Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE09-29-2022

    Neither angels nor heroes: nurse speeches during the COVID-19 pandemic from a Foucauldian perspective

    Revista Brasileira de Enfermagem. 2022;75:e20201329

    Abstract

    ORIGINAL ARTICLE

    Neither angels nor heroes: nurse speeches during the COVID-19 pandemic from a Foucauldian perspective

    Revista Brasileira de Enfermagem. 2022;75:e20201329

    DOI 10.1590/0034-7167-2020-1329

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    ABSTRACT

    Objective:

    to analyze the processes of meaning production, based on the speeches of nursing professionals, about how they feel about the titles of “angels and heroes” given by society during the pandemic of COVID-19.

    Methods:

    a qualitative, documentary research. Data was collected in October and November 2020 and analyzed from the perspective of the Discourse Analysis proposed by Michel Foucault.

    Results:

    they were organized into two thematic categories: “Angels and heroes? The (not) heroic reality of nursing during the pandemic” and “The search for recognition of the professional work of nursing: between what is said and what is not said”.

    Final considerations:

    the nurses’ speeches enunciate the search for decent conditions for the execution of care, fair wages, and recognition of the professional work by society.

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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.
  • REVIEW10-18-2022

    Decision making by health professionals during COVID-19: an integrative review

    Revista Brasileira de Enfermagem. 2022;75:e20210067

    Abstract

    REVIEW

    Decision making by health professionals during COVID-19: an integrative review

    Revista Brasileira de Enfermagem. 2022;75:e20210067

    DOI 10.1590/0034-7167-2021-0067

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    ABSTRACT

    Objective:

    To analyze the scientific production on the decision making of health workers during the COVID-19 pandemic.

    Methods:

    Integrative review in the databases CINAHL, MEDLINE, Scopus, ScienceDirect, WoS, and BVS. Inclusion criteria: original articles available in full, in any language, related to the object investigated.

    Results:

    During this pandemic, health workers have been making decisions based on ethical/bioethical principles (utility, beneficence, non-maleficence, autonomy, justice, proportionality, flexibility, clinical prognosis, duration of the need, and fair health attention), values (solidarity, equality, equity, utilitarianism, relational autonomy, reliability, reciprocity, maximization of the benefits and resources, and prioritization of those in worse conditions), beliefs and personal motivation, protocols, directives, tools, algorithms, recommendations, and criteria.

    Final considerations:

    Decision making has never been so necessary as in this pandemic. This article is not a recipe for the professionals, since decision making is based on numerous factors. However, it provides them with a foundation that can be helpful in this difficult process.

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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.
    Decision making by health professionals during COVID-19: an integrative review
  • ORIGINAL ARTICLE07-18-2022

    Child and adolescent victims of sexual violence: aspects of physical and emotional development

    Revista Brasileira de Enfermagem. 2022;75:e20200584

    Abstract

    ORIGINAL ARTICLE

    Child and adolescent victims of sexual violence: aspects of physical and emotional development

    Revista Brasileira de Enfermagem. 2022;75:e20200584

    DOI 10.1590/0034-7167-2020-0584

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    ABSTRACT

    Objective:

    to identify the multidisciplinary health team’s perception on aspects of the physical and emotional development of children and adolescents who have suffered sexual violence.

    Methods:

    a qualitative study, carried out with 30 health professionals in a hospital in Bahia, Brazil, between June and July 2019. Data were collected from an interview guided by a semi-structured questionnaire. The results were interpreted according to Symbolic Interactionism.

    Results:

    some sexually violated children were under five years old and healthy, others had physical/mental disabilities. Victimized adolescents were in the pre-pubertal phase, with fragile body structure, not emotionally mature and unaware of sexuality.

    Final considerations:

    children’s physical and emotional aspects make children vulnerable to sexual victimization, as they facilitate the control and dominion that offenders need to have over them. As a protection strategy, it is recommended using sexual and health education linked to greater surveillance of family members, multidisciplinary team and educators.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE11-10-2022

    Home care for children with gastrostomy

    Revista Brasileira de Enfermagem. 2022;75:e20200699

    Abstract

    ORIGINAL ARTICLE

    Home care for children with gastrostomy

    Revista Brasileira de Enfermagem. 2022;75:e20200699

    DOI 10.1590/0034-7167-2020-0699

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    ABSTRACT

    Objectives:

    to describe home care practices performed by family members for maintaining the life of children with gastrostomy.

    Methods:

    qualitative research using the Sensitive Creative method, with the Criatividade e Sensibilidade Corpo Saber [Corpo Saber Creativity and Sensitivity] dynamics. The participation included ten family caregivers of children with gastrostomy. The outpatient clinic of a federal hospital in Rio de Janeiro was the setting. Lexical analysis was used through the IRaMuTeQ® software.

    Results:

    Theme 1, entitled “The care for maintaining life performed by family members of children with gastrostomy at home”, was analyzed, comprising three classes: “The gastrostomy tube home care routine”; “The care with the gastrostomy/stoma”; and “Food and medication home care routine of children with gastrostomy”.

    Final Considerations:

    family caregivers used strategies to maintain the device and acquired new knowledge in this field, and in nursing competence, regarding stoma care, food administration, medication, and syringes.

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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.
    Home care for children with gastrostomy
  • ORIGINAL ARTICLE01-14-2022

    Hospital structure elements demarcating (in)visibilities of institutional violence against children

    Revista Brasileira de Enfermagem. 2022;75:e20200785

    Abstract

    ORIGINAL ARTICLE

    Hospital structure elements demarcating (in)visibilities of institutional violence against children

    Revista Brasileira de Enfermagem. 2022;75:e20200785

    DOI 10.1590/0034-7167-2020-0785

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    ABSTRACT

    Objectives:

    to analyze the hospital structure elements that demarcate (in)visibilities of institutional violence in hospitalized children.

    Methods:

    this is a descriptive-exploratory qualitative study that used approaches with Foucault’s thinking. Ten companions and 39 healthcare professionals from a university hospital in Salvador, Bahia participated. Data collection took place from November 2018 to June 2019 through semi-structured interviews. The discourse analysis method was used. The study was approved by the Institutional Review Board.

    Results:

    institutional violence was understood in the violations and invisibilities of the structure of health services through the problems: in infrastructure (physical structure, lack of human and material resources, scrapping of equipment); administrative and management; pilgrimage.

    Final Considerations:

    it is necessary to realize the invisibilities of the infrastructure to act in confronting institutional violence to hospitalized children.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE03-07-2022

    The family of the child with special health care needs and their social relationships

    Revista Brasileira de Enfermagem. 2022;75:e20210031

    Abstract

    ORIGINAL ARTICLE

    The family of the child with special health care needs and their social relationships

    Revista Brasileira de Enfermagem. 2022;75:e20210031

    DOI 10.1590/0034-7167-2021-0031

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    ABSTRACT

    Objectives:

    to identify aspects that can influence the types of bonds developed in the social support network of family members of children with special health care needs.

    Methods:

    qualitative research conducted through interviews with 15 family members/guardians in the city of Rio de Janeiro, from January to February 2020. Sanicola’s theoretical-methodological framework and Bardin’s thematic analysis technique were used.

    Results:

    social distancing, lack of responsibility for coordinating care, lack of supplies and lack of individualized care were weaknesses found in the families’ social relationships. However, the bonds were strengthened by the relationship of familiarity and availability of professionals in the care of children with special health needs.

    Final Considerations:

    understanding the configuration of primary and secondary social networks and the types of support offered can improve the care of children and strengthen bonds that provide security for families.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    The family of the child with special health care needs and their social relationships
  • ORIGINAL ARTICLE07-18-2022

    Prevalence of non-communicable chronic diseases and associated factors in deaf people

    Revista Brasileira de Enfermagem. 2022;75:e20210205

    Abstract

    ORIGINAL ARTICLE

    Prevalence of non-communicable chronic diseases and associated factors in deaf people

    Revista Brasileira de Enfermagem. 2022;75:e20210205

    DOI 10.1590/0034-7167-2021-0205

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    ABSTRACT

    Objective:

    To analyze the prevalence and factors associated with non-communicable chronic diseases in deaf people.

    Methods:

    Cross-sectional study with 110 deaf people in Maringá-Paraná, selected using the snowball sampling technique. Data were collected from February to August 2019, using a structured instrument; and, in the analysis, multiple logistic regression was used.

    Results:

    The self-reported prevalence of chronic diseases was 43.6%, the most frequent being: arterial hypertension (12.7%), depression (6.4%), diabetes mellitus (5.4%), respiratory disease (5.4%) and hypothyroidism (4.5%). Using health services for routine consultations was significantly associated with being bimodal bilingual. The only risk behavior significantly associated with chronic disease was excessive consumption of sweet foods.

    Conclusion:

    The prevalence of chronic diseases in this population may be higher than that found, as there is a possibility of underdiagnosis due to the low demand for routine consultations and the difficulty of communication with health professionals.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • ORIGINAL ARTICLE06-03-2022

    Sociodiscursive representations about leprosy in educational campaigns: implications on stigma reduction

    Revista Brasileira de Enfermagem. 2022;75:e20210410

    Abstract

    ORIGINAL ARTICLE

    Sociodiscursive representations about leprosy in educational campaigns: implications on stigma reduction

    Revista Brasileira de Enfermagem. 2022;75:e20210410

    DOI 10.1590/0034-7167-2021-0410

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    ABSTRACT

    Objectives:

    to analyze the socio-discursive representations about leprosy produced in posters of educational campaigns of the Brazilian Ministry of Health.

    Methods:

    a documentary and discursive research about posters of campaigns about leprosy produced by the Brazilian Ministry of Health and available on Google Search Images. For the analysis, we used the Critical Discourse Analysis approach and the Grammar of Visual Design.

    Results:

    the socio-discursive representations of leprosy are based on the biomedical ideology, through a normative-curative discourse that focuses on the dermatological manifestations of the disease. Regarding the construction of the compositional space, there are posters that emphasize the meaning that the disease does not prevent affectionate relationships, and others highlight as “new” the clinical manifestations of the disease.

    Final Considerations:

    the normative-curative discourse produced in the campaigns is not enough to face stigma related to the disease. For leprosy to be understood as a common chronic disease, it is first necessary to fight the “social leprosy”: the stigma.

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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.
    Sociodiscursive representations about leprosy in educational campaigns: implications on stigma reduction

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