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RESEARCH01-01-2018
Construction and validation of a distance Basic Life Support Course
Revista Brasileira de Enfermagem. 2018;71:2698-2705
Abstract
RESEARCHConstruction and validation of a distance Basic Life Support Course
Revista Brasileira de Enfermagem. 2018;71:2698-2705
DOI 10.1590/0034-7167-2018-0122
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Objective:
to describe the content construction and validation process of the Distance Education Basic Life Support Course.
Method:
methodological study, developed through literature review, outlined in the light of the Bloom’s Taxonomy and Ausubel’s Meaningful Learning Theory. For validation, the analysis was performed with judges, using a structured tool.
Results:
the construction of the distance course was complex and challenging, since it was tried to develop it with logical-methodological coherence, considering the constructivist perspective, representing an advance in the process of dissemination of the Urgency and Emergency teaching culture. As for the content validation process, it was verified that of the 16 suggestions made by the judges, 14 were accepted and two rejected.
Conclusion:
the course had its contents validated by experts.
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RESEARCH01-01-2018
Needs, expectations and care production of people in street situation
Revista Brasileira de Enfermagem. 2018;71:2689-2697
Abstract
RESEARCHNeeds, expectations and care production of people in street situation
Revista Brasileira de Enfermagem. 2018;71:2689-2697
DOI 10.1590/0034-7167-2017-0612
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Objective:
To understand the needs, expectations, and care production of people in street situations.
Method:
This is a qualitative study based on social phenomenology, conducted with eight people in street situations. Data were collected through a phenomenological interview from September to December, 2016.
Results:
The needs of participants refer to survival and access to health services. Care production involves physico-biological, spiritual, and affective-social aspects. The expectations of these people involve a desire for health care that considers their singularities and offers them social apparatuses.
Final considerations:
This study has contributions to the practice, training on health, and nursing in collective health, regarding care planning and provision to the population in street situations based on their expectations and lifestyles, considered as tools to help fulfill the health needs of this social group.
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RESEARCH01-01-2018
Integrative and complementary practices: use by community health agents in self-care
Revista Brasileira de Enfermagem. 2018;71:2682-2688
Abstract
RESEARCHIntegrative and complementary practices: use by community health agents in self-care
Revista Brasileira de Enfermagem. 2018;71:2682-2688
DOI 10.1590/0034-7167-2018-0078
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Objective:
To verify the use of integrative and complementary practices (ICPs) by community health agents working in family health teams.
Methods:
Cross-sectional, quantitative research, conducted in the city of Montes Claros, Minas Gerais. An structured form was used for the characterization of participants and use of ICPs. Descriptive and bivariate analyses were conducted.
Results:
Use of ICPs was referenced by 94 (40.7%) agents. The use of medicinal plants was predominant (32.5%). There were associations between: ICPs in general and negative self-perception of health (p=0.032), homeopathy and higher education (p=0.015), massage and living with partner(p=0.024), chiropractic care and income equal to or greater than four minimum wages (p=0.031), relaxation/meditation and religion (p=0.028).
Conclusion:
The use of ICPs was verified in the healthcare of community agents. It is necessary to strengthen these practices for the promotion of health and prevention of diseases.
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RESEARCH01-01-2018
Assessment of the product of nursing care in specialized hospitals
Revista Brasileira de Enfermagem. 2018;71:2675-2681
Abstract
RESEARCHAssessment of the product of nursing care in specialized hospitals
Revista Brasileira de Enfermagem. 2018;71:2675-2681
DOI 10.1590/0034-7167-2017-0354
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Objective:
To evaluate the product of care in units of specialized hospitals, identifying the items that most contributed to the score; to compare the product of care among hospitals, units, and shifts; to verify the association between demographic and professionals variables and the product of care.
Method:
Descriptive study, conducted in eight units of two specialized hospitals in the State of São Paulo. The evaluation of the product of care was performed by applying an instrument to 44 nurses.
Results:
“Multidisciplinary interaction and performance” obtained the lowest median in both hospitals, and the “Meeting assistance needs” and “Nursing care planning” were the better assessed ones. “Dimensioning of nursing staff” was the item that most contributed to the total score. There was a weak correlation between socio-demographic variables and score.
Conclusion:
The product of care, as found in both hospitals, was predominantly considered “good.” The tool enabled the identification of critical aspects of the nursing work.
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RESEARCH01-01-2018
Care-educational technologies: an emerging concept of the praxis of nurses in a hospital context
Revista Brasileira de Enfermagem. 2018;71:2666-2674
Abstract
RESEARCHCare-educational technologies: an emerging concept of the praxis of nurses in a hospital context
Revista Brasileira de Enfermagem. 2018;71:2666-2674
DOI 10.1590/0034-7167-2017-0753
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Objective:
to know the praxis of nurses in the hospital context and, from this, to define a concept about Care-Educational Technologies.
Method:
qualitative, exploratory-descriptive research, developed in a university hospital in Rio Grande do Sul State, Brazil, with 21 nurses (non-probabilistic sampling), through non-participant observation and semi-structured interview, conducted from March to December 2015. Records were analyzed through content analysis.
Results:
the results showed that in the context of nurses’ work, it is possible to deduce care-educational possibilities, based on the person-person, person-tool and/or person-universe relationship. The concept was defined based on the intertwining of caring-training and training-caring for oneself and other people.
Final considerations:
the reflections point to the need to develop or strengthen the autonomy of those involved in the health-disease process. This is based on the empowerment of people under their lives’ conditions, in their multidimensionality, within human praxis.
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RESEARCH01-01-2018
The production of care in the routine of Family Health Teams
Revista Brasileira de Enfermagem. 2018;71:2659-2665
Abstract
RESEARCHThe production of care in the routine of Family Health Teams
Revista Brasileira de Enfermagem. 2018;71:2659-2665
DOI 10.1590/0034-7167-2017-0595
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Objective:
To identify the factors interfering in the production of care in the daily work of health professionals from the Primary Health Care.
Method:
Qualitative research carried out with Family Health Strategy (FHS) teams, in the health units of Rocinha (Rocinha is a favela located in the South Zone of the city of Rio de Janeiro, Brazil). To analyze the data, the thematic network proposed by Attride-Stirling was used.
Results:
The routine of Teams in the Production of Care was the denomination of the network formed by the following themes: scales of services of the teams; structural problems of Family Health Units; standardization of protocols; challenges for the production of care; and collections of micro and macro management.
Final considerations:
The production of care by Family Health Teams is challenged when they take care beyond what is imposed in the organizational protocols of the FHS, reflecting the complexity of working and caring in territories with social disparities.
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RESEARCH01-01-2018
Formation and disruption of bonds between caregivers and institutionalized children
Revista Brasileira de Enfermagem. 2018;71:2650-2658
Abstract
RESEARCHFormation and disruption of bonds between caregivers and institutionalized children
Revista Brasileira de Enfermagem. 2018;71:2650-2658
DOI 10.1590/0034-7167-2017-0844
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Objective:
to understand the perspective of caregivers about the formation and disruption of bonds with institutionalized children.
Method:
a qualitative research that used as a theoretical framework the Attachment Theory and the Symbolic Interactionism, and the Grounded Theory as methodological framework. Participating in the study were 15 female caregivers of children aged zero to three years, from a child care institution in the south of Brazil, from April to July 2015.
Results:
three categories were elaborated: “Experiencing the formation of bond and attachment”; “Disrupting with the established bonds and detaching”; “Learning how to work with formation and disruption of bond”.
Final considerations:
we need to think of ways to minimize the negative effects formation and disruption of bonds. In this sense, active listening and the offer of psychological support favor the sharing of experiences and the emotional strengthening of the female caregivers.
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RESEARCH01-01-2018
Nursing care practices for people with Chronic Noncommunicable Diseases
Revista Brasileira de Enfermagem. 2018;71:2643-2649
Abstract
RESEARCHNursing care practices for people with Chronic Noncommunicable Diseases
Revista Brasileira de Enfermagem. 2018;71:2643-2649
DOI 10.1590/0034-7167-2017-0799
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Objective:
To understand care practices for people with Chronic Noncommunicable Disease, developed by Primary Health Care nurses in a municipality in southern Brazil.
Method:
Qualitative study, developed through the Discourse of the Collective Subject. Twenty-three nurses from the Family Health Strategy participated. Data were collected through semi-structured interviews and analyzed by the health promotion framework.
Results:
Nurses care practices for people with chronic disease present themselves through the home visit, individual care and collective care. These, eventually, have an extended character, advocating the promotion of health, at other times it is restrictive, returning to be a traditional and biologicalist practice.
Final considerations:
The nurse acts in a diversified way in this field, being present in the lives of people with chronic diseases. However, it is necessary to move forward, especially in the search for the constant and continuous development of an extended and welcoming care practice.
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RESEARCH01-01-2018
Assistance flowchart for pain management in a Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2018;71:1281-1289
Abstract
RESEARCHAssistance flowchart for pain management in a Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2018;71:1281-1289
DOI 10.1590/0034-7167-2017-0265
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Objective:
To describe and discuss the process of developing a flowchart collectively constructed by the health team of a Neonatal Intensive Care Unit for the management of neonatal pain.
Method:
This is a descriptive and an exploratory study with a qualitative approach that used Problem-Based Learning as a theoretical-methodological framework in the process of developing the assistance flowchart for the management of neonatal pain.
Results:
Based on this methodology, there was training in service and the discussion of key points of pain management by the health team, which served as input for the construction of the flowchart.
Final considerations:
The assistance flowchart for pain management, based on scientific evidence, provided means to facilitate the decision-making of the health team regarding the pain of the newborn. It is suggested to use the flowchart frequently to promote the permanent education of the team and identify possible points to be adjusted.
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RESEARCH01-01-2018
The adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380
Abstract
RESEARCHThe adolescent and the institutionalization: understanding the phenomenon and meanings attributed to it
Revista Brasileira de Enfermagem. 2018;71:1373-1380
DOI 10.1590/0034-7167-2017-0242
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Objective:
To understand the meaning of being institutionalized and in conflict with the law for the institutionalized adolescent.
Method:
A qualitative, phenomenological-comprehensive study carried out in a Socio-educational Service Foundation in the northern region of Brazil, with 05 institutionalized adolescents. The analysis was carried out under the understanding of the content suggested by Heidgger, thus allowing the construction of analytical categories for a hermeneutical interpretation.
Results:
Conflicting with the law means something negative and bad for the institutionalized adolescents, in which they understand that although there is deprivation of liberty, the period of hospitalization is an important moment for the reflection on the need to start over.
Conclusion:
The meaning of conflicting with the law goes far beyond a simple word, act or behaviour, it is something that only those who experience the phenomenon are able to unveil, arouse deep feelings and provide reflection to the adolescent about the damages caused by the infraction.
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RESEARCH01-01-2018
Identification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403
Abstract
RESEARCHIdentification of post-cesarean surgical site infection: nursing consultation
Revista Brasileira de Enfermagem. 2018;71:1395-1403
DOI 10.1590/0034-7167-2017-0325
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Objective:
To describe the profile of women in relation to their living conditions, health status and socio-demographic profile, correlating it with the presence of signs and symptoms suggestive of post-cesarean surgical site infection, identifying information to be considered in the puerperium consultation performed by nurses and proposing a roadmap for the systematization of care.
Method:
Quantitative, exploratory, descriptive, cross-sectional and retrospective review of medical records of women who had cesarean deliveries in 2014, in the city of São Paulo.
Results:
89 medical records were analyzed, 62 of them with incomplete information. In 11, there was at least one of the signs and symptoms suggestive of infection.
Conclusion:
Given the results of the study, the systematization of puerperal consultation is essential. The roadmap is an instrument that can potentially improve the quality of service and the recording of information.
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RESEARCH01-01-2018
Nursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506
Abstract
RESEARCHNursing laboratory and critical education of nurses: approaches and distances
Revista Brasileira de Enfermagem. 2018;71:1500-1506
DOI 10.1590/0034-7167-2017-0339
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Objective:
to analyze the contribution of the laboratory of nursing to the critical education of nurses.
Method:
qualitative study, conducted among 18 professors of higher education institutions, being one public and the other private. Data were collected between February and November of 2016 by means of semi-structured interview. To analyze data, it was used a content analysis in the thematic modality.
Results:
it was observed the emphasis in the technical skills development by propagation of behavior and practices; the creation of bonds between professors and students happens on the limit of good interpersonal relationship; the laboratory of nursing may help the critical reflection about the practice, being a place that allows the learning of ethics.
Final considerations:
the nurse education, carried out by the laboratory of nursing, have to overcome the emphasis in the uncritical reproduction of practices and to observe the nurse’s power to think about the reality in the meaning of its modification.
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RESEARCH01-01-2018
Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547
Abstract
RESEARCHIntroduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses
Revista Brasileira de Enfermagem. 2018;71:1540-1547
DOI 10.1590/0034-7167-2017-0188
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Objective:
to understand the introduction of the School Health Program in the city of Cascavel, Paraná State, as opposed to the report of nurses.
Method:
a qualitative study with fifteen participants. The data were collected from April to August 2015, through semi-structured interviews, analyzed by content analysis and thematic modality.
Results:
the category “Introduction process” of the School Health Program integrates the subcategories “Identified health problems” and the “Challenges of intersectoriality”. The program was implemented quickly, with a fragile training of professionals to perform in the phases that compose it. Structural conditions of schools, human and material resources, and emerging intersectoral interaction were identified obstacles. The integration of the health, school, and family constitutes the program’s potentiality.
Final considerations:
it is understood that the actions of the program were based on health assessments of students, and it is necessary for professionals and managers to discuss and analyze the obstacles identified to achieve all the proposed objectives.
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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
Training in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618
Abstract
RESEARCHTraining in diabetes education: meanings attributed by primary care nurses
Revista Brasileira de Enfermagem. 2018;71:1611-1618
DOI 10.1590/0034-7167-2017-0792
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Objective:
seize meanings attributed by primary care nurses to training in diabetes education.
Method:
exploratory and descriptive study, with a qualitative approach, with twenty primary care nurses; semistructured interview script, with interviews processed in the IRaMuTeQ software and analyzed through the Descending Hierarchical Classification. The results were subsidized in the Representational Theory of Meaning.
Results:
nurse training in diabetes education is insufficient for holistic action, although it allows the community to be instrumentalized in specific issues about the disease, using the limited tools available, especially lectures. Nurses find themselves in a context of challenges, improvisations, weaknesses, and limitations that determine the meaning attributed to diabetes education and subsequent actions.
Conclusion:
the meanings attributed by the nurses revealed an incipient training, which limits the quality of care provided and instigates the search for qualification.
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RESEARCH01-01-2018
Nursing international student mobility in the University of São Paulo
Revista Brasileira de Enfermagem. 2018;71:1619-1625
Abstract
RESEARCHNursing international student mobility in the University of São Paulo
Revista Brasileira de Enfermagem. 2018;71:1619-1625
DOI 10.1590/0034-7167-2017-0754
Views1See moreABSTRACT
Objective:
To characterize the experiences of undergraduate students of the School of Nursing of the University of São Paulo (EEUSP) who participated in international mobility programs between January 2011 and July 2017.
Method:
Exploratory, descriptive study with quantitative approach. Of 68 reports, only 38 (56%) were considered valid and were submitted to descriptive statistical analysis. Data were categorized in general, institutional, academic and cultural aspects and cost of living.
Results:
The main destination was Portugal and the years with most participation were 2012 and 2013. The mean stay was six months and the students took a mean of three to four courses. The main funder was the university of origin.
Conclusion:
Academic activities were limited to theoretical and practical courses, with little insertion in research. There is a need to increase investment in learning other languages and to expand partnerships with larger centers of foreign education and research.
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