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ORIGINAL ARTICLE11-29-2022
Factors associated with bronchopulmonary aspiration: a national-based study
Revista Brasileira de Enfermagem. 2022;75(3):e20210220
Abstract
ORIGINAL ARTICLEFactors associated with bronchopulmonary aspiration: a national-based study
Revista Brasileira de Enfermagem. 2022;75(3):e20210220
DOI 10.1590/0034-7167-2021-0220
Views0See moreABSTRACT
Objectives:
to determine the prevalence of bronchopulmonary aspiration in the Brazilian scenario, the factors associated with the incident and the variables associated with death.
Methods:
a cross-sectional and analytical study, carried out from analysis of notifications of incidents related to bronchopulmonary aspiration of the Health Surveillance Notification System, from January 2014 to December 2018.
Results:
of the 264,590 notifications, 553 referred to aspiration, whose prevalence rate was 0.21%. There was an association between the event and age, ethnicity, main medical diagnosis, country region, service type, health unit and consequences for patients. Furthermore, four independent predictor variables for death were found: living in the North or South regions, being elderly and receiving healthcare at night.
Conclusions:
the prevalence rate of bronchopulmonary aspiration was small, but with a negative impact on patients.
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ORIGINAL ARTICLE11-29-2022
Undernutrition and associated factors in primary schoolchildren in Lokossa, Benin: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(3):e20210254
Abstract
ORIGINAL ARTICLEUndernutrition and associated factors in primary schoolchildren in Lokossa, Benin: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(3):e20210254
DOI 10.1590/0034-7167-2021-0254
Views1See moreABSTRACT
Objectives:
to estimate the prevalence of stunting and thinness and sociodemographic, household, family, dietary, and scholar associated factors in schoolchildren living in Lokossa-Benin.
Methods:
a survey conducted in a probabilistic sample (n=615) of primary schoolchildren (8-17 years), from 12/2018 to 01/2019, using structured questionnaire and 24-hour dietary recall. Thinness and stunting were defined as Height-for-age and Body Mass Index-for-age below-2 standard deviations, respectively. Associations were estimated by chi-square test and logistic regression.
Results:
thinness and stunting prevalence was 13.1% (95%CI:9.0-18.7) and 25.5% (95%CI:20.6-31.2), respectively. Odds of thinness were higher among older schoolchildren and those who experienced hunger at school. Odds of stunting increased with age, low diet diversity, experiencing hunger at school, and having school meal five days a week (OR:2.09; 95%CI:1.29-3.36).
Conclusions:
stunting was the most common problem. Older schoolchildren and those with food deprivation or poor diet diversity were the most affected.
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ORIGINAL ARTICLE11-29-2022
Outlining the therapeutic itineraries of children with disabilities in the professional health care subsystem
Revista Brasileira de Enfermagem. 2022;75(3):e20210169
Abstract
ORIGINAL ARTICLEOutlining the therapeutic itineraries of children with disabilities in the professional health care subsystem
Revista Brasileira de Enfermagem. 2022;75(3):e20210169
DOI 10.1590/0034-7167-2021-0169
Views0See moreABSTRACT
Objectives:
to identify the outlining of therapeutic itineraries of families of children with disabilities in the professional health care subsystem.
Methods:
qualitative research carried out in two specialized services in the state of Ceará, with 41 family members interviewed using the life path technique and reports submitted to descending hierarchical classification and similitude analysis, with the help of the IRaMuTeQ software and the theoretical framework of health care systems.
Results:
the classes described the families’ itineraries in five paths, related to faith, support structures, medical behaviors, professionals, and health services. The professional subsystem stood out as deficient in outlining the therapeutic itinerary for access to health care for children with disabilities, without promoting integration between services in the Care Network.
Final considerations:
the families’ therapeutic itineraries showed homogeneous discourse with themes related to the care of professionals and spiritual aspects.
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ORIGINAL ARTICLE11-29-2022
Ergonomics of anatomical bra models for breastfeeding: a contribution of nursing
Revista Brasileira de Enfermagem. 2022;75(3):e20210264
Abstract
ORIGINAL ARTICLEErgonomics of anatomical bra models for breastfeeding: a contribution of nursing
Revista Brasileira de Enfermagem. 2022;75(3):e20210264
DOI 10.1590/0034-7167-2021-0264
Views0See moreABSTRACT
Objectives:
to analyze the ergonomics of two models of breastfeeding bras.
Methods:
descriptive study carried out with 152 infants in a Brazilian university hospital. The prototypes were separated into two groups (A and B). To compare the two bra models, the Odds Ratio (OR) was used as a measure of the strength of the association. In subjective perceptions, the Modified Borg Scale, and the chi-square test of independence (χ2) were used. To compare the two prototypes, the Z test and logistic regression analysis were performed. A significance level of 5% was considered.
Results:
the bra in group B was more suitable for ergonomics of physical and psycho-aesthetic comfort than the bra in group A (p < 0.0001), according to the logistic regression tests.
Conclusions:
modeling B was ergonomically adequate, with usability and evaluation criteria centered on breastfeeding women.
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ORIGINAL ARTICLE11-29-2022
Knowledge of caregivers and factors associated with neuropsychomotor development in children
Revista Brasileira de Enfermagem. 2022;75(3):e20210402
Abstract
ORIGINAL ARTICLEKnowledge of caregivers and factors associated with neuropsychomotor development in children
Revista Brasileira de Enfermagem. 2022;75(3):e20210402
DOI 10.1590/0034-7167-2021-0402
Views0See moreABSTRACT
Objectives:
to analyze the knowledge of caregivers and the factors associated with neuropsychomotor development in children.
Methods:
a cross-sectional study, with a quantitative approach, was conducted with 220 child-caregiver binomials attended in the public health services of the municipality of Parnaíba, State of Piauí. The study used the “Denver Test II” and the “Inventory of Child Development Knowledge”.
Results:
the study classified 197 children with natural development and 23 with suspicious development. Caregivers with a higher level of knowledge about child development were associated with children with better development. The study considered caregiver knowledge, gestational age, and exclusive breastfeeding as protective factors for appropriate neuropsychomotor development when used the regression model.
Conclusions:
actions aimed at indicators that presented positive associations must be implemented to improve child development, such as educational activities to increase the level of knowledge of caregivers, improvement of prenatal monitoring, and encouragement of breastfeeding.
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ORIGINAL ARTICLE11-29-2022
Ethics in nursing: categorization of legal processes
Revista Brasileira de Enfermagem. 2022;75(3):e20210099
Abstract
ORIGINAL ARTICLEEthics in nursing: categorization of legal processes
Revista Brasileira de Enfermagem. 2022;75(3):e20210099
DOI 10.1590/0034-7167-2021-0099
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Objectives:
to categorize factual elements of ethical-disciplinary nursing lawsuits in the state of Goiás.
Methods:
cross-sectional, retrospective study, based on secondary data obtained from ethical-disciplinary lawsuits filed at the Regional Nursing Council of Goiás (Coren-Goiás) between the years 2010 and 2019.
Results:
the highest number of lawsuits filed was in 2013 and 2014, with a greater frequency in the state capital. The majority came from the Nursing Ethics Committees and ex-officio complaints. The professional with most complaints was the nursing technician, aged between 31 and 40 years old, at the beginning of their career. The most common type of complaints referred to performing attributions that were not within the nursing competences.
Conclusions:
as a highlight are the contributions of this study to professional ethics in nursing and the clear need to consolidate these skills in nurses who are in training and in the continuous education for those already in the profession.
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ORIGINAL ARTICLE11-29-2022
Exclusive breastfeeding and professionals from the family health strategy
Revista Brasileira de Enfermagem. 2022;75(3):e20200545
Abstract
ORIGINAL ARTICLEExclusive breastfeeding and professionals from the family health strategy
Revista Brasileira de Enfermagem. 2022;75(3):e20200545
DOI 10.1590/0034-7167-2020-0545
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Objectives:
to analyze the perception of health professionals about exclusive breastfeeding in Family Health Strategy units in the city of Macaé.
Methods:
qualitative study carried out in four units of the Family Health Strategy in the city of Macaé, Rio de Janeiro. Thirty health professionals were interviewed from March to May 2019. Textual contents were processed in the IRaMuTeQ® software by the Descending Hierarchical Classification.
Results:
professionals use different strategies for actions to promote, protect and support breastfeeding in prenatal consultations, but social and cultural determinants are important issues that interfere in this process, the involvement of the family being essential for the success of this practice.
Final Considerations:
health professionals, including nurses, need training and qualification to strengthen the support and social network of pregnant women and insert the family in the different strategies used to improve adherence to exclusive breastfeeding.
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ORIGINAL ARTICLE11-29-2022
Specific health-related quality of life in Cerebrovascular accident survivors: associated factors
Revista Brasileira de Enfermagem. 2022;75(3):e20210407
Abstract
ORIGINAL ARTICLESpecific health-related quality of life in Cerebrovascular accident survivors: associated factors
Revista Brasileira de Enfermagem. 2022;75(3):e20210407
DOI 10.1590/0034-7167-2021-0407
Views0See moreABSTRACT
Objectives:
to identify factors associated with specific health-related quality of life in cerebrovascular accident, or stroke, survivors.
Methods:
cross-sectional study, carried out with 160 cerebrovascular accident survivors. Data were collected using the Barthel Index, Cerebrovascular Accident Specific Quality of Life Scale, and semi-structured instruments for sociodemographic and clinical data, analyzed by descriptive and inferential statistics.
Results:
health-related quality of life was associated with work activity (p=0.027), physical activity (p=0.007), functional capacity (p=0.001), presence of caregiver (<0.001), motor alteration (p = 0.001) and rehabilitation (p=0.003). The functionally dependent people were 14.61 times more likely to present low health-related quality of life, and those with motor impairment were 3.07 times more likely.
Conclusions:
it was evidenced that functional dependence and motor impairment increase the chance of low health-related quality of life in cerebrovascular accident survivors.
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ORIGINAL ARTICLE12-13-2019
Perception of women with breast cancer undergoing chemotherapy: a comprehensive analysis
Revista Brasileira de Enfermagem. 2019;72:103-110
Abstract
ORIGINAL ARTICLEPerception of women with breast cancer undergoing chemotherapy: a comprehensive analysis
Revista Brasileira de Enfermagem. 2019;72:103-110
DOI 10.1590/0034-7167-2018-0165
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Objective:
To comprehensively analyze the perception of women with breast cancer on the experience of undergoing chemotherapy.
Method:
This was a qualitative, descriptive, phenomenological study, supported by the Merleau-Ponty philosophy. It was conducted in a chemotherapy outpatient clinic with 20 participants who completed a phenomenological interview.
Results:
The phenomenological data analysis demonstrated that the perception of women about the experience of chemotherapy is about change, not only of the physical body, but of their identity, and that it considers existential aspects. Three categories emerged from the experience of alopecia, fatigue, and spirituality, respectively: the body itself, the current and habitual body, and transcendence.
Final considerations:
Bodily changes, and the existential implications perceived by the women in this study, analyzed from the Merleau-Ponty perspective, makes it possible to consider body concept, and provides support for humanized care based on singularity and the socio-cultural context.
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ORIGINAL ARTICLE06-16-2021
Direct cost of Peripherally Inserted Central Venous Catheter insertion by nurses in hospitalized adults
Revista Brasileira de Enfermagem. 2021;74(2):e20190663
Abstract
ORIGINAL ARTICLEDirect cost of Peripherally Inserted Central Venous Catheter insertion by nurses in hospitalized adults
Revista Brasileira de Enfermagem. 2021;74(2):e20190663
DOI 10.1590/0034-7167-2019-0663
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Objectives:
to analyze the average direct cost of PICC insertion by nurses.
Methods:
this is a unique case study with a quantitative approach. The observation took place in a public hospital, collecting information on inputs used and procedure length. For the calculation of costs, time was multiplied by nurses’ costs plus supplies. The US dollar was used to present the calculations. In the analysis, descriptive statistics of measures of central tendency and variability were used.
Results:
the sample corresponded to 139 observations. The average cost of PICC insertion totaled US$286.04, with 90.8% of materials, mainly catheter, and 9.2% of the labor. The procedure took an average of 50 minutes, at US$0.26 per minute for nurses. Conclusions: the average direct cost of PICC insertion was US$286.04, with emphasis on the catheter. The results can support management decisions for adequate material and professional sizing.
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ORIGINAL ARTICLE02-10-2020
Motivation and difficulties to reduce or quit smoking
Revista Brasileira de Enfermagem. 2020;73(1):e20180188
Abstract
ORIGINAL ARTICLEMotivation and difficulties to reduce or quit smoking
Revista Brasileira de Enfermagem. 2020;73(1):e20180188
DOI 10.1590/0034-7167-2018-0188
Views0See moreABSTRACT
Objective:
To understand what factors motivate people to reduce or stop tobacco use and what difficulties they face in this process.
Method:
Qualitative, empirical and interpretative research that used a focal group technique for data collection and Discourse Analysis as a theoretical reference for analysis.
Results:
The responses centered on the following aspects: motivation for reduction or cessation of smoking, family and community support received during treatment, benefits from cessation of tobacco, difficulties encountered and strategies for overcoming triggers.
Final Considerations:
The results showed that the users expressed their desire for cessation of tobacco use and that to achieve this goal, family and group support, professional help and changing habits are key factors for this process.
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ORIGINAL ARTICLE03-24-2021
Development, validation and application of clinical simulation scenarios for assessment of stomatherapy specialists
Revista Brasileira de Enfermagem. 2021;74(1):e20200360
Abstract
ORIGINAL ARTICLEDevelopment, validation and application of clinical simulation scenarios for assessment of stomatherapy specialists
Revista Brasileira de Enfermagem. 2021;74(1):e20200360
DOI 10.1590/0034-7167-2020-0360
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Objectives:
to build and validate three clinical simulation scenarios and report the application with candidates for the specialist’s degree in stomatherapy.
Methods:
methodological study, building three scenarios and evaluation checklists; content validation with judges, using content validity index and Modified Kappa Coefficient; pre-test and application.
Results:
scenarios built based on nursing care for: 1. insufficiency and venous ulcer; 2. demarcation of intestinal stomia; and 3. Clean intermittent catheterization. In the content validation of the 24 items appreciated, 83%, 80%, and 92% were validated without change. In the pre-test, the objectives and checklists were adjusted. In the application, to standardize the evaluation, actors and evaluators were trained previously, and each candidate passed the three stations.
Conclusions:
scenarios built and with validated content, based on evidence and covering the three areas of stomatherapy. The pre-test allowed for adjustments in the scenarios, and the candidates achieved the expected objectives.
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REVIEW07-10-2020
Acute Kidney Injury by SARS-CoV-2 virus in patients with COVID-19: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200354
Abstract
REVIEWAcute Kidney Injury by SARS-CoV-2 virus in patients with COVID-19: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200354
DOI 10.1590/0034-7167-2020-0354
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Objective:
to assess scientific evidence on SARS-CoV-2 Acute Kidney Injury in patients with COVID-19.
Methods:
an integrative review, with adoption of PICO strategy and classification of the level of evidence, carried out on April 10, 2020 in the PubMed database, of articles available between December 2019 and April 2020.
Results:
the sample consisted of six original, five observational and one experimental articles. Observational studies addressed the clinical findings of patients with COVID-19 and association between kidney damage, infection, and morbidity-mortality.
Conclusion:
the studies addressed the mechanism of intracellular infection of SARS-CoV-2, its cytopathic effects on kidney cells and incidence of acute kidney injury in patients infected with SARS-CoV-2. Acute kidney injury is associated with increased mortality and morbidity in these patients. This review realizes the need for new research that can mention kidney care to patients with COVID-19.
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REVIEW07-13-2020
Prevention and control measures for neonatal COVID-19 infection: a scoping review
Revista Brasileira de Enfermagem. 2020;73:e20200467
Abstract
REVIEWPrevention and control measures for neonatal COVID-19 infection: a scoping review
Revista Brasileira de Enfermagem. 2020;73:e20200467
DOI 10.1590/0034-7167-2020-0467
Views0See moreABSTRACT
Objective:
to identify with the literature the measures to prevent and control neonatal infection by COVID-19.
Methods:
a scope review carried out by searching for studies in databases and institutional health websites. The final sample was 25 articles.
Results:
among the main measures are the use of masks by suspected or infected people in contact with healthy newborns, hand hygiene before and after each care and feeding as well as the tools used for milking. It is indispensable to use personal protective equipment by health professionals in neonatology services to maintain a private room for infected newborns or to use physical barriers. Early diagnosis and timely case management is essential to reduce virus transmissibility.
Conclusions:
the research contributed to elucidate health and nursing actions in preventing and controlling neonatal infection by COVID-19.
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REFLECTION02-25-2022
Art in evidence-based nursing practice from the perspective of Florence Nightingale
Revista Brasileira de Enfermagem. 2022;75(4):e20210664
Abstract
REFLECTIONArt in evidence-based nursing practice from the perspective of Florence Nightingale
Revista Brasileira de Enfermagem. 2022;75(4):e20210664
DOI 10.1590/0034-7167-2021-0664
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Objectives:
to discuss, in the light of Florence Nightingale, the historical position of art as a constituent device of evidence-based nursing practice.
Methods:
reflective study anchored in the writings of Nightingale and other researchers with whom it is possible to have a profound dialogue on the theme “art in nursing”.
Results:
art is related to two essential elements in the practice of nursing: knowledge and skill. Understanding science as knowledge and art as skill leads to the idea that both make it possible to combine technical competence, compassion, ethics, and individualization of care. Final Considerations: the art of nursing is the continuous exercise of detailed perception, so that the subjective aspect becomes the center to which the nurse’s gaze converges, that which will allow them to unveil the “truth” posed by the patient, resulting in the best intervention for him.
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02-05-2021
Contents related to nursing professionals during the COVID-19 pandemic on the Youtube™ platform
Revista Brasileira de Enfermagem. 2021;74:e20200581
Abstract
Contents related to nursing professionals during the COVID-19 pandemic on the Youtube™ platform
Revista Brasileira de Enfermagem. 2021;74:e20200581
DOI 10.1590/0034-7167-2020-0581
Views0See moreABSTRACT
Objective:
to characterize the content of Youtube™ videos related to nursing professionals during the COVID-19 pandemic.
Method:
a qualitative study that examined 47 videos on Youtube™ posted between 11/03 and 11/04 2020, which were subjected to thematic analysis.
Results:
four categories emerged: “the role of nurses in care production during the pandemic”, which addresses the management of services and individual care; “Overview of the pandemic from the perspective of nurses in different countries”, presenting experiences and encouraging physical distance; “Tributes and motivation to mobilize the category”, in addition to targeted tributes, calls for nurses to claim their rights; “Criticisms and demands to improve working conditions”, which highlights the insecurity of care provision settings.
Final considerations:
nursing work conditions in different countries, recognition of the importance of professionals during the pandemic, and claims of the category to improve working conditions were the main content found on Youtube™.
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