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ORIGINAL ARTICLE10-21-2022
“EMPODEREENF”: construction of an application for nurses’ continuing education on psychological violence against women
Revista Brasileira de Enfermagem. 2022;75(5):e20200391
Abstract
ORIGINAL ARTICLE“EMPODEREENF”: construction of an application for nurses’ continuing education on psychological violence against women
Revista Brasileira de Enfermagem. 2022;75(5):e20200391
DOI 10.1590/0034-7167-2020-0391
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Objective:
to construct a prototype of a mobile application on psychological violence against women to facilitate nurses’ continuing education.
Method:
an applied methodological research of technological development, based on the Contextualized Instructional Design method.
Results:
the prototype content was based on the learning objectives developed through a narrative review, which guided an integrative review to compile the information. The prototype is called “EmpodereEnf”, and is composed of an initial screen, bringing nurses as a target audience, and, soon after, offering nine general moblets for access to information such as: concepts, causes, manifestations and consequences of psychological violence; means for identification and approach in nursing consultation and health education; compulsory notification and referral; examples of cases of psychological violence and references.
Final considerations:
the prototype is a possibility for future coping interventions and a work tool for nurses in the face of psychological violence against women.
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ORIGINAL ARTICLE10-21-2022
Management in the Family Health Strategy: workloads and structured institutional violence
Revista Brasileira de Enfermagem. 2022;75(3):e20220071
Abstract
ORIGINAL ARTICLEManagement in the Family Health Strategy: workloads and structured institutional violence
Revista Brasileira de Enfermagem. 2022;75(3):e20220071
DOI 10.1590/0034-7167-2022-0071
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Objectives:
to understand the relationship between workloads and institutional violence in Family Health Strategy managers’ practice.
Methods:
qualitative research using theoretical triangulation and data from semi-structured interviews. Participants were 35 managers of Basic Health Units in the five Regions of Brazil, who worked in the Family Health Strategy. We used thematic analysis and ATLAS.ti for data analysis.
Results:
workloads were analyzed, showing relationships with institutional violence. Thematic categories emerged: “related to the management work itself”; “related to other instances of health system management”; “related to users and community”. There was an interrelationship between increased managers’ workloads and institutional violence.
Final Considerations:
the Family Health Strategy is relevant for universal access to health and requires favorable institutional conditions for its effectiveness. Adverse scenarios lead to increased workloads, approaching institutional violence.
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ORIGINAL ARTICLE10-21-2022
Self-care deficit among older men in the COVID-19 pandemic: implications for nursing
Revista Brasileira de Enfermagem. 2022;75:e20210933
Abstract
ORIGINAL ARTICLESelf-care deficit among older men in the COVID-19 pandemic: implications for nursing
Revista Brasileira de Enfermagem. 2022;75:e20210933
DOI 10.1590/0034-7167-2021-0933
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Objectives:
to analyze self-care deficit among older men in the COVID-19 pandemic in Brazil and to discuss the implications for nursing practice.
Methods:
web survey, multicentric, qualitative. A total of 120 older men participated, applying a form from April to June 2020 and April to August 2021. Reflective Thematic Analysis, interpreted by Orem’s Self-Care Deficit Theory, was used.
Results:
temporally, the self-care of older men was manifested in the self-care requirements – affective bonds, self-care for development – meditation and self-care with health deviations – remote consultations. Fully, partially compensatory, educational/support systems mobilized self-care.
Final Considerations:
as care managers, nurses can strengthen the support network for older men by activating professionals from the multidisciplinary team, family members, caregivers and the community to promote self-care and correct health deviations in times of crisis.
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ORIGINAL ARTICLE10-21-2022
Circle dance: integrative and complementary practice in the daily health promotion for older adults
Revista Brasileira de Enfermagem. 2022;75:e20210003
Abstract
ORIGINAL ARTICLECircle dance: integrative and complementary practice in the daily health promotion for older adults
Revista Brasileira de Enfermagem. 2022;75:e20210003
DOI 10.1590/0034-7167-2021-0003
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Objectives:
to understand circle dance as an integrative and complementary practice for health promotion in older adults’ daily lives.
Methods:
an interpretive, qualitative study, based on Michel Maffesoli’s Comprehensive Sociology of Everyday Life. There were 20 participants, 17 older adults and three focalizers in circles held in Basic Health Units in a municipality in southern Brazil. Data were collected through interviews and observation, between September 2016 and March 2017, and analyzed through preliminary analysis, ordering, key links, coding and categorization.
Results:
three categories emerged that express the daily life of circle dance with older adults: circles that spin; challenges for new circles to spin; entering, being and staying in the circle.
Final Considerations:
circle dance provided older adults with a feeling of belonging to a group, combined with pleasure and well-being, contributing to promotion of older adults’ health.
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ORIGINAL ARTICLE10-18-2022
Knowledge about antineoplastic drugs: implications for the health of nursing workers in a general hospital
Revista Brasileira de Enfermagem. 2022;75(3):e20210025
Abstract
ORIGINAL ARTICLEKnowledge about antineoplastic drugs: implications for the health of nursing workers in a general hospital
Revista Brasileira de Enfermagem. 2022;75(3):e20210025
DOI 10.1590/0034-7167-2021-0025
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Objectives:
to understand, from a worker’s health perspective, the knowledge of nursing professionals about the use of antineoplastic drugs in a general hospital.
Methods:
a descriptive and exploratory study with a qualitative approach. It was conducted at a university hospital, between April and August 2018, with 35 nursing professionals who responded to a semi-structured interview. Thematic analysis was used for data treatment.
Results:
from the data, three thematic categories emerged, related to the nursing professionals’ knowledge about antineoplastic drugs and their effects on workers’ health; situations in which exposure to these drugs occurs; and protection mechanisms for the patient, the environment, and the worker.
Final Considerations:
the nursing professionals had little knowledge about antineoplastic drugs. The practices related to handling and the necessary protective measures to deal with these drugs were empirically determined and relatively subsidized the knowledge acquired by the professionals.
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ORIGINAL ARTICLE10-18-2022
Opinions of healthcare students on organ and tissue donation for transplantation
Revista Brasileira de Enfermagem. 2022;75(3):e20210001
Abstract
ORIGINAL ARTICLEOpinions of healthcare students on organ and tissue donation for transplantation
Revista Brasileira de Enfermagem. 2022;75(3):e20210001
DOI 10.1590/0034-7167-2021-0001
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Objectives:
to analyze the opinions of healthcare students on organ and tissue donation for transplantation.
Methods:
qualitative document analysis study, using the records of a database and analyzing data from two perspectives: 1) Lexical analysis, with the IRAMUTEQ software, and 2) Thematic content analysis.
Results:
from the analysis, 3 main categories were generated: 1) Organ and tissue donation as an act of love for others and an opportunity of a new beginning; 2) Clarification and awareness on organ and tissue donation; and 3) Importance of communicating the family and promoting organ and tissue donation.
Final Considerations:
despite being in favor of donation, students also recognize the presence of social taboos; the discussion in the family nucleus, promoting the theme and raising awareness in society are considered important. Additionally, the education of students is one of the possibilities of intervention for the issue.
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ORIGINAL ARTICLE10-18-2022
Being ethical and bioethical in daily life of primary health care: nurses’ perceptions
Revista Brasileira de Enfermagem. 2022;75(3):e20210093
Abstract
ORIGINAL ARTICLEBeing ethical and bioethical in daily life of primary health care: nurses’ perceptions
Revista Brasileira de Enfermagem. 2022;75(3):e20210093
DOI 10.1590/0034-7167-2021-0093
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Objectives:
to understand the perceptions of ethics and bioethics and how to be ethical and bioethical in daily life of Primary Health Care, from the perspective of nurses.
Methods:
this is a Holistic-qualitative Multiple Case Study, based on Comprehensive Everyday Sociology, with 54 participants.
Results:
two subcategories and the category Being ethical and bioethical in daily life of PHC: nurses’ perceptions emerged. The ethical and bioethical being permeates a subjective and abstract self, whose fears, anxieties and concerns are intertwined with the human and professional dimensions in daily work and in personal-professional relationship. Ethics and bioethics perceptions emerge from subjectivity, established relationships, lived experiences and daily actions of nurses essential to the profession, professionals and individuals to be cared for.
Final Considerations:
ethical and bioethical perceptions and attitudes are essential to care, management and organizational actions, health care, and the safety of users and professionals.
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ORIGINAL ARTICLE10-18-2022
Breast cancer screening program for risk groups: facts and perspectives
Revista Brasileira de Enfermagem. 2022;75(3):e20210050
Abstract
ORIGINAL ARTICLEBreast cancer screening program for risk groups: facts and perspectives
Revista Brasileira de Enfermagem. 2022;75(3):e20210050
DOI 10.1590/0034-7167-2021-0050
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Objectives:
to measure the frequency and compliance of breast cancer screening, according to the risk for this disease.
Methods:
a cross-sectional study with 950 female users of 38 public Primary Health Care services in São Paulo, between October and December 2013. According to UHS criteria, participants were grouped into high risk and standard risk, and frequency, association (p≤0.05), and screening compliance were measured.
Results:
6.7% had high risk and 93.3% standard risk, respectively; in these groups, the frequency and compliance of clinical breast examination were 40.3% and 37.1%, and 43.5% and 43.0% (frequency p=0.631, compliance p=0.290). Mammograms were 67.7% and 35.5% for participants at high risk, and 57.4% and 25.4% for those at standard risk (frequency p=0.090, compliance p=0.000).
Conclusions:
in the groups, attendance and conformity of the clinical breast exam were similar; for mammography, it was higher in those at high risk, with assertiveness lower than the 70% set in UHS.
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ORIGINAL ARTICLE12-13-2019
Quality of life in the climacteric of nurses working in primary care
Revista Brasileira de Enfermagem. 2019;72:154-161
Abstract
ORIGINAL ARTICLEQuality of life in the climacteric of nurses working in primary care
Revista Brasileira de Enfermagem. 2019;72:154-161
DOI 10.1590/0034-7167-2018-0306
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Objective:
to evaluate the quality of life of primary care nurses in the climacteric.
Method:
A cross-sectional descriptive-analytic study, performed with 98 female nurses, aged 40-65 years, using the WHOQOL-Bref questionnaire.
Results:
the worst level of quality of life was observed for professionals aged 50-59 years, non-white, specialists, divorced or widowed, with children, a lower income, with another employment relationship, a weekly workload of more than 40 hours, who consumed alcoholic beverages weekly, with chronic disease, in continuous use of medications, sedentary, who did not menstruate and did not receive hormonal treatment, and who went through menopause between the ages of 43-47 years.
Conclusion:
Although the variables “physical activity” and “age” have a statistically significant association with quality of life, other variables seem to interfere in these professionals’ lives, indicating the need for a more critical and deep reflection on these relations.
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ORIGINAL ARTICLE12-05-2019
Perception of nursing workers on the care of hypertension in older adult
Revista Brasileira de Enfermagem. 2019;72:3-13
Abstract
ORIGINAL ARTICLEPerception of nursing workers on the care of hypertension in older adult
Revista Brasileira de Enfermagem. 2019;72:3-13
DOI 10.1590/0034-7167-2016-0681
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Objective:
To understand how nursing workers perceive care of hypertension (HBP) in older adult within the scope of the Family Health Strategy.
Method:
A qualitative descriptive study carried out in the city of Natal/RN, with 20 nursing workers providing care to older adults with HBP. The data were obtained through a semi-structured interview and analysed by the Thematic Analysis, based on the theoretical support of the integrality, using Atlas.ti 7.0 software.
Results:
The elements found as facilitators were: territorialization, partnerships, professional proactivity and the user’s bond with the team. Among those found as barriers were: disease-centered care; academic education based on the biomedical model; lack of inter-sectorality and discontinuity of care in the care network.
Final considerations:
Nursing workers perceive that health institutions lack articulated and innovative practices that incorporate new paradigms focused on integrality of care.
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ORIGINAL ARTICLE07-13-2020
Culture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73(5):e20190576
Abstract
ORIGINAL ARTICLECulture of patient safety in hospital units of gynecology and obstetrics: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73(5):e20190576
DOI 10.1590/0034-7167-2019-0576
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Objectives:
to assess the patient safety culture of the health team working in three maternity hospitals.
Methods:
observational, cross-sectional, comparative study. 301 professionals participated in the study. The Hospital Survey on Patient Safety Culture questionnaire validated in Brazil was used. For data analysis, it was considered a strong area in the patient safety culture when positive responses reached over 75%; and areas that need improvement when positive responses have reached less than 50%. To compare the results, standard deviation and thumb rule were used.
Results:
of the 12 dimensions of patient safety culture, none obtained a score above 75%, with nine dimensions scoring between 19% and 43% and three dimensions between 55% and 57%.
Conclusions:
no strong dimensions for safety culture were identified in the three maternity hospitals. It is believed that these results may contribute to the development of policies that promote a culture of safety in institutions.
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ORIGINAL ARTICLE04-07-2023
The use of toys by nursing as a therapeutic resource in the care of hospitalized children
Revista Brasileira de Enfermagem. 2023;76(2):e20220433
Abstract
ORIGINAL ARTICLEThe use of toys by nursing as a therapeutic resource in the care of hospitalized children
Revista Brasileira de Enfermagem. 2023;76(2):e20220433
DOI 10.1590/0034-7167-2022-0433
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Objectives:
to describe the use of toys by nursing during the care of children in the inpatient unit; to analyze the factors that influence the use of therapeutic toys by nursing in the care of hospitalized children.
Methods:
qualitative research, conducted in a pediatric hospital in Rio de Janeiro between July and August 2019. Semi-structured interview and thematic analysis were used as methodological procedure.
Results:
the 12 nurses and 7 nursing technicians revealed minimizing fear, relieving tension, and creating a bond between the child and the professional as the main benefits; they use as resources: children’s toys, hospital materials, cartoons, and children’s videos. The high demand for work, deficit of human resources, and appropriate ludic materials are factors that interfere with the use of toys as a therapeutic resource.
Final Considerations:
although the participants recognize the importance of the toy as a therapeutic resource, there is no systematization of its use in pediatric practice.
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ORIGINAL ARTICLE02-10-2020
Mobile care service for psychiatric urgencies and emergencies: perception of nursing workers
Revista Brasileira de Enfermagem. 2020;73(1):e20180214
Abstract
ORIGINAL ARTICLEMobile care service for psychiatric urgencies and emergencies: perception of nursing workers
Revista Brasileira de Enfermagem. 2020;73(1):e20180214
DOI 10.1590/0034-7167-2018-0214
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Objective:
To understand how the nursing staff perceives the care provided to people in situations of psychiatric urgencies and emergencies in the Mobile Emergency Care Service (SAMU – Serviço de Atendimento Móvel de Urgência).
Method:
Descriptive and qualitative study conducted in the Northeast region of Brazil with 34 of the SAMU nursing workers. Data were obtained by semi-structured interviews and processed by the Thematic Analysis.
Results:
The analysis of interviews allowed the identification of three categories: mechanical practice, need for qualification and (de)humanization of care. The results showed that the care offered to users in psychiatric urgency or emergency situations is based on mechanistic and specific actions.
Final considerations:
Nursing workers perceive that the care for people in situations of psychiatric urgency and emergency in SAMU is mainly based on physical and chemical containment measures, performing a little resolute and dehumanized care and raising the need for professional qualification.
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REVIEW02-25-2022
COVID-19 and the occupational stress experienced by health professionals in the hospital context: integrative review
Revista Brasileira de Enfermagem. 2022;75:e20200859
Abstract
REVIEWCOVID-19 and the occupational stress experienced by health professionals in the hospital context: integrative review
Revista Brasileira de Enfermagem. 2022;75:e20200859
DOI 10.1590/0034-7167-2020-0859
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Objective:
To analyze Brazilian and international scientific publications about the stress experienced by health professionals in the hospital context during the COVID-19 pandemic.
Methods:
Integrative literature review carried out on the SciELO, ScienceDirect, and LILACS databases, and sources of official Brazilian institutions, with documents published by May 2020.
Results:
Of the 26 selected references, 19 (73.08%) were indexed articles, and 7 (26.92 %) were obtained from official institutions. The study found that stress is mainly due to the overload of hospital services, the removal of professionals, the insufficiency of personal protective equipment and strict biosecurity measures, challenges in the allocation of available resources, and the risk of contamination by COVID-19.
Final considerations:
The stress experienced by health professionals in hospital institutions during the pandemic can trigger occupational and psychological problems.
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ORIGINAL ARTICLE02-25-2022
Diabetes mellitus type 2: factors related to adherence to self-care
Revista Brasileira de Enfermagem. 2022;75(4):e20210260
Abstract
ORIGINAL ARTICLEDiabetes mellitus type 2: factors related to adherence to self-care
Revista Brasileira de Enfermagem. 2022;75(4):e20210260
DOI 10.1590/0034-7167-2021-0260
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Objectives:
to analyze the sociodemographic and clinical variables related to the adherence to self-care activities in people with diabetes mellitus type 2.
Methods:
quantitative, cross-sectional study, carried out with 270 people with diabetes from December 2019 to October 2020, in São Luís, Maranhão.
Results:
the adherence to self-care was greater when it comes to medications (Md=7.0) and foot care (Md= 6.0), but lower in regard to blood sugar testing (Md=1.0), exercise (Md=2,0), and diet (general) (Md=4.0). The variables age group (p=0.007), educational level (p=0.015), body mass index (p=0.035), complications with diabetes (p=0.009), and nutritional follow-up (p=0.000) had associations with self-care activities.
Conclusions:
identifying the factors related to the adherence to self-care was found to be essential to strengthen the line of care in chronic diseases and to direct educational actions, aiming to improve the quality of life of people with diabetes.
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ORIGINAL ARTICLE11-29-2022
Unsatisfactory completeness of nurses’ records in the medical records of users with tuberculosis
Revista Brasileira de Enfermagem. 2022;75(3):e20210316
Abstract
ORIGINAL ARTICLEUnsatisfactory completeness of nurses’ records in the medical records of users with tuberculosis
Revista Brasileira de Enfermagem. 2022;75(3):e20210316
DOI 10.1590/0034-7167-2021-0316
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Objectives:
to evaluate the completeness of nurses’ records on the execution of the nursing process in assistance of tuberculosis patients at Primary Care.
Methods:
this was a retrospective documental study, with 190 records in Family Health Units of a city in the state of Paraíba. The data were analyzed according to descriptive statistics, Pareto Diagram, and trend analysis.
Results:
the overall mean incompleteness of records was 53.01% (DP=26.13). Therefore, the results presented very poor completeness classification related to nursing diagnosis (88.9%), nursing assessment (66.8%), data collection (60.5%), while nursing interventions were classified as regular (11.1%). The nursing diagnosis was the only variable with a decreasing trend of non-completeness.
Conclusions:
incompleteness of nurses’ records in the medical records of users with tuberculosis. Evaluation strategies, permanent and continuing education are indispensable in the quality of nurses’ documentation, directly implying the Systematization of Quality in Nursing Care.
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