Articles - Revista Brasileira de Enfermagem

  • ORIGINAL ARTICLE07-19-2024

    Validation of an instrument for patient classification to support obstetric nursing care

    Revista Brasileira de Enfermagem. 2024;77(2):e20230401

    Abstract

    ORIGINAL ARTICLE

    Validation of an instrument for patient classification to support obstetric nursing care

    Revista Brasileira de Enfermagem. 2024;77(2):e20230401

    DOI 10.1590/0034-7167-2023-0401

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    ABSTRACT

    Objectives:

    to develop and validate an instrument for the classification of pregnant and postpartum women according to the demand for nursing care.

    Methods:

    a methodological study conducted in three stages: 1) construction of the instrument based on literature review; 2) content validation using the Delphi technique with 12 experts; and 3) Evaluation of the convergent construct validity through the correlation between the scores of the constructed instrument and the Fugulin instrument.

    Results:

    an instrument with ten indicators of specific care for pregnant and postpartum women was developed. A content validity index higher than 0.9 was obtained, requiring only one round of the Delphi technique. The Spearman coefficient was 0.64 between the instruments, indicating a strong correlation.

    Conclusions:

    the classification instrument specifically constructed for pregnant and postpartum women showed evidence of content validity and convergent construct validity with a widely used instrument in the national territory.

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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 ARTICLE07-19-2024

    Validation of an instrument for assessing leprosy care in children and adolescents

    Revista Brasileira de Enfermagem. 2024;77(2):e20230344

    Abstract

    ORIGINAL ARTICLE

    Validation of an instrument for assessing leprosy care in children and adolescents

    Revista Brasileira de Enfermagem. 2024;77(2):e20230344

    DOI 10.1590/0034-7167-2023-0344

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    ABSTRACT

    Objectives:

    to validate the content of an instrument for assessing leprosy care in individuals under 15 years old in the context of Primary Health Care.

    Methods:

    methodological study of content validation, based on the evaluation of essential and derived attributes in primary care, in the professional version. For data analysis, the Content Validation Index (CVI ≥ 0.8) and Cronbach’s Alpha were calculated.

    Results:

    a higher percentage of judges among nurses (61.5%) was observed; with a doctorate (46.2%), and engaged in teaching and research (77%). The overall Content Validation Index of the instrument was 0.98. In the analysis of Cronbach’s Alpha of the instrument, the assigned value was 0.717.

    Conclusions:

    the instrument represents an advancement in the measurement of health evaluation policies and can significantly contribute to improving the quality of care provided to children and adolescents with leprosy.

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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 ARTICLE07-19-2024

    Validation of the Brazilian Version of the Modified Scale for Delineating Advanced Practice Nursing Roles

    Revista Brasileira de Enfermagem. 2024;77(2):e20230211

    Abstract

    ORIGINAL ARTICLE

    Validation of the Brazilian Version of the Modified Scale for Delineating Advanced Practice Nursing Roles

    Revista Brasileira de Enfermagem. 2024;77(2):e20230211

    DOI 10.1590/0034-7167-2023-0211

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    ABSTRACT

    Objectives:

    to validate the Brazilian version of the Modified Scale for Delineating Advanced Practice Nursing Roles.

    Methods:

    this was a methodological study for the clinical validation of an instrument, conducted with 207 nurses working in primary care. Exploratory and confirmatory factor analysis, Cronbach’s alpha test, and z-test for proportion comparison were used.

    Results:

    the internal reliability of the scale was 0.944, with alpha greater than 0.80 in most domains, except for Education (0.786). In the exploratory factor analysis, considering the criterion of eigenvalue greater than one, eight factors were identified, explaining 79.38% of the variance. In the comparison of proportions, the adequate responses (≥ 2) in the domain of Comprehensive Direct Care, in both analyzed groups, were statistically equal. This domain had the highest score of adequate responses, followed by Education and Systems Support. Insufficient scoring was observed in the domains of Publication and Professional Leadership.

    Conclusions:

    the instrument demonstrated stability and reliability to be used in the evaluation of advanced nursing practice.

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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.
    Validation of the Brazilian Version of the Modified Scale for Delineating Advanced Practice Nursing Roles
  • REVIEW07-15-2024

    Factors associated with Burnout Syndrome in police officers: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(2):e20230444

    Abstract

    REVIEW

    Factors associated with Burnout Syndrome in police officers: a scoping review

    Revista Brasileira de Enfermagem. 2024;77(2):e20230444

    DOI 10.1590/0034-7167-2023-0444

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    ABSTRACT

    Objectives:

    to synthesize research on factors associated with Burnout Syndrome (BS) in police officers.

    Methods:

    a scoping review was conducted without temporal or language restrictions. Data were exported to EndNote to remove duplicates and then imported into the Rayyan app for organization, article selection, and data extraction.

    Results:

    a total of 4559 publications were identified, with 50 studies included in the review. Research conducted in Brazil and the United States predominated. Certain occupational factors were found to be more closely linked to police officers compared to other professions, including law enforcement, frequency of interaction with suspects and criminals, rank, dissatisfaction with the organization, and civilian confrontations.

    Conclusions:

    certain aspects of the police profession contribute to BS, even in countries with better working conditions in public security. It is recommended to prioritize health promotion initiatives for these 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.
    Factors associated with Burnout Syndrome in police officers: a scoping review
  • 07-15-2024

    Invisibilidade do trabalho da enfermagem: tecnologia como via de combate

    Revista Brasileira de Enfermagem. 2024;77:e77suppl0301

    Abstract

    Invisibilidade do trabalho da enfermagem: tecnologia como via de combate

    Revista Brasileira de Enfermagem. 2024;77:e77suppl0301

    DOI 10.1590/0034-7167.202477suppl0301pt

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    Na concepção comum, o trabalho é comumente associado a uma atividade remunerada em uma sociedade mercantil e de direito, refletindo a visão moderna que o limita ao tempo trocado por salário. Essa perspectiva, influenciada pelos princípios da Revolução Industrial, estabelece uma dicotomia entre o trabalho e o tempo fora dele, segmentando a vida em esferas […]
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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 ARTICLE07-15-2024

    Root cause analysis of safety incidents in antineoplastic use in children

    Revista Brasileira de Enfermagem. 2024;77:e20230139

    Abstract

    ORIGINAL ARTICLE

    Root cause analysis of safety incidents in antineoplastic use in children

    Revista Brasileira de Enfermagem. 2024;77:e20230139

    DOI 10.1590/0034-7167-2021-0139

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    ABSTRACT

    Objectives:

    to identify and analyze the factors that contribute to safety incident occurrence in the processes of prescribing, preparing and dispensing antineoplastic medications in pediatric oncology patients.

    Methods:

    a quality improvement study focused on oncopediatric pharmaceutical care processes that identified and analyzed incidents between 2019-2020. A multidisciplinary group performed root cause analysis (RCA), identifying main contributing factors.

    Results:

    in 2019, seven incidents were recorded, 57% of which were prescription-related. In 2020, through active search, 34 incidents were identified, 65% relating to prescription, 29% to preparation and 6% to dispensing. The main contributing factors were interruptions, lack of electronic alert, work overload, training and staff shortages.

    Conclusions:

    the results showed that adequate recording and application of RCA to identified incidents can provide improvements in the quality of pediatric oncology care, mapping contributing factors and enabling managers to develop an effective action plan to mitigate risks associated with the 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.
    Root cause analysis of safety incidents in antineoplastic use in children
  • 07-15-2024

    Invisibility of nursing work: technology as a means of combat

    Revista Brasileira de Enfermagem. 2024;77:e77suppl0301

    Abstract

    Invisibility of nursing work: technology as a means of combat

    Revista Brasileira de Enfermagem. 2024;77:e77suppl0301

    DOI 10.1590/0034-7167.202477suppl0301

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    In the common conception, work is commonly associated with a paid activity in a commercial and legal society, reflecting the modern view that limits it to time exchanged for wage. This perspective, influenced by Industrial Revolution principles, establishes a dichotomy between work and time outside of work, segmenting life into professional and private spheres. However, […]
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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.
  • REVIEW07-15-2024

    Risk for imbalanced blood pressure pattern among incarcerated women: Middle-Range Theory

    Revista Brasileira de Enfermagem. 2024;77:e20230288

    Abstract

    REVIEW

    Risk for imbalanced blood pressure pattern among incarcerated women: Middle-Range Theory

    Revista Brasileira de Enfermagem. 2024;77:e20230288

    DOI 10.1590/0034-7167-2023-0288

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    ABSTRACT

    Objectives:

    to develop a Middle-Range Theory for the Risk for imbalanced blood pressure pattern among incarcerated women.

    Methods:

    theoretical development study to obtain the theoretical-causal validity of the Nursing Diagnosis Risk for unstable blood pressure. The Middle-Range Theory was developed according to six stages: establishment of the approach to developing the theory; definition of the conceptual models to be later analyzed; definition of the main conceptions; a pictorial diagram; propositions; causal relationships and evidence for practice.

    Results:

    two attributes and 20 antecedents related to imbalanced blood pressure were identified, a pictorial diagram was developed, and nine theoretical propositions were presented.

    Conclusions:

    the theory developed here favors the diagnostic reasoning of nurses and contributes to planning actions to promote the cardiovascular health of incarcerated women. A new proposition for the diagnosis of Risk for unstable blood pressure was also structured with a new title, definition, and etiological factors.

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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.
    Risk for imbalanced blood pressure pattern among incarcerated women: Middle-Range Theory

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