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RESEARCH01-01-2018
Contribution of academic tutoring for the teaching-learning process in Nursing undergraduate studies
Revista Brasileira de Enfermagem. 2018;71:1596-1603
Abstract
RESEARCHContribution of academic tutoring for the teaching-learning process in Nursing undergraduate studies
Revista Brasileira de Enfermagem. 2018;71:1596-1603
DOI 10.1590/0034-7167-2017-0736
Views0See moreABSTRACT
Objective:
to analyze the perceptions of professors and students on academic tutoring.
Method:
descriptive study with a qualitative approach, carried out at the Magalhães Barata School of Nursing, State University of Pará, Brazil. Twenty-seven professors and 32 students participated in the study. Data were collected through semi-structured and individual interviews, using different scripts for professors and students. For analysis, the technique of content analysis was used.
Results:
we defined three thematic categories: academic tutoring as a tool for strengthening teaching-learning; academic tutoring as a possibility of intellectual and social transformation; and reflections of academic tutoring in nurses’ training.
Final considerations:
the teaching-learning process is referred to as a process in which there must be dialogue, and in which professors, students, and tutors learn with each other, breaking the traditional paradigms of unilateral and vertical transfer of content. Academic tutoring stands out as promoter and strengthener of this process.
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RESEARCH01-01-2018
Knowledge about precautions in Primary Health Care: tool validation
Revista Brasileira de Enfermagem. 2018;71:1589-1595
Abstract
RESEARCHKnowledge about precautions in Primary Health Care: tool validation
Revista Brasileira de Enfermagem. 2018;71:1589-1595
DOI 10.1590/0034-7167-2017-0886
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Objective:
To elaborate and validate a tool to assess knowledge and behavior of nursing professionals about standards and specific precautions in the Primary Health Care.
Method:
Methodological study of the elaboration and validation of the tool by thirteen experts judges, using a Likert scale of 4 points, with Content Validity Index ≥ 0.80, on clarity, relevance and pertinence.
Results:
A tool composed of 47 dichotomous questions to assess knowledge and 12 questions, with five options of answers, for the referred behavior. In the validation, only one item was deleted, related to the “Hands Hygiene” axis and one item was reformulated, regarding “Use of Common Gloves” and another 11 changed writing. The tool as a whole was assessed for relevance, comprehensiveness and representativeness within the scope of the topic investigated.
Conclusion:
The developed tool has been validated and is now available for use in Primary Health Care.
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RESEARCH01-01-2018
Rethinking the Health Care Model through the reorientation of training
Revista Brasileira de Enfermagem. 2018;71:1580-1588
Abstract
RESEARCHRethinking the Health Care Model through the reorientation of training
Revista Brasileira de Enfermagem. 2018;71:1580-1588
DOI 10.1590/0034-7167-2017-0055
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Objective:
to understand the contributions of the National Program of Reorientation of Professional Training in Health (Pró-Saúde) for the change in the model of care and training of health professionals.
Methods:
a case study with representatives of the teaching, care, management and social control, participants of the management units of the Pró-Saúde (Charitable institution for social and hospital assistance), in a municipality of the south of Brazil. Data collection took place through interviews and observations between October 2012 and February 2013.
Results:
the Program acts as a device for the transition of health care and training models, by promoting the problematization of daily work and the approximation between teaching and service. Emphasis is placed on the importance of the subjects’ commitment and the different perspectives on the community.
Conclusion:
Pró-Saúde leaves visible marks in the process of qualifying students and professionals, as well as promoting collaborative action in the fields of management, care, teaching and social control in the SUS (Brazilian Unified Health System).
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RESEARCH01-01-2018
Critical incidents involving Semiology during practical activities of nursing undergraduates
Revista Brasileira de Enfermagem. 2018;71:1572-1579
Abstract
RESEARCHCritical incidents involving Semiology during practical activities of nursing undergraduates
Revista Brasileira de Enfermagem. 2018;71:1572-1579
DOI 10.1590/0034-7167-2017-0364
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Objective:
To identify critical incidents (situations, behaviors and feelings) during practical activities, involving knowledge and skills related to the discipline of Semiology and Semiotics.
Method:
Descriptive research using the critical incident technique, with the Snow Ball technique for the selection of participants and an instrument for collection of data. The reports were categorized according to the elements of the critical incident (situations, behaviors and feelings).
Results:
A total of 62 reports from senior (n = 46), sophomore and junior (n = 16) students were analyzed. The students were predominantly female (90.3%). The majority described a situation of a physical examination, expressed mastery of the skills necessary for the activity and reported positive feelings.
Conclusion:
The reports showed that the knowledge and skills acquired in the discipline allowed for a development of practical activities with familiarity and positive feelings. The importance that the students attribute to the recognition of the activities by the professor, the patient and family stands out.
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01-01-2018
ERRATA
Revista Brasileira de Enfermagem. 2018;71:1569-1569
Abstract
ERRATA
Revista Brasileira de Enfermagem. 2018;71:1569-1569
DOI 10.1590/0034-7167.201871suppl3e01
Views0No artigo “Idoso e demanda de cuidador: proposta de classificação da necessidade de cuidado”, com número de DOI: , publicado no periódico Revista Brasileira de Enfermagem, v71(suppl 2):897-904, na página 901, na Figura 3:Onde se via:[…]See more -
RESEARCH01-01-2018
Nurses’ knowledge and competencies for preceptorship in the basic health unit
Revista Brasileira de Enfermagem. 2018;71:1564-1571
Abstract
RESEARCHNurses’ knowledge and competencies for preceptorship in the basic health unit
Revista Brasileira de Enfermagem. 2018;71:1564-1571
DOI 10.1590/0034-7167-2016-0533
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Objective:
to describe the actions performed by nurses in the preceptorship of students in the Basic Health Unit (Portuguese acronym: UBS); to identify the knowledge of nurses and competencies they need to acquire or develop in order to act in the preceptorship of students in the UBS; to discuss the implications of the pedagogical practice of preceptor nurses in their own continuing education.
Method:
qualitative, descriptive and exploratory nature. Scenario: A UBS. Participants: six preceptor nurses. Data collection: semi-structured interview.
Results:
Bardin’s content analysis was used. Emerging categories: Approaching the concept of preceptor and the teaching role; The fragile institutional recognition of UBS as a field of internship and the offer of knowledge of preceptors: overcoming difficulties; Preceptor nurses’ performance in face of dynamics of facts arising and shaping the reality in a UBS; Opportunities and limitations of the pedagogical practice implying on continuing education.
Conclusion:
it is necessary to discuss and rethink the strategies of interest of preceptors and develop their competencies.
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RESEARCH01-01-2018
The nurse training in research in the undergraduate education: teaching perceptions
Revista Brasileira de Enfermagem. 2018;71:1556-1563
Abstract
RESEARCHThe nurse training in research in the undergraduate education: teaching perceptions
Revista Brasileira de Enfermagem. 2018;71:1556-1563
DOI 10.1590/0034-7167-2017-0511
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Objective:
To analyze how the approach of the theme “scientific investigation” can contribute to the development of the scientific competence of the Nursing student.
Method:
A descriptive-exploratory, case-study, qualitative study was carried out with professors from a public university in the South of Brazil. Data were collected through a semi-structured individual interview and a group interview, called the conversation circle.
Results:
Data analysis consisted of three categories: “Research as a structuring theme and scientific principle in undergraduate student training in Nursing”; “Research as a structuring theme and scientific principle in undergraduate student training in Nursing”; “Sap research and educational principle in the integrated curriculum”.
Conclusion:
Research training can occur at all undergraduate academic moments, providing the student with the knowledge of scientific research as a formative content and as an investigative attitude, in order to enable the development of scientific competence in professional practice.
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RESEARCH01-01-2018
Clothing and professional identity in the training of nurses in the city of Juiz de Fora
Revista Brasileira de Enfermagem. 2018;71:1548-1555
Abstract
RESEARCHClothing and professional identity in the training of nurses in the city of Juiz de Fora
Revista Brasileira de Enfermagem. 2018;71:1548-1555
DOI 10.1590/0034-7167-2017-0522
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Objective:
To understand the meaning of the transformations that occurred in the clothing of EEHB students and their role in the construction of a professional identity of nurses in Juiz de Fora.
Method:
Historical and social qualitative study from 1965 to 1978. Oral and written sources were used. Oral sources were produced with the Thematic Oral History technique, with 10 collaborators. The theoretical frameworks used were the concepts of identity of Claude Dubar, and concepts of clothing and their symbolic meanings of Roland Barthes.
Results:
The EEHB nursing students’ uniform represented a brand, an essential symbol in the construction and consolidation of the nurse’s identity in the city of Juiz de Fora.
Conclusion:
The uniform was recognized as an object of identification of nurses in the city, giving them a social image of credibility for their training.
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ORIGINAL ARTICLE05-08-2023
Precarious work at a surgical center: implications for the organization and for the health of nursing workers
Revista Brasileira de Enfermagem. 2023;76(2):e20220120
Abstract
ORIGINAL ARTICLEPrecarious work at a surgical center: implications for the organization and for the health of nursing workers
Revista Brasileira de Enfermagem. 2023;76(2):e20220120
DOI 10.1590/0034-7167-2022-0120
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Objectives:
to analyze the implications of precarious work for the organization of work and for the health of nursing professionals in a surgical center.
Methods:
qualitative, descriptive study in which the interview technique was applied on 30 nursing professionals from a surgical center in a university hospital located in the Southeast region of Brazil. The project was approved by the research ethics committee. Thematic content analysis was applied in the categorization of speeches.
Results:
precarious work in the surgical center negatively affects the organization of work due to staff turnover, loss of skilled talent, and the need for continuous training of temporary workers. It also affects the quality of care, leading to risks to patient safety and workers’ health.Final Considerations: it is important to make work conditions less precarious in order to minimize staff turnover and promote the quality of the service offered and the health of the worker.
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ORIGINAL ARTICLE04-07-2023
Suicide attempts by adolescents assisted in an emergency department: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220137
Abstract
ORIGINAL ARTICLESuicide attempts by adolescents assisted in an emergency department: a cross-sectional study
Revista Brasileira de Enfermagem. 2023;76(2):e20220137
DOI 10.1590/0034-7167-2022-0137
Views1See moreABSTRACT
Objectives:
to identify and characterize the care provided to adolescents admitted to an emergency department due to a suicide attempt.
Methods:
an observational, cross-sectional, descriptive study with a retrospective approach, carried out with medical records of adolescents aged 10 to 19 admitted for suicide attempts, between January 2015 and July 2020, in an emergency department. Data were subjected to descriptive and inferential analysis.
Results:
eighty-eight service occurrences were identified, mainly to females, exposed to multiple risk factors. Exogenous intoxication was the main method used, occurring at home and on weekdays. There were systemic repercussions, requiring multiple interventions and hospitalizations. Only 26% of cases were notified.
Conclusions:
adolescents treated for suicide attempts were exposed to multiple risk factors, with intoxication as the main means used. There is concern about the underreporting of cases and the logic of clinical care and medicalization.
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ORIGINAL ARTICLE02-06-2023
Family caregivers’ itineraries of preschool children who survived leukemia: implications for primary healthcare nursing
Revista Brasileira de Enfermagem. 2023;76(2):e20220193
Abstract
ORIGINAL ARTICLEFamily caregivers’ itineraries of preschool children who survived leukemia: implications for primary healthcare nursing
Revista Brasileira de Enfermagem. 2023;76(2):e20220193
DOI 10.1590/0034-7167-2022-0193
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Objectives:
to analyze the path taken by family caregivers of preschool children who survived leukemia and discuss the implications for primary healthcare nursing.
Methods:
the narrative interview guided by a talking map and body knowledge was used with family members of children who survived leukemia, living in Rio de Janeiro (capital) and São Paulo (countryside). Conversation analysis was applied to the data.
Results:
five family groups (seven people) of five children started their journey in the professional subsystem of private services; four were assisted in the private sector since the onset of the illness; one was assisted in public and private services. Living conditions reduced barriers to accessing supplementary health, facilitating coordination, and listening to a reference professional.
Final Considerations:
the itinerary was marked by attentive listening to family caregivers by reference professionals, favoring early diagnosis, initiation of treatment, and resolution of leukemia with the cure of children.
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ORIGINAL ARTICLE05-08-2023
Trend in hospitalizations due to ambulatory care-sensitive conditions in the Federal District
Revista Brasileira de Enfermagem. 2023;76(2):e20220351
Abstract
ORIGINAL ARTICLETrend in hospitalizations due to ambulatory care-sensitive conditions in the Federal District
Revista Brasileira de Enfermagem. 2023;76(2):e20220351
DOI 10.1590/0034-7167-2022-0351
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Objectives:
to analyze the trend, according to sex, of Ambulatory Care-Sensitive Conditions in the Primary Health Care of the Federal District, from 2009 to 2019.
Methods:
ecological trend study using ACSC hospitalization data available in the Hospitalization System of the Single Health System. The Prais-Winsten method was used to calculate the annual rate variation, expressed in percentages. The dependent variable was the logarithm of the rates, and the independent one, the years in the time series.
Results:
the Federal District registered 2,103,951 general hospitalizations, 16.4% of which were due to Ambulatory Care-Sensitive Conditions. Males had a higher rate of hospitalization in the period, and both sexes showed a stationary trend.
Conclusions:
the time trend of Ambulatory Care- Sensitive Conditions was stationary, but further studies are necessary regarding primary health care coverage.
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ORIGINAL ARTICLE03-17-2023
Characteristics of work in primary care identified in the collective exercise of application of the SWOT matrix
Revista Brasileira de Enfermagem. 2023;76(2):e20220443
Abstract
ORIGINAL ARTICLECharacteristics of work in primary care identified in the collective exercise of application of the SWOT matrix
Revista Brasileira de Enfermagem. 2023;76(2):e20220443
DOI 10.1590/0034-7167-2022-0443
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Objective:
to understand how variables strengths, weaknesses, opportunities and threats make it possible to characterize work in Primary Health Care, to collectively propose strategies for systematizing this process with Family Health teams.
Methods:
methodological research, with 23 participants in direct relationship with Primary Care, including representatives of segments: care (work), management and social control. In one of the three pedagogical meetings, the SWOT matrix was used as a tool for organizational work planning.
Results:
applying the matrix resulted in the following thematic categories: Teamwork and regulations: key elements for interprofessionality at work; Continuing Health Education: path to autonomy and participatory management (co-management).
Final considerations:
the study promoted the systematization of teams’ work, through the mobilization of sectors and distribution of tasks, involving professionals in the co-management of the process.
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ORIGINAL ARTICLE03-27-2023
Adaptation and validation of an adult patient classification instrument with emphasis on the family dimension
Revista Brasileira de Enfermagem. 2023;76(2):e20220530
Abstract
ORIGINAL ARTICLEAdaptation and validation of an adult patient classification instrument with emphasis on the family dimension
Revista Brasileira de Enfermagem. 2023;76(2):e20220530
DOI 10.1590/0034-7167-2022-0530
Views1See moreABSTRACT
Objectives:
to adapt and validate an instrument for classifying adult patients that emphasizes the family support network in the demand for nursing care.
Methods:
methodological study, carried out in three phases: adaptation of an instrument considering the reality of adult patients; content validation with seven experts and assessment of measurement properties (construct validity and internal consistency) with 781 hospitalized patients.
Results:
in content validation, the indicators reached the values established for the Content Validity Index (0.85-1.00). In the confirmatory factor analysis, the 11 indicators were distributed in three domains and presented average variance extracted and factor loading greater than 0.5. Composite reliability was greater than 0.7.
Conclusions:
the present study adapted and made available, with evidence of validity and reliability, an instrument for classifying adult patients that considers the family support network in the demand for nursing care.
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ORIGINAL ARTICLE05-08-2023
Interactive gerontechnology for fall prevention in the elderly: a descriptive study
Revista Brasileira de Enfermagem. 2023;76(2):e20220739
Abstract
ORIGINAL ARTICLEInteractive gerontechnology for fall prevention in the elderly: a descriptive study
Revista Brasileira de Enfermagem. 2023;76(2):e20220739
DOI 10.1590/0034-7167-2022-0739
Views0See moreABSTRACT
Objectives:
to develop interactive gerontechnology for the prevention of falls in the elderly at home.
Methods:
an exploratory and descriptive study that consisted of gerontechnology development and evaluation by experts and the target audience. For evaluation, researchers used the Agreement Index (AI), considering values greater than 80%.
Results:
the three-dimensional virtual scale model was elaborated through the SketchUp program, with the distribution of rooms and floors, constituting Prototype 1 (P1). Fifty-four judges evaluated the P1, and all presented agreement above the established, with a minimum AI of 88% and a maximum of 100%, producing Prototype 2 (P2). Thirty elderly participants from a philanthropic institution evaluated Prototype 2. On all items, AI ranged from 83% a 100%, resulting in the final version.
Conclusions:
the product of this research reveals itself as an innovative and scientifically based tool aimed at preventing falls in the elderly.
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ORIGINAL ARTICLE08-21-2023
Effectiveness of educational intervention among seropositive women about knowledge about HIV sexual transmission
Revista Brasileira de Enfermagem. 2023;76(3):e20220371
Abstract
ORIGINAL ARTICLEEffectiveness of educational intervention among seropositive women about knowledge about HIV sexual transmission
Revista Brasileira de Enfermagem. 2023;76(3):e20220371
DOI 10.1590/0034-7167-2022-0371
Views0See moreABSTRACT
Objectives:
to assess the effectiveness of a group and telephone educational intervention with seropositive women about knowledge about HIV sexual transmission prevention.
Methods:
a quasi-experimental before-and-after study, carried out with 151 women living with HIV in a Specialized Care Service in a Brazilian capital. The educational intervention was carried out in three moments, with the assessment being carried out before the first and after the last moment.
Results:
97.4% of study participants were cisgender women aged between 18 and 58 years; 55.6% considered themselves brown; and 32.5% of interviewees had elementary school. Regarding knowledge about HIV sexual transmission, in 78.5% of items, there was an association (p<0.005) with increased participants’ knowledge after receiving the intervention.
Conclusions:
the educational intervention helped to increase the knowledge of women living with HIV about the sexual transmission of the infection.
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