Articles - Revista Brasileira de Enfermagem

  • 01-01-2016

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(1):206-206

    Abstract

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(1):206-206

    DOI 10.1590/0034-7167.20166901e02

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    In the article “Conceptions of mid-level nursing professionals facing those with a chemical dependency”, with the number of DOI: 10.1590/0034-7167.2015680610i, published in the journal Revista Brasileira de Enfermagem, v68(6):755-60, page 760 that read: “8. Vargas D, Soares J. Knowledge and attitudes of nurses towards alcohol and related problems: the impact of an educational intervention. Rev […]
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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.
  • 01-01-2016

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(1):205-205

    Abstract

    ERRATUM

    Revista Brasileira de Enfermagem. 2016;69(1):205-205

    DOI 10.1590/0034-7167.20166901e01

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    In the article “Using the theory of meaningful learning in nursing education”, with the number of DOI: 10.1590/0034-7167.2015680420i, published in the journal Revista Brasileira de Enfermagem, v68(4):626-35, page 627 that read:“Ausubel was descended from Jewish, born in New York in 1918 and died in 1994 at the age of 75. He thought and wrote until […]
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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.
  • 01-01-2016

    Nursing process documentation: rationale and methods of analytical study

    Revista Brasileira de Enfermagem. 2016;69(1):197-204

    Abstract

    Nursing process documentation: rationale and methods of analytical study

    Revista Brasileira de Enfermagem. 2016;69(1):197-204

    DOI 10.1590/0034-7167.2016690126i

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    ABSTRACT

    Objective:

    to describe the methods used to analyze the associations between variables of service, nursing and the nursing process documentation in institutions of the Department of Health of the State of São Paulo.

    Method:

    multilevel analytical study with data obtained in the domains of institution, units of the institution and nursing professionals who work there, using standardized instruments. The analyses had as axis the degree of completeness of the nursing process documentation in units or institutions and their association with variables of nursing personnel, of units and of institutions.

    Conclusion:

    This study will provide important empirical evidence on the factors involved in the nursing process documentation.

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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.
  • 01-01-2016

    Qualitative methodologies in health research: interpretive referential of Patricia Benner

    Revista Brasileira de Enfermagem. 2016;69(1):192-196

    Abstract

    Qualitative methodologies in health research: interpretive referential of Patricia Benner

    Revista Brasileira de Enfermagem. 2016;69(1):192-196

    DOI 10.1590/0034-7167.2016690125i

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    ABSTRACT

    Objective:

    this article reports on the experience of using the interpretive phenomenological framework of Patricia Benner in a Brazilian context. Benner’s interpretive phenomenology, based on existential and interpretative philosophy, aims to understand human experiences in the particular worlds of research participants. Data were collected through interviews with nine nurses in November and December 2014.

    Results:

    data analysis process according to Benner’s framework consisted of: transcription, coding, thematic analysis, and search for paradigmatic cases and examples. Therefore, the prior knowledge of the researcher is an important part of the study, consisting in manners of the research conduction.

    Conclusion:

    The use of this methodological framework entailed a great challenge for the researcher, however, it also enabled a unique opportunity to illuminate important existential phenomena related to the daily lives of research participants.

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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.
  • 01-01-2016

    Nurses’ performance on primary care in the National Health Service in England

    Revista Brasileira de Enfermagem. 2016;69(1):182-191

    Abstract

    Nurses’ performance on primary care in the National Health Service in England

    Revista Brasileira de Enfermagem. 2016;69(1):182-191

    DOI 10.1590/0034-7167.2016690124i

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    ABSTRACT

    Objective:

    To analyze the expansion of nursing roles in primary care in the English National Health Service and the implications for professional practice.

    Method:

    qualitative research in case study format, held in London, England, in six primary care units. Data were obtained through interviews with nine nurses. After the thematic data analysis, two units emerged: the nurses’ performance characteristics and effects of the expansion of nursing roles.

    Results:

    expansion of nurses’ roles: consultation, diagnosis and drug therapy, case management and monitoring of chronic conditions. Repercussions: for the user, there was improved access, communication and comprehensive care, increased duration of consultations, resulting in greater adherence; for nurses, there was the expansion of professional skills, knowledge and professional recognition; to the health care system, it resulted in cost savings.

    Conclusion:

    benefits in expanding nursing roles, were visible, contributing to primary care quality.

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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.
  • 01-01-2016

    Meleis’ Nursing Theories Evaluation: integrative review

    Revista Brasileira de Enfermagem. 2016;69(1):174-181

    Abstract

    Meleis’ Nursing Theories Evaluation: integrative review

    Revista Brasileira de Enfermagem. 2016;69(1):174-181

    DOI 10.1590/0034-7167.2016690123i

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    ABSTRACT

    Objective:

    to analyze the application of the theory evaluation model proposed by Meleis in Brazilian studies.

    Method:

    integrative review of online articles published from 2002 to 2012 in the databases LILACS and BDENF.

    Results:

    the 16 selected studies confirmed the use of only three of the five stages proposed for Meleis’ theories analysis: Description of the Theory, Criticism of the Theory and Analysis of the Theory, with a predominance of a single unit of analysis in each.

    Conclusion:

    the analysis of nursing theories provides support to nurses in the practice, research, education and administration of the different dimensions of care. Meleis’ model figures as very important by contributing to the development of knowledge of nursing discipline, considering that its use as a method allows several reflections on theories in order that they be revalidated to support a more theoretical and practical applicability.

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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.
    Meleis’ Nursing Theories Evaluation: integrative review
  • 01-01-2016

    Clinical indicators of sexual dysfunction in pregnant women: integrative literature review

    Revista Brasileira de Enfermagem. 2016;69(1):165-173

    Abstract

    Clinical indicators of sexual dysfunction in pregnant women: integrative literature review

    Revista Brasileira de Enfermagem. 2016;69(1):165-173

    DOI 10.1590/0034-7167.2016690122i

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    ABSTRACT

    Objective:

    to identify the nursing diagnosis clinical indicators of sexual dysfunction in pregnant women.

    Method:

    it is an integrative literature review, with research in databases using the keywords “sexual*”, “pregnan*” and “function*”. Studies included had an abstract available for analysis, referring to pregnant women over 18 years old, written in Portuguese, French, Spanish and English, with publication date between 2010 and 2014. Studies that reporting pregnant women with an associated pathology were excluded.

    Results:

    sexual dysfunction in pregnant women is consistent in the literature. Nine defining characteristics were identified and 16 related factors, some not classified in NANDA International.

    Conclusion:

    clinical indicators can be added to the nursing diagnosis to favor an accurate diagnosis and effective interventions in the surveillance of pregnancy as a period of healthy sexual experience.

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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.
    Clinical indicators of sexual dysfunction in pregnant women: integrative literature review
  • 01-01-2016

    Conditions of functional health literacy of an elderly diabetics group

    Revista Brasileira de Enfermagem. 2016;69(1):156-164

    Abstract

    Conditions of functional health literacy of an elderly diabetics group

    Revista Brasileira de Enfermagem. 2016;69(1):156-164

    DOI 10.1590/0034-7167.2016690121i

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    ABSTRACT

    Objective:

    to evaluate the conditions of functional health literacy of an elderly diabetics group.

    Method:

    cross-sectional and descriptive study, with diabetic’s elderly assisted in the SUS (N = 114). The social and health conditions were evaluated as well as functional health literacy by S-TOFHLA test (short version); the simple proportions, average, standard deviation and Pearson’s Chi-square were described by SPSS software (20.0) with α = 5% value.

    Results:

    the mean age was 67.4 years, 74.0% of the elderly were women, had up to four years of schooling; 29.8% had a long-standing illness, 64.0% reported having high blood pressure, 47.4% smoke or were smokers, 73.7% had low functional health literacy, which was associated with schooling p = 0.001.

    Conclusions:

    the low functional health literacy could be a self-care conditioning and can be influenced by low schooling because it implies to have skills to understand and make decisions aimed at self-management of health.

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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 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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