Articles - Revista Brasileira de Enfermagem

  • RESEARCH01-01-2017

    Prevention of chronic complications of diabetes mellitus according to complexity

    Revista Brasileira de Enfermagem. 2017;70(5):996-1003

    Abstract

    RESEARCH

    Prevention of chronic complications of diabetes mellitus according to complexity

    Revista Brasileira de Enfermagem. 2017;70(5):996-1003

    DOI 10.1590/0034-7167-2016-0080

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    ABSTRACT

    Objective:

    To assess the prevention by primary health care providers of chronic complications of diabetes mellitus according to the complex thinking theoretical approach.

    Method:

    Evaluative research based on the complex thinking theoretical approach. The following techniques for data collection were used: interviews with 38 participants; observation in collective and individual appointments; and analysis of medical records of people with diabetes. The triangulation applied for data analysis was the ATLAS.ti software.

    Results:

    The prevention and management of chronic complications of diabetes did not meet the requirements set forth by ministerial public policies aimed at this population. Systematic monitoring to prevention of chronic complications showed significant gaps.

    Final considerations:

    Primary health care did not consider preventive actions for diabetes mellitus complications. This context was marked by disjunctive, fragmented, and dissociated practices types of care targeted to the totality of the assisted people.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2017

    Job satisfaction in an oncology nursing team

    Revista Brasileira de Enfermagem. 2017;70(5):988-995

    Abstract

    RESEARCH

    Job satisfaction in an oncology nursing team

    Revista Brasileira de Enfermagem. 2017;70(5):988-995

    DOI 10.1590/0034-7167-2016-0422

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    ABSTRACT

    Objective:

    to identify the level of attributed, perceived and real job satisfaction of oncology nursing professionals and analyze the relationships between the levels of satisfaction among these workers.

    Method:

    a descriptive, quantitative cross-sectional study was conducted using the Index of Work Satisfaction (IWS) to evaluate the nursing team, nurses and technicians/auxiliaries. A total of 348 workers answered the questionnaire, of which 216 were fully completed and considered for the IWS calculation.

    Results:

    Autonomy was considered the most important item in attributed satisfaction for the nursing team and nurses. Salary was valorized most by the technicians/auxiliaries. For perceived satisfaction, Professional Status was the most important for all workers. Regarding real satisfaction, Interaction was the most important for the nursing team and technicians/auxiliaries; while the nurses valorized Autonomy. The nurses presented the greatest job satisfaction.

    Conclusion:

    a discrepancy was observed in job satisfaction among the oncology nurses, indicating the importance of further quantitative research.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2017

    Relational technologies as instruments of care in the Family Health Strategy

    Revista Brasileira de Enfermagem. 2017;70(5):981-987

    Abstract

    RESEARCH

    Relational technologies as instruments of care in the Family Health Strategy

    Revista Brasileira de Enfermagem. 2017;70(5):981-987

    DOI 10.1590/0034-7167-2016-0337

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    ABSTRACT

    Objective:

    This article aims to identify the relational technologies used by Family Health Strategy nurses in their daily work when treating patients.

    Method:

    Descriptive and cross-sectional study with qualitative approach; conducted between May and July 2015, in three Basic Health Units of the Southern Region of the Municipality of São Paulo, with 19 nurses of the Family Health Strategy. Data were collected through a semi-structured interview, and the speeches were fully transcribed and analyzed according to the technique of content analysis.

    Results:

    From the speeches of the participants, three categories emerged, showing the unawareness of the concept, but the valorization of its use; which are the relational technologies used by the participating nurses (communication, listening, empathy and welcoming reception), as well as the report of barriers to the use of relational technologies.

    Final consideration:

    Although the nurses value the use of relational technologies, the participants denoted unawareness of the nomenclature and its associated concepts, suggesting superficiality in the understanding and use of these instruments in the context of care in the Family Health Strategy.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2017

    Knowledge and practice in mental health nursing care

    Revista Brasileira de Enfermagem. 2017;70(5):973-980

    Abstract

    RESEARCH

    Knowledge and practice in mental health nursing care

    Revista Brasileira de Enfermagem. 2017;70(5):973-980

    DOI 10.1590/0034-7167-2016-0343

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    ABSTRACT

    Objective:

    To understand mental health nursing care based on the concept of the subject of the unconscious proposed by Lacan.

    Method:

    A narrative study was carried out with 19 nurses, chosen based on their theoretical approach or referral by other participants, through the snowball sampling technique. The interviews were carried out in person or digitally, and were recorded and fully transcribed.

    Results:

    The analysis was carried out based on Freudian and Lacanian psychoanalysis, approaching nursing care as it acts on the body, secretions, and excretions, to distinguish it from the spirit of fineness. Effects on care are discussed, considering the subject of the unconscious with its knowledge, creating unique exits (sinthome). In this situation, professionals are required to abstain from a position of knowing what is better for the Other.

    Final considerations:

    This nursing care perspective offers contributions when discussing the centrality of the subject and words in the care process.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
  • RESEARCH01-01-2017

    Weaving the West Psychosocial Care Network of the municipality of São Paulo

    Revista Brasileira de Enfermagem. 2017;70(5):965-972

    Abstract

    RESEARCH

    Weaving the West Psychosocial Care Network of the municipality of São Paulo

    Revista Brasileira de Enfermagem. 2017;70(5):965-972

    DOI 10.1590/0034-7167-2016-0566

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    ABSTRACT

    Objective:

    to understand how health service professionals involved in the care of users in psychic distress perceive the organization of the Psychosocial Care Network (RAPS – Rede de Atenção Psicossocial) in the western region of the city of São Paulo.

    Method:

    qualitative approach study conducted with 123 professionals with higher education who work in the care points of the network. A semi-structured interview was performed and data were submitted to the Alceste program for lexical analysis.

    Results:

    the network is in process of alignment with the mental health policy and the psychosocial rehabilitation strategy. However, the weaknesses in the work process of teams are related to deficits in human resources, structure, and communication, and to the limited appropriation of their guidelines.

    Final considerations:

    there are intense efforts of workers to weave the network, and barriers need to be overcome to support successful actions in mental health care in the territory.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Weaving the West Psychosocial Care Network of the municipality of São Paulo
  • RESEARCH01-01-2017

    Chronotype and work shift in nursing workers of university hospitals

    Revista Brasileira de Enfermagem. 2017;70(5):958-964

    Abstract

    RESEARCH

    Chronotype and work shift in nursing workers of university hospitals

    Revista Brasileira de Enfermagem. 2017;70(5):958-964

    DOI 10.1590/0034-7167-2016-0542

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    ABSTRACT

    Objective:

    To identify the predominant chronotype in nursing workers who work in surgical clinics of university hospitals and to verify the association with work shift.

    Method:

    Cross-sectional study, performed in surgical clinics of university hospitals in the Southern region of Brazil. The sample of 270 nursing workers answered questions of socio-occupational characterization, of health and the Morningness-Eveningness Questionnaire of Horne and Östberg. We performed a descriptive and bivariate analysis with the help of the SPSS software and confidence interval of 95%.

    Results:

    The indifferent chronotype predominated (45.2%). There were significant differences between occupational categories and variables “age” (p<0.001), “use of medication” (p=0.035) and “choice of work shift” (p=0.001). There was an association between the chronotype and the variables “work leave due to illness” (p=0.021), “children” (p=0.025), “use of medication” (p=0.018) and “work shift” (p=0.001).

    Conclusion:

    The chronotype remained indifferent, and the results confirmed association between chronotype and work shift.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Chronotype and work shift in nursing workers of university hospitals
  • RESEARCH01-01-2017

    Difficulties in nutritional counseling and child growth follow-up: from a professional perspective

    Revista Brasileira de Enfermagem. 2017;70(5):949-957

    Abstract

    RESEARCH

    Difficulties in nutritional counseling and child growth follow-up: from a professional perspective

    Revista Brasileira de Enfermagem. 2017;70(5):949-957

    DOI 10.1590/0034-7167-2016-0527

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    ABSTRACT

    Introduction:

    Nutritional counseling and growth follow-up are priorities when providing care to children; however, these have not been completely incorporated into primary health care.

    Objective:

    To know the difficulties for providing nutritional counseling and child growth follow-up, from a professional healthcare perspective.

    Method:

    Qualitative study, using Donabedian as theoretical framework, developed by 53 professionals in the field of primary health care. Data was obtained from focal groups and submitted to content analysis.

    Results:

    The main difficulties for nutritional counseling were clustered in the category of ‘perceptions and beliefs related to child feeding’. The ‘problems of infrastructure and healthcare’ and ‘maintenance of the hegemonic medical model’ are the main difficulties for following-up growth.

    Final considerations:

    Besides investments in infrastructure, healthcare training is indispensable considering beliefs and professional experiences, so in fact, nutritional counseling and child growth follow-up are incorporated in primary health care.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
    Difficulties in nutritional counseling and child growth follow-up: from a professional perspective
  • RESEARCH01-01-2017

    Severity and workload related to adverse events in the ICU

    Revista Brasileira de Enfermagem. 2017;70(5):942-948

    Abstract

    RESEARCH

    Severity and workload related to adverse events in the ICU

    Revista Brasileira de Enfermagem. 2017;70(5):942-948

    DOI 10.1590/0034-7167-2016-0427

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    ABSTRACT

    Objective:

    To analyze whether an increase in patient severity and nursing workload are correlated to a greater incidence of adverse events (AEs) in critical patients.

    Method:

    A prospective single cohort study was performed on a sample of 138 patients hospitalized in an intensive care unit (ICU).

    Results:

    A total of 166 AEs, occurred, affecting 50.7% of the patients. Increased patient severity presented a direct relationship to the probability of AEs occurring. However, nursing workload did not present a statistically significant relationship with the occurrence of AEs.

    Conclusion:

    The results cast light on the importance of using evaluation tools by the nursing personnel in order to optimize their daily activities and focus on patient safety.

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    This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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