mothers of children in early childhood who live in contexts of poverty in the face of the COVID-19 pandemic.
Methods:
an exploratory, descriptive and qualitative study. Participants were selected in the community context, composing an intentional sample to be collected through semi-structured online interviews. Data were analyzed inductively and anchored in the Bioecological Model of Human Development.
Results:
eight mothers participated in the research. Mothers highlighted pleasure in taking care of their children, although they were overloaded with activities and comprehensive care at the time of the pandemic. Children, in mothers’ perception, showed a higher frequency of challenging behaviors, which may be related to negative parenting practices, such as punishment and physical violence.
Final Considerations:
interventions to support parenting become urgent in the face of changes brought about by the COVID-19 pandemic in families living in a context of poverty.
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ORIGINAL ARTICLE07-31-2023
Primary Health Care assessment in the COVID-19 pandemic from physicians’ and nurses’ perspective
Revista Brasileira de Enfermagem. 2023;76:e20220475
Abstract
ORIGINAL ARTICLEPrimary Health Care assessment in the COVID-19 pandemic from physicians’ and nurses’ perspective
Revista Brasileira de Enfermagem. 2023;76:e20220475
DOI 10.1590/0034-7167-2022-0475
Views0See moreABSTRACT
Objectives:
to assess the operationalization of Primary Health Care in the COVID-19 pandemic, according to Primary Care Assessment Tool: PCATool-Brasil attributes, from physicians’ and nurses’ perspective.
Methods:
a cross-sectional study, carried out with 99 physicians and nurses from Basic Health Units in a state in northeastern Brazil, with the aid of the adapted instrument PCATool-Brasil.
Results:
Essential Score was classified as high performance (6.6) and General Score as low performance (6.5). First Contact Access, Care Integration, and Community Guidance scores were <6.6. The best performances were attributed to the Longitudinality, Comprehensiveness and Family Guidance services (scores>6.6).
Conclusions:
the attributes of Primary Health Care, in general, showed values above or close to the cut-off point in the assessment. These data can support strategies for local and national managers to strengthen Primary Health Care in the COVID-19 pandemic and future public health emergencies.
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07-31-2023
Breastfeeding prevalence in newborns of mothers with COVID-19: a systematic review
Revista Brasileira de Enfermagem. 2023;76:e20220173
Abstract
Breastfeeding prevalence in newborns of mothers with COVID-19: a systematic review
Revista Brasileira de Enfermagem. 2023;76:e20220173
DOI 10.1590/0034-7167-2022-0173
Views0See moreABSTRACT
Objectives:
to compare exclusive breastfeeding prevalence versus artificial feeding in newborns of mothers with COVID-19.
Methods:
a systematic review of prevalence, according to JBI. Searches in PubMed®, Embase, CINAHL, LILACS and Web of Science™ databases in August 2021. Cross-sectional, longitudinal or cohort studies were selected, without language and time limitations that showed breastfeeding prevalence or that allowed calculation.
Results:
fifteen articles published in 2020 and 2021, cohort (60%) or cross-sectional (40%) were analyzed. The average of exclusive breastfeeding in mothers with COVID-19 was 56.76% (CI=39.90–72.88), and artificial breastfeeding, 43.23% (CI = 30.99 – 55.88), without statistically significant differences.
Conclusions:
despite the recommendations for maintaining breastfeeding, there was a reduction worldwide, when compared to periods prior to the pandemic. With advances in science, these rates have improved, showing the impact of evidence on practices. As limitations, study sources are cited. It is recommended to carry out new studies. PROSPERO registration CRD42021234486.
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REVIEW07-10-2023
Lean Six Sigma methodology to improve the discharge process in a Brazilian intensive care unit
Revista Brasileira de Enfermagem. 2023;76(3):e20220538
Abstract
REVIEWLean Six Sigma methodology to improve the discharge process in a Brazilian intensive care unit
Revista Brasileira de Enfermagem. 2023;76(3):e20220538
DOI 10.1590/0034-7167-2022-0538
Views0ABSTRACT
Objectives:
to describe the Lean Six Sigma implementation process to improve the discharge process in a Brazilian health institution’s ICU.
Methods:
prospective study following the Define-Measure-Analyse-Improve-Control project development method. This method consists of five phases, namely: project definition, measurement of the starting point and data collection, analysis of results, improvement in processes, and statistical control.
Results:
applying Lean Six Sigma methodology following the Define-Measure-Analyse-Improve-Control in the discharge process from the intensive care unit to the inpatient unit was effective in improving processes. This improvement represented a reduction in the mean patient transfer time to the inpatient unit from 189 minutes to 75 minutes, representing a 61% improvement in discharge time.
Conclusions:
this article demonstrates the effectiveness of applying Lean Six Sigma methodology to improve the discharge flow in a critical unit, resulting in time and waste reduction.
Keywords:Health Services AdministrationIntensive Care UnitsPatient DischargeTotal Quality ManagementWorkflowSee more -
ORIGINAL ARTICLE07-10-2023
Occurrence and preventability of adverse events in hospitals: a retrospective study
Revista Brasileira de Enfermagem. 2023;76(3):e20220025
Abstract
ORIGINAL ARTICLEOccurrence and preventability of adverse events in hospitals: a retrospective study
Revista Brasileira de Enfermagem. 2023;76(3):e20220025
DOI 10.1590/0034-7167-2022-0025
Views0See moreABSTRACT
Objectives:
to analyze the incidence of preventable adverse events related to health care in adult patients admitted to public hospitals in Brazil.
Methods:
observational, analytical, retrospective study based on medical records review.
Results:
medical records from 370 patients were evaluated, 58 of whom had at least one adverse event. The incidence of adverse events corresponded to 15.7%. Adverse events were predominantly related to healthcare-related infection (47.1%) and procedures (24.5%). Regarding the adverse event severity, 13.7% were considered mild, 51.0% moderate, and 35.3% severe. 99% of adverse events were classified as preventable. Patients admitted to the emergency room had a 3.73 times higher risk for adverse events.
Conclusions:
this study’s results indicate a high incidence of avoidable adverse events and highlight the need for interventions in care practice.
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07-10-2023
Metodologia Lean Seis Sigma para melhoria do processo de alta em uma unidade de terapia intensiva
Revista Brasileira de Enfermagem. 2023;76(3):e20220538
Abstract
Metodologia Lean Seis Sigma para melhoria do processo de alta em uma unidade de terapia intensiva
Revista Brasileira de Enfermagem. 2023;76(3):e20220538
DOI 10.1590/0034-7167-2022-0538
Views0See moreRESUMEN
Objetivos:
describir el proceso de implementación de Lean Six Sigma para mejorar el proceso de alta en una unidad de cuidados intensivos brasileña.
Métodos:
estudio prospectivo siguiendo el método de desarrollo de proyectos denominado DMAIC (Define-Measure-Analyze-Improve-Control). Este método consta de cinco fases, a saber: definición del proyecto, medición del punto de partida y recolección de datos, análisis de resultados, mejora en los procesos y control estadístico.
Resultados:
la aplicación de la metodología Lean Six Sigma fue efectiva para mejorar el proceso de alta de la unidad de cuidados intensivos a la unidad de hospitalización. Esta mejora representó una reducción en el tiempo promedio de alta de 189 a 75 minutos, totalizando una mejora del 61%.
Conclusiones:
este artículo demuestra la efectividad de la aplicación de la metodología Lean Six Sigma para mejorar el flujo de descarga en una unidad crítica, lo que resulta en la reducción de tiempo y desperdicio.
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ORIGINAL ARTICLE07-10-2023
Correlation between symptoms of depression, attitude, and self-care in elderly with type 2 diabetes
Revista Brasileira de Enfermagem. 2023;76(3):e20220741
Abstract
ORIGINAL ARTICLECorrelation between symptoms of depression, attitude, and self-care in elderly with type 2 diabetes
Revista Brasileira de Enfermagem. 2023;76(3):e20220741
DOI 10.1590/0034-7167-2022-0741
Views0See moreABSTRACT
Objectives:
to correlate depressive symptoms, attitude, and self-care of elderly people with type 2 diabetes.
Methods:
study developed with 144 elderly people with diabetes; carried out in Family Health Units. A semi-structured instrument was used to obtain data on the sociodemographic profile; the Geriatric Depression Scale (15 items), the Questionário de Atitudes Psicológicas do Diabetes [Psychological Attitudes of Diabetes Questionnaire], and the Diabetes Self-Care Activities Questionnaire (DSCA) were also used.
Results:
it was identified that 24.3% of the participants presented depressive symptoms, and 93.8% presented negative attitudes of coping. A greater adherence to self-care activities related to the practice of medication was observed. In the correlation between the scales, a negative and inversely proportional correspondence was noted between depressive symptomatology and physical activity (p=0.010) and foot care (p=0.006), likewise between attitude and foot care (p=0.009).
Conclusions:
self-care in elderly people with diabetes mellitus is influenced by depressive symptoms and negative coping attitudes.
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ORIGINAL ARTICLE07-10-2023
Primary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases
Revista Brasileira de Enfermagem. 2023;76(3):e20220486
Abstract
ORIGINAL ARTICLEPrimary care in supplementary health: assessment of costs in the care of older adult patients with heart diseases
Revista Brasileira de Enfermagem. 2023;76(3):e20220486
DOI 10.1590/0034-7167-2022-0486
Views0See moreABSTRACT
Objectives:
to identify whether implementing a supplementary Primary Health Care (PHC) system makes it possible to reduce care costs for older adults with heart diseases.
Methods:
a retrospective cohort of 223 patients with heart disease aged ≥ 60 years. Data were obtained from medical records and cost databases, assessed for a period of one year before and after PHC implementation. The results were expressed as mean absolute frequencies for number of hospitalizations and as average annual expenses expressed in dollars (US$) in relation to cost data.
Results:
there was a reduction in hospitalization expenses after implementing supplementary PHC (p=0.01) and a decrease in the frequency of hospitalizations for the entire sample (p=0.006). There was a reduction in the frequency of consultations at the Emergency Room among frail older adults (p=0.011).
Conclusions:
there was a reduction in hospitalization costs and frequency of visits to the Emergency Room after supplementary PHC.
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REVIEW06-10-2022
Self-inflicted violence and suicide in people living with HIV/AIDS: a systematic review
Revista Brasileira de Enfermagem. 2022;75:e20210768
Abstract
REVIEWSelf-inflicted violence and suicide in people living with HIV/AIDS: a systematic review
Revista Brasileira de Enfermagem. 2022;75:e20210768
DOI 10.1590/0034-7167-2021-0768
Views0See moreABSTRACT
Objectives:
to analyze intellectual productions on self-inflicted violence and suicide in people living with HIV/AIDS.
Methods:
a systematic review, carried out between March and April 2021, in the PubMed®/MEDLINE®, Web of Science and LILACS databases, subsidized in the Strengthening the Reporting of Observational Studies in Epidemiology. The period outlined was from 2011 to 2020.
Results:
a total of 199 studies were identified, and 16 composed the final sample, grouped into the categories: Sociodemographic characteristics of victims of self-inflicted violence/suicide and their intervening factors (pointing to young adults, especially homosexuals, with low social support and a history of mental illness or substance abuse as usual victims); Successful measures for suicide prevention/control in people living with HIV/AIDS (suggesting more frequent psychosocial and clinical follow-up of those starting antiretroviral and immunocompromised treatment).
Conclusions:
biopsychosocial follow-up, analysis of sociodemographic profile and intervening factors should be frequent in this population for disease prevention/control.
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ORIGINAL ARTICLE09-05-2022
Screening for common mental disorder in elderly residents in the countryside: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75:e20210875
Abstract
ORIGINAL ARTICLEScreening for common mental disorder in elderly residents in the countryside: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75:e20210875
DOI 10.1590/0034-7167-2021-0875
Views0See moreABSTRACT
Objective:
To estimate the prevalence of common mental disorders and their associated factors in the elderly in a municipality in the countryside of the Brazilian Midwest.
Methods:
Quantitative, observational, cross-sectional approach research, conducted with 218 elderly people.
Results:
The prevalence of the common mental disorder among the elderly was 25.1%; in the univariate analysis, it was higher in females (35.4%), in the age group of 80 years or older (46.1%), brown skin color (30.2%), widowed (42.6%), illiterate (47.6%), and retired (27.6%). In the multiple analysis, the variables female gender (p<0.006), age 80 years or older (p<0.036), dissatisfaction with life (p<0.009), lack of social interaction (p=0.017), and dysfunctional family (p=0.021) remained associated with CMD.
Conclusion:
The results revealed are helpful and contribute to the reinforcement of the need for mental health care in this population extract so growing worldwide.
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ORIGINAL ARTICLE06-03-2022
Association between falls in older adults and prevention group
Revista Brasileira de Enfermagem. 2022;75:e20200207
Abstract
ORIGINAL ARTICLEAssociation between falls in older adults and prevention group
Revista Brasileira de Enfermagem. 2022;75:e20200207
DOI 10.1590/0034-7167-2020-0207
Views0See moreABSTRACT
Objectives:
to assess the effectiveness of guidelines on fall prevention in a group of older adults in Primary Health Care.
Methods:
a cross-sectional study, carried out with older adults selected by a simple random sample (274; N=1,234). Data covered sociodemographic and socioeconomic variables, marital status, health conditions, factors associated with falls and participation in the prevention group. Student’s t test was used, and dichotomous variables were used by the chi-square test. The project met ethical requirements.
Results:
sample with female profile (61.7%), married, with low education, mean age of 71.69 years. The factors associated with falls identified were female sex, medicalization and participation in the prevention group. There was no protective association between participation in a fall prevention group in older adults and a decrease in the number of falls.
Conclusions:
based on evidence, a personalized intervention during the nursing visit is suggested as a strategy to prevent falls.
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ORIGINAL ARTICLE03-07-2022
Predictors of frailty in older people users of Primary Health Care
Revista Brasileira de Enfermagem. 2022;75:e20201292
Abstract
ORIGINAL ARTICLEPredictors of frailty in older people users of Primary Health Care
Revista Brasileira de Enfermagem. 2022;75:e20201292
DOI 10.1590/0034-7167-2020-1292
Views0See moreABSTRACT
Objective:
to identify the prevalence and predictors of frailty in older people in Primary Health Care.
Method:
this is a descriptive and correlational study, carried out in a convenience sample of 136 older people in the community. Data were collected through a sociodemographic and clinical questionnaire and frailty phenotype. Student’s t test or U-Mann-Whitney test, chi-square and binary logistic regression were used for data analysis.
Results:
the prevalence of frailty was 26.5% (n=36). Frail individuals had older age (p=0.011), worse self-rated health (p=0.001) and lower physical capacity (p<0.001). In the multivariable regression, it was observed that frail individuals had older age (Odds Ratio=1.111; 95% confidence interval=1.026-1.203) and worse physical capacity (Odds Ratio=0.673; 95% confidence interval=0.508-0.893).
Conclusions:
the prevalence of frailty in older people in Primary Health Care was considerable. Advanced age and worse physical capacity were the most relevant predictors of frailty in the elderly.
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ORIGINAL ARTICLE04-15-2022
Validation of Questionnaire to Assess the Impact of Dementia on the Family
Revista Brasileira de Enfermagem. 2022;75:e20210232
Abstract
ORIGINAL ARTICLEValidation of Questionnaire to Assess the Impact of Dementia on the Family
Revista Brasileira de Enfermagem. 2022;75:e20210232
DOI 10.1590/0034-7167-2021-0232
Views0See moreABSTRACT
Objective:
To validate a questionnaire to assess the impact of dementia on one of the household members.
Methods:
Methodological study. The instrument was designed based on literature review, expert opinion, and researchers’ experience and then applied to a non-probability convenience sample consisting of 262 family members who live daily with a person with dementia. The construct validity was studied by exploratory factor analysis, principal components method, with varimax rotation of the items.
Results:
An instrument with 30 items was obtained, distributed in four dimensions: “Emotional dimension,” “Economic dimension,” “Family relations dimension,” and “Support-seeking dimension.” Factor analysis revealed a total explained variance of 54.96% and a total Cronbach’s alpha of .899.
Conclusions:
The instrument presents high internal consistency, grouped into four dimensions, all closely related to the family’s adaptation to the onset of dementia in one of its members.
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ORIGINAL ARTICLE03-07-2022
Is self-esteem associated with the elderly person’s quality of life?
Revista Brasileira de Enfermagem. 2022;75:e20210388
Abstract
ORIGINAL ARTICLEIs self-esteem associated with the elderly person’s quality of life?
Revista Brasileira de Enfermagem. 2022;75:e20210388
DOI 10.1590/0034-7167-2021-0388
Views0See moreABSTRACT
Objective:
To analyze the association between self-esteem and quality of life in the elderly.
Methods:
Cross-sectional web survey developed with 519 elderly people. Participants filled out three data collection instruments developed on the Google Forms platform and widely disseminated through all of Brazil. Fisher’s exact test, Mann-Whitney, Pearson correlation, and linear regression with 95% confidence interval were used.
Results:
Self-esteem was associated with all quality-of-life facets: sensory skills [β= 1.307; p<0.001]; autonomy [β= 2.101; p<0.001]; past, present, and future activities [β= 2.486; p<0.001]; social presence [β= 2.547; p<0.001]; death and dying [β= 2.175; p<0.001]; and intimacy [β=2.378; p<0.001].
Conclusion:
There is a positive and statistically significant association between self-esteem and quality of life in the elderly. We therefore suggest the development of local policies capable of raising this age groups’ self-esteem and reaffirming aging as a new possibility for discoveries and pleasure.
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EXPERIENCE REPORT10-24-2022
Nursing process for elderly women susceptible to falls from the perspective of the Pender’s Model
Revista Brasileira de Enfermagem. 2022;75:e20210913
Abstract
EXPERIENCE REPORTNursing process for elderly women susceptible to falls from the perspective of the Pender’s Model
Revista Brasileira de Enfermagem. 2022;75:e20210913
DOI 10.1590/0034-7167-2021-0913
Views0See moreABSTRACT
Objectives:
to describe the strategy of applying the nursing process guided by Pender’s Health Promotion Model to elderly women susceptible to falls with a view to promoting a self-efficacy behavior for fall prevention.
Methods:
application of the nursing process to eleven elderly women who had already experienced falls, living in a neighborhood in the outskirts of Belem, state of Pará, which involved interviews to obtain their nursing history and group meetings using the focus group technique to develop the other phases of the nursing process: nursing diagnosis, nursing interventions, and nursing assessment.
Results:
despite the risk factors for falls, the intervention model adopted in this study allowed elderly women to enhance their self-efficacy.
Final Considerations:
the model proved to be suitable for the participation of elderly women in actions to build fall prevention behaviors, with a view to healthier lifestyles.
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ORIGINAL ARTICLE10-24-2022
Factors associated with symptoms of physical and emotional burden in informal caregivers of the elderly
Revista Brasileira de Enfermagem. 2022;75:e20210927
Abstract
ORIGINAL ARTICLEFactors associated with symptoms of physical and emotional burden in informal caregivers of the elderly
Revista Brasileira de Enfermagem. 2022;75:e20210927
DOI 10.1590/0034-7167-2021-0927
Views1See moreABSTRACT
Objectives:
to analyze the personal and work-related burden factors associated with physical and emotional symptoms of informal caregivers of the elderly.
Methods:
cross-sectional study conducted with 121 informal caregivers and 121 seniors who received care, assessed individually for the risk of: physical overload, musculoskeletal symptoms, Self-Reporting Questionnaire, effort perception, and Katz index.
Results:
a greater perception of effort raises up to 3.3 times the chances of presenting symptoms of pain in the spine region (p=0.01), and lower functional capacity of the elderly increases up to 1.3 times the chances of presenting pain symptoms in the spine region (p=0.02). The symptoms of emotional overload were associated with the caregiver’s low income (p=0.02).
Conclusions:
the perception of effort, dependence of the elderly, caregiver’s age, and symptoms of emotional overload are involved with caregivers’ symptoms of physical overload, and low income, with emotional overload.
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REVIEW06-17-2020
Prevention and conduct against the Extravasation of antineoplastic chemotherapy: a scoping review
Revista Brasileira de Enfermagem. 2020;73(4):e20190008
Abstract
REVIEWPrevention and conduct against the Extravasation of antineoplastic chemotherapy: a scoping review
Revista Brasileira de Enfermagem. 2020;73(4):e20190008
DOI 10.1590/0034-7167-2019-0008
Views0See moreABSTRACT
Objectives:
to identify and synthesize scientific evidence on prevention and management of extravasation of antineoplastic agents in adult patients by nurses.
Methods:
scoping review, according to Joanna Briggs Institute and PRISMA-ScR. Research was conducted in five electronic databases, Cochrane Library and eight catalogs of theses and dissertations. Data collection occurred from April to July 2018, with no time limit. The extracted data were analyzed and synthesized in a narrative way.
Results:
a total of 3,110 records were retrieved and 18 studies were kept for review. Most publications (66.6%) had a qualitative approach and addressed both aspects, i.e., prevention and management of extravasation of chemotherapy in adult patients.
Conclusions:
the implementation of protocols based on scientific evidence on prevention and management of extravasation of antineoplastic agents is paramount in order to provide patient safety and support to the nursing staff.
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ORIGINAL ARTICLE06-01-2020
Paulo Freire’s research itinerary: contributions for promoting health in the teaching profession
Revista Brasileira de Enfermagem. 2020;73(4):e20190164
Abstract
ORIGINAL ARTICLEPaulo Freire’s research itinerary: contributions for promoting health in the teaching profession
Revista Brasileira de Enfermagem. 2020;73(4):e20190164
DOI 10.1590/0034-7167-2019-0164
Views0See moreABSTRACT
Objectives:
examine Paulo Freire’s research itinerary as a theoretical-methodological framework and its contributions for promoting health in the teaching profession.
Methods:
qualitative participatory action research coordinated with Paulo Freire’s itinerary, carried out in culture circles, from April 18, 2018 to June 26, 2018. It involved the participation of 21 teachers from a federal teaching institution.
Results:
the method that was used promoted dialogue and reflection among the participants, enabling a health promotion intervention. It facilitated self-knowledge and reflection, resulting in significant changes in the participants, in a process in pursuit that seeks transformations.
Final Considerations:
Paulo Freire’s research itinerary was opportune, as a possibility for promoting health, mainly in terms of providing a framework that assists in the practical construction of knowledge and encourages participants to examine their reality in the pursuit of enhanced quality of life.
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ORIGINAL ARTICLE07-08-2020
Patient safety: perception of family members of hospitalized children
Revista Brasileira de Enfermagem. 2020;73(5):e20190525
Abstract
ORIGINAL ARTICLEPatient safety: perception of family members of hospitalized children
Revista Brasileira de Enfermagem. 2020;73(5):e20190525
DOI 10.1590/0034-7167-2019-0525
Views0See moreABSTRACT
Objectives:
to know the meaning attributed by family members to the health safety of pediatric patients, with attention to the possibilities of their collaboration.
Methods:
this qualitative study was conducted with eighteen family members of children hospitalized in a pediatric unit, from January to July 2018. Symbolic Interactionism was used as a theoretical framework, and Inductive Content Analysis as method.
Results:
child hospitalization poses risks to possible incidents and adverse events. Participants and professionals are responsible for patient safety. Thus, their actions focus on error prevention. Therefore, they seek information and observe in a vigil way professional care in classic aspects of safety. They conceive essential and favoring safety the approach centered on children and family members.
Final Considerations:
family members recognized the chances of errors and care damage, identified themselves as support in minimizing damage and were in partnership with the professional, increasing chances of effecting safety.
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05-21-2021
Quality of life and falls in elderly people: a mixed methods study
Revista Brasileira de Enfermagem. 2021;74:e20200400
Abstract
Quality of life and falls in elderly people: a mixed methods study
Revista Brasileira de Enfermagem. 2021;74:e20200400
DOI 10.1590/0034-7167-2020-0400
Views0See moreABSTRACT
Objective:
to assess elderly people’s quality of life, understanding the social representations of falls.
Methods:
a convergent mixed methods research carried out at homes, with a sample of 134 elderly people. A structured questionnaire was used, covering sociodemographic variables and factors that indicated frailty and risk of falling. For quality of life assessment, Medical Outcomes Study Short-Form 36 and Theory of Social Representations, Abric’s structural approach were used, with data treated by dictionary of equivalent terms, processed in Evoc 2000, converging analytically according to Neuman.
Results:
quality of life impairment was identified in terms of physical, emotional and functional capacity. The elements of the possible central nucleus were fall, fear, and bruised-broken-bone.
Final considerations:
quality of life impairment can contribute to increase the number of falls, which has been shown to be an event present in elderly people’s lives through evocations. Understanding elderly people’s individual demands allows planning actions.
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ORIGINAL ARTICLE06-08-2020
Understanding the dramatic therapeutic play session: a contribution to pediatric nursing
Revista Brasileira de Enfermagem. 2020;73(4):e20180812
Abstract
ORIGINAL ARTICLEUnderstanding the dramatic therapeutic play session: a contribution to pediatric nursing
Revista Brasileira de Enfermagem. 2020;73(4):e20180812
DOI 10.1590/0034-7167-2018-0812
Views0See moreABSTRACT
Objectives:
to understand how the dramatic therapeutic play session occurs within the care of hospitalized children.
Methods:
qualitative multiple case study, using theoretical references, such as symbolic interactionism and Vygotsky’s theory of symbolic play. Twenty play sessions performed with six children from 3 to 10 years old were analyzed, each corresponding to one case.
Results:
these sessions demonstrated that a dramatic therapeutic play session is a process of four interdependent and complementary steps: bonding, exploring, dramatizing, and play cessation. They also revealed the imaginary situations externalized by the child, the importance of the exploration step for which they manage the imaginary situation and catharsis, and how her higher psychological faculties are articulated during this process.
Final Considerations:
the results contribute to the understanding of the conduct and analysis of the dramatic therapeutic play session, reinforcing the importance of its use in pediatric nursing care practice.
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04-14-2021
Nurse-midwives reconfiguring care in the scope of labor and births in COVID-19 times
Revista Brasileira de Enfermagem. 2021;74:e20200863
Abstract
Nurse-midwives reconfiguring care in the scope of labor and births in COVID-19 times
Revista Brasileira de Enfermagem. 2021;74:e20200863
DOI 10.1590/0034-7167-2020-0863
Views0See moreABSTRACT
Objectives:
to analyze how the nurse-midwives of maternity wards that were fields of practice for an improvement course in obstetrics have reorganized care in the context of labor and birth amidst the COVID-19 pandemic.
Methods:
this is a descriptive, exploratory and qualitative study carried out with nine nurse-midwives who are preceptors and collaborators in maternity wards that were fields of practice for an improvement course, between February and April 2020, through a semi-structured interview through WhatsApp®. Content analysis was used to treat the information.
Results:
the pandemic brought the need to reorganize work, with a focus on service training and maintenance of good practices in labor and birth, whose movement was intensely experienced, interfering in nurse-midwives’ mental health.
Conclusion:
nurse-midwives have faced the pandemic with concerns about maintaining safe care, focused on practices based on updated scientific evidence.
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ORIGINAL ARTICLE12-16-2023
School Nursing Guide for student health promotion: construction and validity
Revista Brasileira de Enfermagem. 2023;76(1):e20220260
Abstract
ORIGINAL ARTICLESchool Nursing Guide for student health promotion: construction and validity
Revista Brasileira de Enfermagem. 2023;76(1):e20220260
DOI 10.1590/0034-7167-2022-0260
Views0See moreABSTRACT
Objectives:
to describe the process of construction and validity of a School Nursing Guide for student health promotion.
Methods:
a methodological study, carried out from February to December 2021, composed of Convergent Care Research based on Pender’s Health Promotion Model. Based on the literature and dialogue with 11 nurses in the seven online focus groups, actions were constructed. Subsequently, 24 judges assessed content and appearance.
Results:
the guide proposes strategies for developing school nursing practices focusing on health promotion. The Appearance Validity Index ranged from 0.63 to 1.0, and the total was 0.84. The Content Validity Index ranged from 0.95 to 1.0, and the total was 0.997.
Conclusions:
the guide incorporated the needs of young people recognized by professionals, and the assessment phase confirms its validity, and can be used in the context of practice with young people.
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REFLECTION09-07-2020
Training and work process in Multiprofessional Residency in Health as innovative strategy
Revista Brasileira de Enfermagem. 2020;73(6):e20190635
Abstract
REFLECTIONTraining and work process in Multiprofessional Residency in Health as innovative strategy
Revista Brasileira de Enfermagem. 2020;73(6):e20190635
DOI 10.1590/0034-7167-2019-0635
Views0See moreABSTRACT
Objectives: To
reflect about education in health and work process on three programs of multiprofessional residency in Florianópolis/SC.
Method:
Reflexive study about Multiprofessional Residency Health Programs of Florianópolis.
Results:
Multiprofessional Residency characterizes training health professionals through service education. Developing these professionals’ specialization with assignments that promote professional exercise and magnifies multiprofessional work at the same time, for excellency in unabridged healthcare.
Final Considerations:
Multiprofessional Residency Programs make interdisciplinary education, sharing knowledge between residents and other professionals stimulating development of innovation skills.
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