Articles - Revista Brasileira de Enfermagem

  • RESEARCH

    Components of social learning theory in a tool for teaching Nursing

    Revista Brasileira de Enfermagem. 2015;68(5):906-912
    01-01-2015

    Abstract

    RESEARCH

    Components of social learning theory in a tool for teaching Nursing

    Revista Brasileira de Enfermagem. 2015;68(5):906-912
    01-01-2015

    DOI 10.1590/0034-7167.2015680520i

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    ABSTRACT

    Objective:

    to identify key components of the social learning theory in a computational tool to aid in teaching the reasoning process for the preparation of a nursing diagnosis.

    Method:

    qualitative study that analyzed the statements collected through a focus group of 18 teachers and students from two Brazilian nursing schools.

    Results:

    the themes were grouped into four categories related to the components of the theory and into 13 subcategories.

    Conclusion:

    the meaning of learning can be extended by the teacher’s didactics and corroborated by the relationship between systematization and reasoning. To learn by doing, some prerequisites are required as is a process of motivation and qualification, which are also inherent to learning by forming an identity in the group. In the feeling of belonging to a particular group, aspects related to the profession become visible as opposed to the aspects of belonging to a community of practice of learning.

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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.
    Components of social learning theory in a tool for teaching Nursing
  • RESEARCH

    Telephone call for post-discharge surveillance: validation and application of tool for video-assisted surgery

    Revista Brasileira de Enfermagem. 2015;68(5):899-905
    01-01-2015

    Abstract

    RESEARCH

    Telephone call for post-discharge surveillance: validation and application of tool for video-assisted surgery

    Revista Brasileira de Enfermagem. 2015;68(5):899-905
    01-01-2015

    DOI 10.1590/0034-7167.2015680519i

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    ABSTRACT

    Objective:

    to validate an instrument for post-discharge surveillance by telephone for video assisted surgeries.

    Method:

    a multi-method study with development, validation and application of the instrument. The validation was performed by experts considering the relevance, clarity and completeness of the contents in the calculation of the content validity index and valid questions that demonstrated 80% agreement. For the application of the instrument, the sample consisted of 68 women undergoing video-assisted surgery, and we conducted a descriptive analysis.

    Results:

    there was disagreement among experts in the first evaluation, and the instrument was redesigned obtaining agreement in the second evaluation. The response rate to the telephone contact was 88.2% (60/68). Complaints of abdominal pain, bleeding and incisional edema were more frequent. No patients presented with infection.

    Conclusion:

    the questionnaire was validated and applied and is available for use.

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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.
  • RESEARCH

    Managerial competences of coordinators of undergraduate nursing courses

    Revista Brasileira de Enfermagem. 2015;68(5):890-898
    01-01-2015

    Abstract

    RESEARCH

    Managerial competences of coordinators of undergraduate nursing courses

    Revista Brasileira de Enfermagem. 2015;68(5):890-898
    01-01-2015

    DOI 10.1590/0034-7167.2015680518i

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    ABSTRACT

    Objective:

    to analyze the experiences of how the managerial competences of coordinators, ideal and real, of undergraduate nursing course coordinators from the city of Belo Horizonte, Minais Gerais.

    Method:

    the theoretical framework presented a conceptual model of eight managerial roles (director, producer, monitor, coordinator, mentor, facilitator, broker and innovator) and three specific competences to the exercise of each one of them. Descriptive and qualitative research with 14 interviews conducted using semi-structured scripts, whose data were subjected to content analysis.

    Results:

    we highlighted the roles: mentor, director and facilitator as the most prominent, whose competences can be continually improved as a result of differentiated and permanent demands which the subject face, in addition to the natural ambiguities and contradictions of management function.

    Conclusion:

    the higher education institution can adjust their selection and evaluation processes for this position, including the difficulties of professional competences training required in the exercise of managerial function.

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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.
    Managerial competences of coordinators of undergraduate nursing courses
  • RESEARCH

    Family participation to elderly rehabilitation with femoral fracture

    Revista Brasileira de Enfermagem. 2015;68(5):883-889
    01-01-2015

    Abstract

    RESEARCH

    Family participation to elderly rehabilitation with femoral fracture

    Revista Brasileira de Enfermagem. 2015;68(5):883-889
    01-01-2015

    DOI 10.1590/0034-7167.2015680517i

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    ABSTRACT

    Objective:

    verify if the mode of care adopted by caregivers favored functional independence recovery by elderly with and without the presence of nervous system disease and mental and behavioral disorders; and, if disease interfered with their functional independence.

    Method:

    transversal study, with 12-month follow-up of 89 Brazilian elders (≥ 60 years) after proximal femoral surgery, and their family caregiver.

    Results:

    the Functional Independence Measure scores decreased by 0.7 points per year of life, and in the case of presenting nervous system disease and mental and behavioral disorders, this loss amounted to 20.5 points.

    Conclusion:

    The incentive to ambulate increased by 18.8 for self-care, 12.8 for self-care, and 11.5 for leisure activities on the Functional Independence Measure. Encouraging movement and ambulation, self-care and leisure activities, especially with those elderly with nervous system diseases and mental and behavioral disorders, is recommended.

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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.
  • RESEARCH

    Participação familiar para a reabilitação de idosos com fratura de fêmur

    Revista Brasileira de Enfermagem. 2015;68(5):883-889
    01-01-2015

    Abstract

    RESEARCH

    Participação familiar para a reabilitação de idosos com fratura de fêmur

    Revista Brasileira de Enfermagem. 2015;68(5):883-889
    01-01-2015

    DOI 10.1590/0034-7167.2015680517i

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    RESUMEN

    Objetivo:

    verificar si el modo de cuidar adoptado por los cuidadores favoreció la recuperación de la independencia funcional de los ancianos con y sin la presencia de enfermedad en el sistema nervioso y trastornos mentales y comportamentales y si enfermedades interfirieron en la independencia funcional.

    Método:

    estudio trasversal, con seguimiento por 12 meses de 89 ancianos brasileños (≥ 60 años), sometidos a cirugía de fémur proximal y sus cuidadores familiares.

    Resultados:

    los scores de la Medida de Independencia Funcional disminuyeron 0,7 puntos por año vivido y, en el caso de enfermedad en el sistema nervioso y trastorno mental y comportamental, esa pérdida aumentó para 20,5 puntos. El incentivo a la deambulación aumentó 18,9, al autocuidado 12,8 y al ocio 11,5 puntos de la Medida de Independencia Funcional.

    Conclusión:

    se recomienda el incentivo al movimiento y a la deambulación, al autocuidado y a las actividades de ocio, principalmente en aquellos ancianos con enfermedades en el sistema nervioso y trastorno mental y comportamental.

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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.
  • RESEARCH

    Absenteeism – illness of the nursing staff of a university hospital

    Revista Brasileira de Enfermagem. 2015;68(5):876-882
    01-01-2015

    Abstract

    RESEARCH

    Absenteeism – illness of the nursing staff of a university hospital

    Revista Brasileira de Enfermagem. 2015;68(5):876-882
    01-01-2015

    DOI 10.1590/0034-7167.2015680516i

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    ABSTRACT

    Objective:

    to analyze absenteeism – illness of the nursing staff.

    Method:

    this was a retrospective study of a university hospital in the city of Goiânia, Goiás, Brazil, using a quantitative approach. Data were collected from functional records of the staff during the period from 2008 to 2012.

    Results:

    of 602 workers, 435 had 1574 medical certifi cates. Diseases of the musculoskeletal system and connective tissue, followed by mental and behavioral disorders were the major diseases for sick leave. The occupation with the highest number of medical certifi cates was the nursing technician. Females and the age group between 41-50 years prevailed in the sample. Ambulatory was the area with most frequent events, followed by the medical clinic and emergency room.

    Conclusion:

    absenteeism-illness affects the functioning of the service, the nursing staff and users, promoting work overload, and interfering in the quality of nursing 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.
  • RESEARCH

    The nurse faced with early weaning in child nursing consultations

    Revista Brasileira de Enfermagem. 2015;68(5):869-875
    01-01-2015

    Abstract

    RESEARCH

    The nurse faced with early weaning in child nursing consultations

    Revista Brasileira de Enfermagem. 2015;68(5):869-875
    01-01-2015

    DOI 10.1590/0034-7167.2015680515i

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    ABSTRACT

    Objective:

    analyze the role of the nurse regarding early weaning in children younger than 6 months old.

    Method:

    qualitative and descriptive study. The nurses who performed the study did nursing consultation to children programmatically in family health units in Cuiabá – Mato Grosso. Data were collected in January and February 2012, through participant observation of nursing consultations. For data analysis, content analysis was used.

    Results:

    that nurses, in most cases, used appropriate strategies for the management of common problems in breastfeeding, although some behaviors have not yet proven scientifi c evidence about the benefi ts and/or damage to its practice.

    Conclusion:

    nurses addressed important aspects of breastfeeding during consultations and worked for the promotion and resumption of exclusive breastfeeding.

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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.
  • RESEARCH

    Ineffective airway clearance: accuracy of clinical indicators in asthmatic children

    Revista Brasileira de Enfermagem. 2015;68(5):862-868
    01-01-2015

    Abstract

    RESEARCH

    Ineffective airway clearance: accuracy of clinical indicators in asthmatic children

    Revista Brasileira de Enfermagem. 2015;68(5):862-868
    01-01-2015

    DOI 10.1590/0034-7167.2015680514i

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    ABSTRACT

    Objective:

    to analyze the accuracy measurements of clinical indicators of the nursing diagnosis Ineffective airway clearance.

    Method:

    cross-sectional study with 205 asthmatic children treated in the emergency unit of a hospital in the city of Fortaleza, Ceará. An interview script and pulmonary evaluation were used for data collection.

    Results:

    the diagnosis of Ineffective airway clearance was present in 89.3% of the sample. The most prevalent clinical indicators were dyspnea, change in respiratory rate, change in respiratory rhythm, orthopnea, adventitious respiratory sounds and ineffective cough. The clinical indicators with highest sensitivity were dyspnea, change in respiratory rate, change in respiratory rhythm, orthopnea and adventitious respiratory sounds. Ineffective cough and adventitious respiratory sounds were the indicators with best specifi city.

    Conclusion:

    the clinical indicator adventitious respiratory sounds was the best predictor of Ineffective airway clearance in asthmatic children treated in emergency units.

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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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