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ORIGINAL ARTICLE07-29-2022
Cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(5):e20210818
Abstract
ORIGINAL ARTICLECognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(5):e20210818
DOI 10.1590/0034-7167-2021-0818
Views0See moreABSTRACT
Objective:
to assess the effectiveness of a cognitive-behavioral program to control lower urinary tract symptoms after radical prostatectomy.
Methods:
a randomized clinical trial study, with 41 participants randomized into intervention (n=20) and control (n=21), for three months. The intervention group received the cognitive-behavioral program, while the control group received routine guidance from the service. Outcome variables were urinary incontinence intensity and lower urinary tract symptoms, assessed by the Pad-Test and Urinary Incontinence Scale of Radical Prostatectomy and King’s Health Questionnaire.
Results:
at the end of the study, the intervention group had a lower urinary incontinence intensity (p≤0.001), and there were less chances of presenting changes in urinary frequency (p≤0.001), urinary urgency (p≤0.001), nocturia (p=0.005), stress urinary incontinence (p≤0.001) and urge incontinence (p≤0.045).
Conclusion:
the cognitive-behavioral program was effective in reducing lower urinary tract symptoms after radical prostatectomy. Brazilian Clinical Trial Registry: RBR-3sstqg.
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ORIGINAL ARTICLE07-22-2022
Lilalva Scale: soft-hard technology to measure clinical competencies in emergencies of nurses
Revista Brasileira de Enfermagem. 2022;75(5):e20210950
Abstract
ORIGINAL ARTICLELilalva Scale: soft-hard technology to measure clinical competencies in emergencies of nurses
Revista Brasileira de Enfermagem. 2022;75(5):e20210950
DOI 10.1590/0034-7167-2021-0950
Views0See moreABSTRACT
Objectives:
to present the visual identity of a soft-hard technology; to describe its technical characteristics, standardization and norms of criteria for the interpretation of results, in order to measure clinical competencies in emergencies of nurses.
Methods:
article developed as a methodological study for the creation of the graphic image of the scale and standardization based on previous studies of validity and reliability evidence.
Results:
the designed technology was named “Lilalva Scale for Measuring Clinical Competencies in Emergencies of Nurses”. The graphic image text is organized by title, instructions on how to fill it out, description of the quality of delivery, and behavioral actions with respective degrees of response. The Scale has 22 items with characterization data. The standardization of the measurement instrument included: instructions for use, calculation protocol, and hypothetical example to calculate scores, the sum of the resulting scores metric for each clinical competence and diagnostic classification.
Conclusions:
the visual identity and the standardization instrumentalize the use of the Scale for those interested in the theme.
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ORIGINAL ARTICLE07-22-2022
Educational technology to promote father involvement in childbirth and birth
Revista Brasileira de Enfermagem. 2022;75(5):e20210243
Abstract
ORIGINAL ARTICLEEducational technology to promote father involvement in childbirth and birth
Revista Brasileira de Enfermagem. 2022;75(5):e20210243
DOI 10.1590/0034-7167-2021-0243
Views0See moreABSTRACT
Objectives:
to build and validate an educational booklet to promote the involvement of parents in labor and birth.
Methods:
methodological study developed in five stages: situational diagnosis; bibliographic survey; construction of illustrations, layout, design and texts; content and appearance validation by judges (25 experts) and calculation of the Flesch Readability Index; and validation with the target audience (12 parents). A minimum Content Validity Index of 0.80 was considered.
Results:
the booklet was entitled “Father Presence” and was developed in 11 topics. In Content and Appearance Validation, the Validity Index obtained an overall score of 0.97. Cronbach’s alpha was 0.92, indicating excellent reliability of its content. A global score of 74% for readability was obtained, considered easy to understand.
Conclusions:
the material was successful in the validation process, and it can be recommended for parents to use it during the prenatal period, promoting the inclusion of the partner and preparing them for labor and birth.
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ORIGINAL ARTICLE07-22-2022
Implementation of advanced practice nursing in Brazilian Primary Health Care: methodological path
Revista Brasileira de Enfermagem. 2022;75(5):e20210614
Abstract
ORIGINAL ARTICLEImplementation of advanced practice nursing in Brazilian Primary Health Care: methodological path
Revista Brasileira de Enfermagem. 2022;75(5):e20210614
DOI 10.1590/0034-7167-2021-0614
Views0See moreABSTRACT
Objectives:
to describe the operationalization of the steps of a model proposed by the Pan American Health Organization for implementing advanced practice nursing in Primary Health Care services.
Methods:
a methodological study, with a qualitative approach, carried out in a local health system located in southern São Paulo. The first six steps of the model were followed: 1) improve health outcomes; 2) identify stakeholders; 3) determine unmet health needs; 4) identify priorities and goals to introduce advanced nursing practices in primary health care; 5) define advanced practice nursing in primary health care; 6) plan implementation strategies.
Results:
in each step, the objectives, methodological strategies and operationalization were described.
Final Considerations:
the model proved to be effective to support the process of development and implementation of advanced practice nursing in the local system studied.
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ORIGINAL ARTICLE07-22-2022
Effects of carbohydrate use on preoperative thirst: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(5):e20210355
Abstract
ORIGINAL ARTICLEEffects of carbohydrate use on preoperative thirst: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(5):e20210355
DOI 10.1590/0034-7167-2021-0355
Views0See moreABSTRACT
Objectives:
to evaluate the effectiveness of carbohydrate popsicles, carbohydrate solution, and usual care (fasting) on the intensity and discomfort of preoperative thirst.
Methods:
a randomized clinical trial with 60 preoperative patients aged between 18 and 60 years, randomized into three groups: control (fasting), carbohydrate solution (100 ml), and carbohydrate popsicle (100 ml). The outcomes were thirst intensity and discomfort.
Results:
there was a difference between groups for final thirst intensity (p = 0.01) and final thirst discomfort (p = 0.001). The effect size for both the Solution Group and the Popsicle Group was robust: 0.99 and 1.14, respectively.
Conclusions:
the groups that received the carbohydrate fasting abbreviation showed a reduction in thirst discomfort compared to the control group. The carbohydrate popsicle proved more effective in reducing the intensity of thirst. NCT: 3.209.283
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ORIGINAL ARTICLE07-22-2022
Cross-cultural adaptation, validation and reliability of the Medication Safety Thermometer tool for use in Brazil
Revista Brasileira de Enfermagem. 2022;75(5):e20210839
Abstract
ORIGINAL ARTICLECross-cultural adaptation, validation and reliability of the Medication Safety Thermometer tool for use in Brazil
Revista Brasileira de Enfermagem. 2022;75(5):e20210839
DOI 10.1590/0034-7167-2021-0839
Views0See moreABSTRACT
Objectives:
to perform cross-cultural adaptation, face and content validation and reliability analysis of the Medication Safety Thermometer tool for use in Brazil.
Methods:
the process of cross-cultural adaptation and validation followed the stages of translation, synthesis of translations, back-translation, content validation performed by experts, and face validation through pre-testing. Reliability was determined by calculating the Kappa coefficient.
Results:
the two translated versions were synthesized into a single version, which was back-translated and showed no divergences. The expert committee judged the adapted tool as equivalent, reaching a Content Validity Index higher than 0.8. The mean global understanding was 1.82, demonstrating face validity. The assessed items had Kappa coefficient greater than 0.61, showing agreement between observers.
Conclusions:
the cross-cultural adaptation of the tool was performed following an established methodology. The adapted tool showed inter-rater reliability and validity for use in Brazil.
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ORIGINAL ARTICLE07-18-2022
Legal abortion in childhood: the official discourse and the reality of a Brazilian case
Revista Brasileira de Enfermagem. 2022;75(6):e20210946
Abstract
ORIGINAL ARTICLELegal abortion in childhood: the official discourse and the reality of a Brazilian case
Revista Brasileira de Enfermagem. 2022;75(6):e20210946
DOI 10.1590/0034-7167-2021-0946
Views0See moreABSTRACT
Objective:
to identify the ideological perspectives of official discourses in relation to sexual violence, childhood pregnancy and access to legal abortion based on a Brazilian case.
Methods:
a qualitative documentary study. Data collection was carried out in documents published on official Brazilian websites, between August and December 2020. The analytical categories of gender and generation supported data analysis.
Results:
a total of 39 documents were selected and three empirical categories were identified: Protection against violence in the legislation and the (re)production of injuries in reality; Facing sexual violence against children by the Brazilian State; Being a Brazilian girl: gender and generational oppressions.
Final considerations:
the ideological perspectives of official discourses in relation to the case showed a lack of compliance with advances in Brazilian legislation on issues related to child violence and adult-centric authoritarianism, with the imposition of gender and generation subalternity.
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07-18-2022
Factores asociados al uso del respirador N95 en universitarios en lo cotidiano de la COVID-19
Revista Brasileira de Enfermagem. 2022;75(6):e20210412
Abstract
Factores asociados al uso del respirador N95 en universitarios en lo cotidiano de la COVID-19
Revista Brasileira de Enfermagem. 2022;75(6):e20210412
DOI 10.1590/0034-7167-2021-0412es
Views0See moreRESUMEN
Objetivo:
Identificar los factores asociados al uso del respirador N95 en estudiantes de Enfermería y Medicina Humana en lo cotidiano de la pandemia COVID-19.
Métodos:
Estudio descriptivo-analítico transversal realizado en el año 2020. Participaron 830 estudiantes de tres universidades de Perú. Se evaluaron asociaciones mediante Chi Cuadrado de Pearson y modelamiento multivariado de Poisson con link log.
Resultados:
Se encontró diferencias estadísticamente significativas entre la preferencia de usar el respirador N95 en comparación con las mascarillas según la actividad que desempeñan (p=0,001) y lugar de residencia (p=0,005). El análisis multivariado reportó que las características asociadas fueron la edad, la actividad que desempeña, percepción y miedo de que podrían infectarse con COVID-19.
Conclusión:
En la preferencia de elegir el respirador N95, intervienen factores individuales y las percepciones. Se necesitan espacios para discutir lo cotidiano, la manera de vivir, cuidar y educar; considerando dimensiones socioeconómicas y creencias.
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ORIGINAL ARTICLE07-14-2021
Impact of the contamination time by Escherichia coli on biofilm formation in surgical instruments
Revista Brasileira de Enfermagem. 2021;74(3):e20200759
Abstract
ORIGINAL ARTICLEImpact of the contamination time by Escherichia coli on biofilm formation in surgical instruments
Revista Brasileira de Enfermagem. 2021;74(3):e20200759
DOI 10.1590/0034-7167-2020-0759
Views1See moreABSTRACT
Objectives:
to evaluate the microbial load and adherence of Escherichia coli in different areas of the surgical instrument surface exposed to experimental contamination over time.
Methods:
experimental study in which fragments of crile forceps (serrated, rod and rack) were contaminated by immersion in Tryptic Soy Broth, containing 106 CFU/mL of E. coli, for 1, 2, 4, 6, 8, 12 and 24 hours. Microbial load and bacterial adherence were evaluated using microbiological culture and scanning electron microscopy, respectively.
Results:
there was an increase in the microbial load on the surgical instrument, proportional to the contamination interval, ranging from 102 after 1 hour to 105 CFU/cm2 in 24 hours. The presence of exopolysaccharide was detected after two hours of contamination.
Conclusions:
microbial load and adhesion of E. coli increased over time, reaching 105 CFU/cm2 after 24 hours of contamination, starting biofilm formation after two hours.
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REVIEW07-09-2021
Breast cancer screening in Primary Health Care in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2021;74(3):e20200995
Abstract
REVIEWBreast cancer screening in Primary Health Care in Brazil: a systematic review
Revista Brasileira de Enfermagem. 2021;74(3):e20200995
DOI 10.1590/0034-7167-2020-0995
Views1See moreABSTRACT
Objectives:
to analyze care strategies for breast cancer screening in Primary Health Care in Brazil.
Methods:
this is a systematic review following the Cochrane Collaboration recommendations.
Results:
among 355 manuscripts, five were eligible. The patient navigation program by Community Health Agent stood out with the best result, among the strategies: flexibility of goals considering viability; community engagement; team training; active search of the target population by Community Health Agent; request for mammography by physicians; actions integrated to women’s health; monitoring of mammography results, absent users, and population coverage by physician and nurse; and assessment of criteria for requesting screening mammography by means of an information system. The population coverage rate in the program ranged from 23% to 88%.
Conclusions:
Primary Health Care in Brazil presents devices with potential to induce the production of care for breast cancer screening.
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ORIGINAL ARTICLE06-18-2021
Spatial-temporal analysis of leprosy in a priority Brazilian northeast municipality for disease control
Revista Brasileira de Enfermagem. 2021;74(3):e20201101
Abstract
ORIGINAL ARTICLESpatial-temporal analysis of leprosy in a priority Brazilian northeast municipality for disease control
Revista Brasileira de Enfermagem. 2021;74(3):e20201101
DOI 10.1590/0034-7167-2020-1101
Views0See moreABSTRACT
Objectives:
to analyze the spatial-temporal distribution of leprosy in a priority municipality for leprosy control.
Methods:
ecological study, conducted in a city in the Northeast of Brazil, whose analysis units were census sectors. The study used compulsory notification data for cases registered between 2008 and 2017. TerraView software and the Batch Geocode tool was used for geocoding. The detection of spatial-temporal agglomerations of high relative risks was done by scanning statistics.
Results:
the spatial-temporal distribution of cases was heterogeneous, creating four agglomerations of high relative risks in the urban area of the municipality between the years 2008 and 2012; and annual prevalence rates classified from high to hyperendemic.
Conclusions:
areas of higher risk and concentration of the disease in space-time were linked to the characteristics of high population density and social vulnerability of these spaces, raising the prioritization of health professionals’ actions, systems, and services for control, and monitoring the disease.
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ORIGINAL ARTICLE06-18-2021
Assessment of the implementation of a nurse-initiated pain management protocol in the emergency department
Revista Brasileira de Enfermagem. 2021;74(3):e20201303
Abstract
ORIGINAL ARTICLEAssessment of the implementation of a nurse-initiated pain management protocol in the emergency department
Revista Brasileira de Enfermagem. 2021;74(3):e20201303
DOI 10.1590/0034-7167-2020-1303
Views0See moreABSTRACT
Objectives:
to assess the implementation of a nurse-initiated pain management protocol for patients triaged as semi-urgent, and its impact in pain intensity, in the Emergency Department.
Methods:
a prospective cohort study for adult patients with pain who had been triaged as semi-urgent and admitted to the hospital’s Emergency Department. Patients who received the intervention (pain-management protocol with analgesic administration) were compared to those who were managed using the conventional approach (physician evaluation prior to analgesic administration).
Results:
of the 185 patients included, 55 (30%) received the intervention, and 130 (70%) were managed conventionally. Patients in the intervention group were more likely to have taken pain medication in the 4 hours prior to admission, and reported higher levels of pain at admission and more significant reductions in pain level.
Conclusions:
despite low protocol adherence, the intervention resulted in higher reported pain relief.
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ORIGINAL ARTICLE09-10-2021
Contradicting perceptions of nursing teachers on the neoliberal context of labor
Revista Brasileira de Enfermagem. 2021;74(4):e20200056
Abstract
ORIGINAL ARTICLEContradicting perceptions of nursing teachers on the neoliberal context of labor
Revista Brasileira de Enfermagem. 2021;74(4):e20200056
DOI 10.1590/0034-7167-2020-0056
Views0See moreABSTRACT
Objectives:
To identify and analyze the perceptions of nursing teachers on the new configurations of the job world and the repercussions for their labor activities.
Methods:
Qualitative, descriptive, exploratory research, carried out at two federal nursing colleges in Rio de Janeiro. Data collection occurred with 27 nursing teachers, between May and June 2016, through semi-structured interviews. The data were treated using the thematic content analysis technique.
Results:
The results showed contradictions in the teachers’ perceptions about the job world, which has been guided by neoliberal precepts. Such contradictions are characterized by manifestations in favor of incorporating these precepts, highlighting their negative effects on nursing teaching work.
Final considerations:
There are incongruities in the way of perceiving the current configuration of the job world, proposing more and profound reflections on such a work scenario.
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ORIGINAL ARTICLE06-04-2021
Association between early pregnant hospitalization and use of obstetric interventions and cesarean: a cross-sectional study
Revista Brasileira de Enfermagem. 2021;74(4):e20200397
Abstract
ORIGINAL ARTICLEAssociation between early pregnant hospitalization and use of obstetric interventions and cesarean: a cross-sectional study
Revista Brasileira de Enfermagem. 2021;74(4):e20200397
DOI 10.1590/0034-7167-2020-0397
Views0See moreABSTRACT
Objective:
Evaluate the association between early pregnant hospitalization and the use of obstetric interventions and cesarean delivery route.
Methods:
Cross-sectional study, with 758 women selected at the time of childbirth. It was assumed as early hospitalization when the woman was admitted to the hospital having less than 6 cm of cervical dilation. Logistic regression models were constructed in order to estimate the odds ratio for each obstetric intervention, adjusted by sociodemographic and obstetric variables.
Results:
73.22% of women were early hospitalized. On average, they had 1.97 times the chance to undergo Kristeller’s maneuver, 2.59 and 1.80 times the chance to receive oxytocin infusion and analgesia, respectively, and 8 times more chances to having their children by cesarean delivery when compared to women that had timely hospitalization.
Conclusion:
Early hospitalized women were submitted to a higher number of obstetric intervention and had increased chances of undergoing cesarean sections.
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ORIGINAL ARTICLE07-30-2021
Meaning of aging for caregivers of senile elderly people
Revista Brasileira de Enfermagem. 2021;74(4):e20201240
Abstract
ORIGINAL ARTICLEMeaning of aging for caregivers of senile elderly people
Revista Brasileira de Enfermagem. 2021;74(4):e20201240
DOI 10.1590/0034-7167-2020-1240
Views0See moreABSTRACT
Objectives:
to understand the meaning of aging for caregivers of senile elderly people.
Methods:
qualitative study carried out with 12 caregivers of elderly people registered in the Home Care Service, adopting the Explanatory Model of Kleinman’s Disease as a theoretical framework. Data were collected from April to June 2019, through semi-structured, audio-recorded interviews, carried out at home and submitted to content analysis.
Results:
taking care of senile elderly people triggers reflections on aging that sometimes lead to a new meaning of this process, besides stimulating the recognition of the factors that influence it, with emphasis on the life history, occupation and deleterious behaviors adopted throughout life.
Final Considerations:
the care experience influences the meaning attributed to aging, favoring: the identification of modifiable and non-modifiable aspects and behaviors that make it healthy; reflection on aging itself, with a new meaning of habits and behaviors to be adopted.
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ORIGINAL ARTICLE07-30-2021
Curricular reforms in the transformation of nursing teaching in a federal university
Revista Brasileira de Enfermagem. 2021;74(4):e20201242
Abstract
ORIGINAL ARTICLECurricular reforms in the transformation of nursing teaching in a federal university
Revista Brasileira de Enfermagem. 2021;74(4):e20201242
DOI 10.1590/0034-7167-2020-1242
Views1See moreABSTRACT
Objectives:
to discuss the curricular reforms adopted for nursing teaching in Brazil, from 1969 to 2019.
Methods:
historical, qualitative approach using the thematic oral history and document research. 13 interviews were carried out with graduation nursing professors from a federal university in the South of Brazil. The document sources were the political-pedagogical projects of the course and their associated documents. Minayo’s thematic analysis was used.
Results:
nursing curricula delineates the profile of the professional that must be formed and are reviewed in order to be adapted to social and educational changes, showing the scientific and professional potential of the nurse. Curricular reforms consider the quality of nursing formation.
Final Considerations:
the structure of the curriculum and the reforms that took place emerged according to the historical, political, epidemiological and social context demanded from the profession, to attend to the demands of society and to the work market.
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