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ORIGINAL ARTICLE06-14-2024
Duração e qualidade do sono da equipe de enfermagem brasileira que trabalha em turnos
Revista Brasileira de Enfermagem. 2024;77(2):e20230167
Abstract
ORIGINAL ARTICLEDuração e qualidade do sono da equipe de enfermagem brasileira que trabalha em turnos
Revista Brasileira de Enfermagem. 2024;77(2):e20230167
DOI 10.1590/0034-7167-2023-0167
Views0See moreRESUMEN
Objetivo:
analizar la duración y calidad del sueño en profesionales de enfermería que trabajan por turnos.
Método:
investigación analítica, transversal, realizada entre septiembre de 2017 y abril de 2018, en un hospital público del sur de Brasil, con el equipo de enfermería. Se utilizó el cuestionario sociolaboral y de síntomas de salud, la Escala de Somnolencia de Epworth y el Índice de Calidad del Sueño de Pittsburgh. Los datos se presentan como estadística descriptiva e inferencial, análisis bivariado y regresión logística binaria.
Resultados:
participaron 308 profesionales de enfermería, con predominio de sueño prolongado, ausencia de somnolencia y mala calidad del sueño. La duración corta del sueño (<6 h) se asoció con turnos de día y mala calidad del sueño. La calidad del sueño se asoció con la presencia de somnolencia diurna excesiva y con el trabajo diurno.
Conclusión:
los turnos de trabajo, el insomnio y la cefalea fueron los principales factores relacionados con la falta de sueño de los profesionales de enfermería. Los resultados pueden justificar el desarrollo de investigaciones de intervención para la salud de los trabajadores.
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ORIGINAL ARTICLE06-14-2024
Sleep duration and quality of Brazilian nursing staff who work in shifts
Revista Brasileira de Enfermagem. 2024;77(2):e20230167
Abstract
ORIGINAL ARTICLESleep duration and quality of Brazilian nursing staff who work in shifts
Revista Brasileira de Enfermagem. 2024;77(2):e20230167
DOI 10.1590/0034-7167-2023-0167
Views0See moreABSTRACT
Objective:
to analyze sleep duration and sleep quality in nursing professionals who work in shifts.
Method:
this is a cross-sectional, analytical research, carried out between September 2017 and April 2018, at a public hospital in southern Brazil, with the nursing team. A socio-occupational and health symptoms questionnaire, the Epworth Sleepiness Scale, and the Pittsburgh Sleep Quality Index were used. Data are presented as descriptive and inferential statistics, bivariate analysis, and binary logistic regression.
Results:
participants were 308 nursing professionals with a predominance of long-term sleep, absence of drowsiness, and poor sleep quality. Short-term sleep (<6h) was associated with day shift and poor sleep quality. Sleep quality was associated with presence excessive daytime sleepiness and work day shift.
Conclusion:
work shift, insomnia and headache were the main factors related short-term sleep for nursing professionals. The results may justify the development of intervention research for workers’ health.
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ORIGINAL ARTICLE06-14-2024
Translation and Cross-Cultural Adaptation of the LYMPH-ICF Instrument for Lymphedema into Portuguese/Brazil
Revista Brasileira de Enfermagem. 2024;77(2):e20230137
Abstract
ORIGINAL ARTICLETranslation and Cross-Cultural Adaptation of the LYMPH-ICF Instrument for Lymphedema into Portuguese/Brazil
Revista Brasileira de Enfermagem. 2024;77(2):e20230137
DOI 10.1590/0034-7167-2023-0137
Views0ABSTRACT
Objective:
The aim of this study is to cross-culturally adapt the Lymphoedema Functioning, Disability and Health Questionnaire Lymphoedema (LYMPH-ICF) instrument into Brazilian Portuguese and conduct a pilot application (n = 10), without psychometric pretensions.
Method:
Methodological research was conducted, following the steps of translation, synthesis, back-translation, and evaluation by the expert committee. Two translators, two back-translators, and twelve professionals participated in the expert committee. A pretest was carried out with 10 patients with secondary lymphedema due to breast cancer. The degree of agreement was determined by the content validity coefficient.
Results:
It was necessary to modify 8 out of the 29 questions comprising the questionnaire, which exhibited idiomatic disagreement. However, despite these changes, there were no indications of impairments, as content reliability was achieved through a validity coefficient of 0.90.
Final Considerations:
The instrument was successfully translated and cross-culturally adapted for Brazil with a high level of agreement.
Keywords:Breast NeoplasmsHealth CareInternational Classification of Functioning, Disabiliy and HealthLymphedemaPatient Health QuestionnaireSee more -
ORIGINAL ARTICLE05-27-2024
Fall Tailoring Interventions for Patient Safety Brazil Program: an evaluability study in a teaching hospital
Revista Brasileira de Enfermagem. 2024;77(2):e20230348
Abstract
ORIGINAL ARTICLEFall Tailoring Interventions for Patient Safety Brazil Program: an evaluability study in a teaching hospital
Revista Brasileira de Enfermagem. 2024;77(2):e20230348
DOI 10.1590/0034-7167-2023-0348
Views0See moreABSTRACT
Objectives:
to present the theoretical model, logic model, and the analysis and judgment matrix of the Fall TIPS Brazil Program.
Methods:
a qualitative, participatory research approach, in the form of an evaluability study, encompassing the phases (1) problem analysis; (2) program design, development, and adaptation to the Brazilian context; (3) program dissemination. Data were collected through document analysis and workshops.
Results:
through document analysis, workshops with stakeholders from the participating institution, and validation with key informants, it was possible to identify the program’s objectives, expected outcomes, and the target audience. This allowed the construction of theoretical and logic models and, through evaluative questions, the identification of indicators for the evaluation of the Fall TIPS Brazil Program.
Final Considerations:
this study has provided insights into the Fall TIPS program, the topic of hospital fall prevention, and the proposed models and indicators can be employed in the implementation and future evaluative processes of the program.
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ORIGINAL ARTICLE05-27-2024
Nursing care protocol for critical users with tracheostomy under mechanical ventilation
Revista Brasileira de Enfermagem. 2024;77(2):e20230337
Abstract
ORIGINAL ARTICLENursing care protocol for critical users with tracheostomy under mechanical ventilation
Revista Brasileira de Enfermagem. 2024;77(2):e20230337
DOI 10.1590/0034-7167-2023-0337
Views0See moreABSTRACT
Objectives:
to develop and assess a nursing care protocol for critically ill users with tracheostomy under mechanical ventilation.
Methods:
a methodological study, developed through two phases, guided by the 5W2H management tool: I) target audience characterization and II) technology development.
Results:
thirty-four nursing professionals participated in this study, who presented educational demands in relation to care for critical users with tracheostomy, with an emphasis on standardizing care through a protocol and carrying out continuing education.
Final Considerations:
the creation and validity of new technologies aimed at this purpose enhanced the participation of nursing professionals and their empowerment in the health institution’s microsectoral actions and in macrosectoral actions, highlighting the need for public policies that guarantee the conduct of a line of care for users with tracheostomy.
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ORIGINAL ARTICLE05-27-2024
Assessment of educational technology in lactation physiology by health students
Revista Brasileira de Enfermagem. 2024;77(2):e20230252
Abstract
ORIGINAL ARTICLEAssessment of educational technology in lactation physiology by health students
Revista Brasileira de Enfermagem. 2024;77(2):e20230252
DOI 10.1590/0034-7167-2023-0252
Views0ABSTRACT
Objectives:
to assess the suitability, facilitators, and barriers of using a video clip for teaching lactation physiology to health students.
Methods:
a cross-sectional study was conducted with online data collection at a higher education institution, using the Assistive Technology Assessment Instrument and open-ended questions. The sample consisted of 88 students.
Results:
the video clip was deemed suitable in all attributes. Facilitators identified included attractiveness, musicality, and ease of access. Barriers noted were the music’s speed and the necessity for prior knowledge. The video clip achieved adequate scores for interactivity (1.71), purpose (1.77), relevance (1.64), and clarity (1.77). The overall average of the attributes was 1.72.
Conclusions:
the video clip can serve as an effective learning strategy to enhance hybrid education, potentially contributing to the promotion and support of breastfeeding. However, some barriers underscore the importance of prior knowledge for a complete understanding of the content.
Keywords:Biomedical Technology AssessmentEducational TechnologyHealth Sciences StudentsNursingTranslational Biomedical SciencesSee more -
ORIGINAL ARTICLE05-27-2024
Technology for nursing care in a Maternal Intensive Care Unit: a methodological study
Revista Brasileira de Enfermagem. 2024;77(2):e20230202
Abstract
ORIGINAL ARTICLETechnology for nursing care in a Maternal Intensive Care Unit: a methodological study
Revista Brasileira de Enfermagem. 2024;77(2):e20230202
DOI 10.1590/0034-7167-2023-0202
Views0See moreABSTRACT
Objectives:
to develop and validate a nursing care plan in a Maternal Intensive Care Unit.
Methods:
a methodological study, developed in stages: integrative review; Nursing History construction; care plan restructuring; appearance and content validity by judges.
Results:
the history was organized into sections: Identification; Basic Human Needs; Physical Examination; and Assessment of Basic Human Needs. A care plan was restructured with 34 diagnoses, organized according to basic human needs. A satisfactory level of appearance validity of the history and care plan was obtained (Concordance Index varying between 86.3 and 100 for both instruments), and content validity with average indexes of 90.8 and 92.8, respectively. Thirty-four diagnoses, their interventions and nursing actions were consolidated.
Conclusions:
the instruments were considered relevant and pertinent in terms of appearance and content, and their use in the institution under study as well as in other similar services may be recommended.
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EDITORIAL05-13-2024
Metodologia qualitativa: considerações e singularidades sobre a implementação de intervenções centradas na pessoa
Revista Brasileira de Enfermagem. 2024;77(3):e770301
Abstract
EDITORIALMetodologia qualitativa: considerações e singularidades sobre a implementação de intervenções centradas na pessoa
Revista Brasileira de Enfermagem. 2024;77(3):e770301
DOI 10.1590/0034-7167.2024770301pt
Views0A investigação qualitativa em saúde permite a compreensão aprofundada de como a pessoa experiencia as diferentes transições de saúde, a relação com os profissionais de saúde e a passagem pelos diferentes ambientes de prática clínica. Concomitantemente, tem o potencial de suportar a tomada de decisão clínica dos profissionais e de empoderar o cidadão na sua […]See more
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ERRATUM01-13-2024
ERRATUM
Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e08
Abstract
ERRATUMERRATUM
Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e08
DOI 10.1590/0034-7167.20247706e08
Views0In the article “Brazilian nursing specific situation, middle and micro-range theories: a bibliometric study”, with DOI number: , published in Revista Brasileira de Enfermagem, 2024;77(4):e20230520, Chart 1:Where it read:[…]See more -
ERRATUM01-13-2024
ERRATA
Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e07
Abstract
ERRATUMERRATA
Revista Brasileira de Enfermagem. 2024;77(6):e2024n6e07
DOI 10.1590/0034-7167.20247706e06pt
Views0No artigo “Crenças e atitudes de pais ou responsáveis legais sobre a vacinação infantil: revisão de escopo”, com número DOI: , publicado no periódico Revista Brasileira de Enfermagem, 2024;77(4):e20240126, página 5:Onde se lia:[…]See more -
ORIGINAL ARTICLE01-13-2024
Indicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort
Revista Brasileira de Enfermagem. 2024;77(6):e20240204
Abstract
ORIGINAL ARTICLEIndicators associated with severity and mortality in hospitalized people with HIV: A retrospective cohort
Revista Brasileira de Enfermagem. 2024;77(6):e20240204
DOI 10.1590/0034-7167-2024-0204
Views0See moreABSTRACT
Objectives:
to compare the sociodemographic and clinical severity indicators of hospitalized people with HIV in relation to clinical outcomes and urgent hospital admission.
Methods:
a retrospective cohort study was conducted with 102 medical records of HIV-infected individuals hospitalized in a hospital in southern Brazil. In addition to descriptive analysis, Fisher’s exact test, Pearson’s Chi-square, and logistic regression were used.
Results:
the data showed a significant direct effect on severity indicators in the following variables: male sex (p=0.013), skin color (p=0.023), level of education (p=0.000), urgent admissions (p=0.000), late diagnosis (p=0.001), diabetes mellitus (p=0.001), hypertension (p=0.004), kidney disease (p=0.002), high viral load (p=0.006), CD4+ count below 200 (p=0.005), fever (p=0.016), weight loss (p=0.013), co-infection with hepatitis C (p=0.004), and mortality (p=0.007).
Conclusions:
three sociodemographic and thirteen clinical markers were identified as being associated with the risk of clinical deterioration in hospitalized people with HIV.
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ORIGINAL ARTICLE01-13-2024
Nurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension
Revista Brasileira de Enfermagem. 2024;77(6):e20230481
Abstract
ORIGINAL ARTICLENurses’ perspectives on the use of telemonitoring in the management of people with diabetes and hypertension
Revista Brasileira de Enfermagem. 2024;77(6):e20230481
DOI 10.1590/0034-7167-2023-0481
Views1See moreABSTRACT
Objectives:
to understand the perspective of nurses on the use of telemonitoring in the management of people with type 2 diabetes mellitus and arterial hypertension in primary care.
Methods:
this qualitative research involved sixteen nurses from eight municipalities in Paraná. Data were collected between November 2022 and January 2023 through inperson or remote interviews, which were audio-recorded and subjected to content analysis.
Results:
according to the nurses, telemonitoring enhances users’ knowledge about these conditions, communication and connection with the team, and productivity. However, the lack of electronic resources and equipment, high staff turnover, low user adherence, and the limited availability of professional time present significant challenges.
Final Considerations:
the effective implementation and operation of telemonitoring in the management of people with diabetes and hypertension involve both potential benefits and barriers. It is essential to have the availability of human and technological resources, managerial support, and the commitment of professionals and users.
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ORIGINAL ARTICLE01-13-2024
Knowledge, Attitudes, and Practices of nurses regarding blood culture collection
Revista Brasileira de Enfermagem. 2024;77(6):e20230424
Abstract
ORIGINAL ARTICLEKnowledge, Attitudes, and Practices of nurses regarding blood culture collection
Revista Brasileira de Enfermagem. 2024;77(6):e20230424
DOI 10.1590/0034-7167-2023-0424
Views0ABSTRACT
Objectives:
to investigate the knowledge, attitudes, and practices of nurses regarding blood culture collection.
Methods:
a cross-sectional study was conducted in five Brazilian public hospitals with 112 nurses. Data were collected using an adapted questionnaire and analyzed through descriptive and inferential statistics.
Results:
nurses who did not consider themselves capable of collecting blood cultures had a 72% lower chance of performing the collection at the recommended site and an 83% lower chance of using the same needle for blood inoculation into the vials. Nurses working in the emergency department had a 75% lower chance of knowing the international benchmark for blood culture contamination rates, and those with less than 5 years in the position decreased their chance of accuracy in this matter by 79%.
Conclusions:
there are gaps in the knowledge, attitudes, and practices of nurses regarding blood culture collection. Standardization of the technique, periodic education, supervision and guidance of the collection team, and process auditing are recommended coping strategies.
Keywords:Blood CultureBlood Specimen CollectionHealth Knowledge, Attitudes, PracticeNursing CareQuality of Health CareSee more -
ORIGINAL ARTICLE01-13-2024
Evaluation of care for people with HIV in Primary Health Care: construct validation
Revista Brasileira de Enfermagem. 2024;77(6):e20230190
Abstract
ORIGINAL ARTICLEEvaluation of care for people with HIV in Primary Health Care: construct validation
Revista Brasileira de Enfermagem. 2024;77(6):e20230190
DOI 10.1590/0034-7167-2023-0190
Views0ABSTRACT
Objectives:
to verify the construct validation of an instrument for evaluating care for people living with HIV in Primary Health Care.
Methods:
methodological study carried out in 2021 with 260 health professionals in Recife, PE. Validation based on the internal structure was carried out at this stage using exploratory and confirmatory factor analysis, and validity based on item response theory.
Results:
the validation determined the retention of five factors and 63 items. The instrument’s internal consistency and quality of fit was 0.90, the Tukey-Lewis index was 0.915 and the comparative fit index was 0.918 in the confirmatory factor analysis. The indication for the absolute majority of items is adequate fit.
Conclusions:
the instrument has construct validity, making it possible to use it to evaluate the decentralization process and care for People Living with HIV in Primary Health Care.
Keywords:Acquired Immunodeficiency SyndromeComprehensive Health CareHIVPrimary Health CareProgram EvaluationSee more -
ORIGINAL ARTICLE01-10-2024
Inventory of ethical problems in mobile pre-hospital care
Revista Brasileira de Enfermagem. 2024;77:e20230539
Abstract
ORIGINAL ARTICLEInventory of ethical problems in mobile pre-hospital care
Revista Brasileira de Enfermagem. 2024;77:e20230539
DOI 10.1590/0034-7167-2023-0539
Views0See moreABSTRACT
Objective:
to construct and validate the content of an inventory of ethical problems experienced by nurses in mobile pre-hospital care.
Method:
a psychometric approach study, developed with the following stages: (1) instrument construction through a theoretical matrix based on deliberative bioethics, scoping review and online qualitative research; (2) content validity by judges; (3) pre-testing with Mobile Emergency Care Service nurses in various Brazilian states. For content validity analysis, the Content Validity Ratio was calculated (CVR>0.45 for judges and CVR>0.35 for the target population).
Results:
the instrument had 44 items, distributed across four dimensions.
Final considerations:
the constructed instrument presented sources of evidence of content validity, providing good psychometric measurements and constituting a useful tool for nurses’ practice in the pre-hospital setting.
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RESEARCH01-01-2017
Job satisfaction in an oncology nursing team
Revista Brasileira de Enfermagem. 2017;70(5):988-995
Abstract
RESEARCHJob satisfaction in an oncology nursing team
Revista Brasileira de Enfermagem. 2017;70(5):988-995
DOI 10.1590/0034-7167-2016-0422
Views0See moreABSTRACT
Objective:
to identify the level of attributed, perceived and real job satisfaction of oncology nursing professionals and analyze the relationships between the levels of satisfaction among these workers.
Method:
a descriptive, quantitative cross-sectional study was conducted using the Index of Work Satisfaction (IWS) to evaluate the nursing team, nurses and technicians/auxiliaries. A total of 348 workers answered the questionnaire, of which 216 were fully completed and considered for the IWS calculation.
Results:
Autonomy was considered the most important item in attributed satisfaction for the nursing team and nurses. Salary was valorized most by the technicians/auxiliaries. For perceived satisfaction, Professional Status was the most important for all workers. Regarding real satisfaction, Interaction was the most important for the nursing team and technicians/auxiliaries; while the nurses valorized Autonomy. The nurses presented the greatest job satisfaction.
Conclusion:
a discrepancy was observed in job satisfaction among the oncology nurses, indicating the importance of further quantitative research.
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RESEARCH01-01-2017
Relational technologies as instruments of care in the Family Health Strategy
Revista Brasileira de Enfermagem. 2017;70(5):981-987
Abstract
RESEARCHRelational technologies as instruments of care in the Family Health Strategy
Revista Brasileira de Enfermagem. 2017;70(5):981-987
DOI 10.1590/0034-7167-2016-0337
Views0See moreABSTRACT
Objective:
This article aims to identify the relational technologies used by Family Health Strategy nurses in their daily work when treating patients.
Method:
Descriptive and cross-sectional study with qualitative approach; conducted between May and July 2015, in three Basic Health Units of the Southern Region of the Municipality of São Paulo, with 19 nurses of the Family Health Strategy. Data were collected through a semi-structured interview, and the speeches were fully transcribed and analyzed according to the technique of content analysis.
Results:
From the speeches of the participants, three categories emerged, showing the unawareness of the concept, but the valorization of its use; which are the relational technologies used by the participating nurses (communication, listening, empathy and welcoming reception), as well as the report of barriers to the use of relational technologies.
Final consideration:
Although the nurses value the use of relational technologies, the participants denoted unawareness of the nomenclature and its associated concepts, suggesting superficiality in the understanding and use of these instruments in the context of care in the Family Health Strategy.
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RESEARCH01-01-2017
Knowledge and practice in mental health nursing care
Revista Brasileira de Enfermagem. 2017;70(5):973-980
Abstract
RESEARCHKnowledge and practice in mental health nursing care
Revista Brasileira de Enfermagem. 2017;70(5):973-980
DOI 10.1590/0034-7167-2016-0343
Views0See moreABSTRACT
Objective:
To understand mental health nursing care based on the concept of the subject of the unconscious proposed by Lacan.
Method:
A narrative study was carried out with 19 nurses, chosen based on their theoretical approach or referral by other participants, through the snowball sampling technique. The interviews were carried out in person or digitally, and were recorded and fully transcribed.
Results:
The analysis was carried out based on Freudian and Lacanian psychoanalysis, approaching nursing care as it acts on the body, secretions, and excretions, to distinguish it from the spirit of fineness. Effects on care are discussed, considering the subject of the unconscious with its knowledge, creating unique exits (sinthome). In this situation, professionals are required to abstain from a position of knowing what is better for the Other.
Final considerations:
This nursing care perspective offers contributions when discussing the centrality of the subject and words in the care process.
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RESEARCH01-01-2017
Weaving the West Psychosocial Care Network of the municipality of São Paulo
Revista Brasileira de Enfermagem. 2017;70(5):965-972
Abstract
RESEARCHWeaving the West Psychosocial Care Network of the municipality of São Paulo
Revista Brasileira de Enfermagem. 2017;70(5):965-972
DOI 10.1590/0034-7167-2016-0566
Views0See moreABSTRACT
Objective:
to understand how health service professionals involved in the care of users in psychic distress perceive the organization of the Psychosocial Care Network (RAPS – Rede de Atenção Psicossocial) in the western region of the city of São Paulo.
Method:
qualitative approach study conducted with 123 professionals with higher education who work in the care points of the network. A semi-structured interview was performed and data were submitted to the Alceste program for lexical analysis.
Results:
the network is in process of alignment with the mental health policy and the psychosocial rehabilitation strategy. However, the weaknesses in the work process of teams are related to deficits in human resources, structure, and communication, and to the limited appropriation of their guidelines.
Final considerations:
there are intense efforts of workers to weave the network, and barriers need to be overcome to support successful actions in mental health care in the territory.
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RESEARCH01-01-2017
Chronotype and work shift in nursing workers of university hospitals
Revista Brasileira de Enfermagem. 2017;70(5):958-964
Abstract
RESEARCHChronotype and work shift in nursing workers of university hospitals
Revista Brasileira de Enfermagem. 2017;70(5):958-964
DOI 10.1590/0034-7167-2016-0542
Views0See moreABSTRACT
Objective:
To identify the predominant chronotype in nursing workers who work in surgical clinics of university hospitals and to verify the association with work shift.
Method:
Cross-sectional study, performed in surgical clinics of university hospitals in the Southern region of Brazil. The sample of 270 nursing workers answered questions of socio-occupational characterization, of health and the Morningness-Eveningness Questionnaire of Horne and Östberg. We performed a descriptive and bivariate analysis with the help of the SPSS software and confidence interval of 95%.
Results:
The indifferent chronotype predominated (45.2%). There were significant differences between occupational categories and variables “age” (p<0.001), “use of medication” (p=0.035) and “choice of work shift” (p=0.001). There was an association between the chronotype and the variables “work leave due to illness” (p=0.021), “children” (p=0.025), “use of medication” (p=0.018) and “work shift” (p=0.001).
Conclusion:
The chronotype remained indifferent, and the results confirmed association between chronotype and work shift.
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RESEARCH01-01-2017
Difficulties in nutritional counseling and child growth follow-up: from a professional perspective
Revista Brasileira de Enfermagem. 2017;70(5):949-957
Abstract
RESEARCHDifficulties in nutritional counseling and child growth follow-up: from a professional perspective
Revista Brasileira de Enfermagem. 2017;70(5):949-957
DOI 10.1590/0034-7167-2016-0527
Views0ABSTRACT
Introduction:
Nutritional counseling and growth follow-up are priorities when providing care to children; however, these have not been completely incorporated into primary health care.
Objective:
To know the difficulties for providing nutritional counseling and child growth follow-up, from a professional healthcare perspective.
Method:
Qualitative study, using Donabedian as theoretical framework, developed by 53 professionals in the field of primary health care. Data was obtained from focal groups and submitted to content analysis.
Results:
The main difficulties for nutritional counseling were clustered in the category of ‘perceptions and beliefs related to child feeding’. The ‘problems of infrastructure and healthcare’ and ‘maintenance of the hegemonic medical model’ are the main difficulties for following-up growth.
Final considerations:
Besides investments in infrastructure, healthcare training is indispensable considering beliefs and professional experiences, so in fact, nutritional counseling and child growth follow-up are incorporated in primary health care.
Keywords:Child NutritionChildcareNursing Primary Health CarePrimary Health CareResearch, QualitativeSee more -
RESEARCH01-01-2017
Severity and workload related to adverse events in the ICU
Revista Brasileira de Enfermagem. 2017;70(5):942-948
Abstract
RESEARCHSeverity and workload related to adverse events in the ICU
Revista Brasileira de Enfermagem. 2017;70(5):942-948
DOI 10.1590/0034-7167-2016-0427
Views0See moreABSTRACT
Objective:
To analyze whether an increase in patient severity and nursing workload are correlated to a greater incidence of adverse events (AEs) in critical patients.
Method:
A prospective single cohort study was performed on a sample of 138 patients hospitalized in an intensive care unit (ICU).
Results:
A total of 166 AEs, occurred, affecting 50.7% of the patients. Increased patient severity presented a direct relationship to the probability of AEs occurring. However, nursing workload did not present a statistically significant relationship with the occurrence of AEs.
Conclusion:
The results cast light on the importance of using evaluation tools by the nursing personnel in order to optimize their daily activities and focus on patient safety.
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RESEARCH01-01-2017
Mental health in the Family Health Strategy as perceived by health professionals
Revista Brasileira de Enfermagem. 2017;70(5):935-941
Abstract
RESEARCHMental health in the Family Health Strategy as perceived by health professionals
Revista Brasileira de Enfermagem. 2017;70(5):935-941
DOI 10.1590/0034-7167-2016-0492
Views0See moreABSTRACT
Objective:
to analyze the management of mental health needs in primary care as perceived by Family Health Strategy professionals.
Method:
this was a qualitative descriptive exploratory study developed within the coverage area of five family health teams. The data were collected using observation, group interviews, individual semi-structured interviews, and focus groups. Content analysis was conducted using text analysis software and interpretation was based on the corresponding analytical structures.
Results:
numerous and challenging mental health demands occur in this setting, for which the teams identified care resources; however, they also indicated difficulties, especially related to the operationalization and integration of such resources.
Conclusion:
there is a need for a care network sensitive to mental health demands that are better coordinated and more effectively managed.
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