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ORIGINAL ARTICLE11-15-2022
Social determinants of health that permeate the mental suffering of children on the french-brazilian border
- Nádia Cristine Coelho Eugenio Pedrosa
, - Carolina Almeida de Oliveira ,
- Maria Izabel Tentes Côrtes ,
- Renan Alves Silva ,
- Marina Nolli Bittencourt , [ … ],
- Jordânia Vieira Silva
Abstract
ORIGINAL ARTICLESocial determinants of health that permeate the mental suffering of children on the french-brazilian border
Revista Brasileira de Enfermagem. 2022;75:e20200295
DOI 10.1590/0034-7167-2020-0295
- Nádia Cristine Coelho Eugenio Pedrosa ,
- Carolina Almeida de Oliveira ,
- Maria Izabel Tentes Côrtes ,
- Renan Alves Silva ,
- Marina Nolli Bittencourt ,
- Jordânia Vieira Silva
Views0See moreABSTRACT
Objectives:
to understand the determinants involved in the mental suffering of schoolchildren on the French-Brazilian border.
Methods:
a qualitative study was conducted with children from 6 to 12 years of age from four State schools in the municipality of Oiapoque, located on the French-Brazilian border. The data were obtained through interviews, analyzed by the IRAMUTEQ software, and interpreted in the light of the Dahlgren and Whitehead’s social determinants of health model.
Results:
data indicate that the mental suffering experienced by children, especially characterized by anxious symptoms, such as concern of becoming fat and worries, were permeated by social situations that children went through daily, such as family abandonment, domestic violence, and bullying.
Final Considerations:
social determinants can be predictors of mental suffering in children, especially in environments of extreme vulnerability, such as the border, in a context of financial difficulties, domestic violence, and absence of parenting.
- Nádia Cristine Coelho Eugenio Pedrosa
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ORIGINAL ARTICLE11-15-2022
Reasons assigned to suicide attempts: adolescents’ perceptions
- Émilen Vieira Simões ,
- Adriane Maria Netto de Oliveira ,
- Leandro Barbosa de Pinho ,
- Luciano Garcia Lourenção ,
- Stella Minasi de Oliveira , [ … ],
- Francisca Lucélia Ribeiro de Farias
Abstract
ORIGINAL ARTICLEReasons assigned to suicide attempts: adolescents’ perceptions
Revista Brasileira de Enfermagem. 2022;75:e20210163
DOI 10.1590/0034-7167-2021-0163
- Émilen Vieira Simões ,
- Adriane Maria Netto de Oliveira ,
- Leandro Barbosa de Pinho ,
- Luciano Garcia Lourenção ,
- Stella Minasi de Oliveira ,
- Francisca Lucélia Ribeiro de Farias
Views0See moreABSTRACT
Objective:
identify the reasons for attempting suicide from the perspective of adolescents.
Methods:
qualitative study conducted with ten adolescents who attempted suicide and were attending a Centro de Atenção Psicossocial Infanto-Juvenil located in a city in the south of Brazil. Semi-structured interviews were held in July 2020 using WhatsApp. Data were analyzed according to Minayo’s Content Thematic Analysis.
Results:
the adolescents’ reports listed the reasons that triggered suicide attempts, such as changes in the adolescents’ life cycle and violence, which led them to attempt suicide to solve problems.
Final considerations:
Data analysis revealed the reasons that triggered suicide attempts from the adolescents’ perspective and difficulties to cope with problems, probably explained by their lack of experience in dealing with frustrations and disappointments.
- Émilen Vieira Simões
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ORIGINAL ARTICLE11-12-2022
Factors associated with sexual practices and positions performed by pregnant women: a cross-sectional study
- Emanuelly Vieira Pereira ,
- Jameson Moreira Belém ,
- Maria Juscinaide Henrique Alves ,
- Jaqueline Alves Silva Torquato ,
- Paulo Renato Alves Firmino , [ … ],
- Glauberto da Silva Quirino
Abstract
ORIGINAL ARTICLEFactors associated with sexual practices and positions performed by pregnant women: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(3):e20210162
DOI 10.1590/0034-7167-2021-0162
- Emanuelly Vieira Pereira ,
- Jameson Moreira Belém ,
- Maria Juscinaide Henrique Alves ,
- Jaqueline Alves Silva Torquato ,
- Paulo Renato Alves Firmino ,
- Ana Virgínia de Melo Fialho ,
- Glauberto da Silva Quirino
Views0See moreABSTRACT
Objectives:
to identify factors associated with the sexual practices and positions performed by pregnant women.
Methods:
a cross-sectional, quantitative study conducted with 354 pregnant women, in the interior of Ceará, Brazil, in 2016. For data collection, a form and a Pregnancy Sexuality Questionnaire were used.
Results:
there was a reduction in the sexual initiative of the woman, sexual disposition of the couple, sexual practices and most of the sexual positions, while the maintenance of preliminary sexual activities and initiative to perform them was verified. Sexual practices and positions decreased (p<0.0001): preliminary sexual activities, sexual disposition, lubrication, orgasm, pain or discomfort, sexual positions, sexual practices, and sexual satisfaction. Sexual practices and positions increased (p<0.0001) as a function of: education, number of deliveries, sexual life, desire and arousal, and sexual disposition of the pregnant woman, frequency of orgasm and of sexual practices (p<0.0001).
Conclusions:
sexual practices and positions of pregnant women were affected by domains of sexual function, sexual, reproductive, physical, and psychological aspects.
- Emanuelly Vieira Pereira
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11-12-2022
Relação entre atividade física e mudança na capacidade funcional numa coorte de idosos em São Paulo, Brasil
Revista Brasileira de Enfermagem. 2022;75(3):e20200837
Abstract
Relação entre atividade física e mudança na capacidade funcional numa coorte de idosos em São Paulo, Brasil
Revista Brasileira de Enfermagem. 2022;75(3):e20200837
DOI 10.1590/0034-7167-2020-0837
Views0See moreRESUMEN
Objetivos:
evaluar la relación entre ejercicio físico de ocio y cambio de capacidad funcional entre ancianos.
Métodos:
analizamos datos de una cohorte de ancianos en búsqueda de determinantes de la capacidad funcional en el seguimiento. Datos de la línea de base fueron recolectados entre 2007 y 2008 – acompañamiento mediano de 3,5 años. Fue construido un modelo de regresión linear multivariado completo para evaluar la capacidad funcional al fin del seguimiento, controlando por la capacidad funcional en la línea de base, características sociodemográficas, de salud y conductas y cantidad de ejercicio físico en el período.
Resultados:
el modelo final mostró capacidad funcional independientemente correlacionada con la edad (p<0,001), masa corporal (p=0,013) y número de actividades cotidianas comprometidas en la línea de base (p<0,001). Capacidad funcional mejoró con el aumento del ejercicio físico, pero perdió significación estadística después de ajustes (p=0,384).
Conclusiones:
capacidad funcional disminuyó con el aumento de la edad, el aumento de la perdida de la capacidad funcional en la línea de base y el aumento de la masa corporal. Aunque no significativamente relacionado, el ejercicio físico en el ocio aparece como un importante factor cambiable.
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ORIGINAL ARTICLE11-12-2022
Relationship between physical activity and functional capacity change in aged cohort in São Paulo, Brazil
Revista Brasileira de Enfermagem. 2022;75(3):e20200837
Abstract
ORIGINAL ARTICLERelationship between physical activity and functional capacity change in aged cohort in São Paulo, Brazil
Revista Brasileira de Enfermagem. 2022;75(3):e20200837
DOI 10.1590/0034-7167-2020-0837
Views0See moreABSTRACT
Objectives:
to evaluate the relationship between leisure-time physical activity and functional capacity change among aged people.
Methods:
we analyzed data of an aged cohort looking for determinants of functional capacity at follow-up. Baseline data were collected between 2007 and 2008 – average follow-up of 3,5 years. A full multivariate linear regression model was built to evaluate functional capacity at the end of the follow-up, controlling for functional capacity at baseline, sociodemographic, health and behavioral characteristics and amount of leisure-time physical activity in the period.
Results:
final model showed functional capacity independently correlated with age (p<0.001), body mass (p=0.013) and the number of activities of daily living compromised at baseline (p<0.001). Functional capacity improved with increased physical activity but loss statistical significance after adjustments (p=0.384).
Conclusions:
functional capacity decreases with increased age, increased loss of functional capacity at baseline and increased body mass. Albeit a non-significant association, leisure-time physical activity appears as an important modifiable factor.
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ORIGINAL ARTICLE11-12-2022
Low-laser light therapy in venous ulcer healing: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(3):e20210396
Abstract
ORIGINAL ARTICLELow-laser light therapy in venous ulcer healing: a randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(3):e20210396
DOI 10.1590/0034-7167-2021-0396
Views0See moreABSTRACT
Objectives:
to compare the effect of adjuvant low-laser light therapy versus conventional treatment alone on venous ulcer healing.
Methods:
this is a randomized clinical trial with 40 patients randomized equally to a control group (topical and compressive treatment) and intervention group (adjuvant low-laser light therapy). Outcomes of interest were Wound Healing: Secondary Intention and Tissue Integrity: Skin & Mucous Membranes, as described in the Classification of Nursing Outcomes/NOC.
Results:
groups with similar sociodemographic and clinical characteristics. Eighty-two ulcers were assessed, with an average duration of 1 to 5 years, in 1,066 nursing consultations, with a statistically significant difference in the time and number of healed ulcers (intervention group). There was a significant improvement in the nursing outcomes under study and in eight clinical indicators.
Conclusions:
low-laser light therapy improves and reduces tissue regeneration time, contributing to advances in wound treatment.
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ORIGINAL ARTICLE11-12-2022
Construction and validation of an instrument for assessing the functionality of individuals with schistosomiasis
- Andréa Costa de Oliveira ,
- Shirley Verônica Melo Almeida Lima ,
- Álvaro Francisco Lopes-Sousa ,
- Jader Pereira de Farias Neto ,
- Karina Conceição Gomes Machado de Araújo
Abstract
ORIGINAL ARTICLEConstruction and validation of an instrument for assessing the functionality of individuals with schistosomiasis
Revista Brasileira de Enfermagem. 2022;75(3):e20210306
DOI 10.1590/0034-7167-2021-0306
- Andréa Costa de Oliveira ,
- Shirley Verônica Melo Almeida Lima ,
- Álvaro Francisco Lopes-Sousa ,
- Jader Pereira de Farias Neto ,
- Karina Conceição Gomes Machado de Araújo
Views0See moreABSTRACT
Objectives:
to construct and validate an instrument for assessing the functionality of individuals with schistosomiasis.
Methods:
methodological study, developed in three stages: 1) construction of the instrument and its association with categories of the International Classification of Functionality, which the study used to elaborate the questions; 2) validation of content, performed by judges experts in the subject; 3) application of the instrument by the test-retest technique in the population with schistosomiasis in 14 days. The study used the correlation coefficient kappa to calculate the degree of agreement between the judges kappa.
Results:
in its final version, the instrument consists of 27 items, 9 of which are from the Body functions component, 6 from Body structures, 4 from Activity and participation, and 8 from Environmental factors.
Conclusions:
the constructed instrument has a biopsychosocial approach, considering four components of the ICF, besides presenting good validity and interobserver reliability.
- Andréa Costa de Oliveira
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11-11-2022
Análisis de la situación de las matronas y necesidad de medir sus cargas de trabajo
- Lorena Gómez García ,
- Ana Myriam Seva Llor ,
- María Fuensanta Hellín Gil ,
- María Dolores Roldán Valcárcel ,
- Pablo Paredes Cerezo , [ … ],
- Francisco Javier Navarro Guerrero
Abstract
Análisis de la situación de las matronas y necesidad de medir sus cargas de trabajo
Revista Brasileira de Enfermagem. 2022;75:e20210920
DOI 10.1590/0034-7167-2021-0920esp
- Lorena Gómez García ,
- Ana Myriam Seva Llor ,
- María Fuensanta Hellín Gil ,
- María Dolores Roldán Valcárcel ,
- Pablo Paredes Cerezo ,
- Esperanza de la Iglesia Cano ,
- Guadalupe Ruiz Merino ,
- Francisco Javier Navarro Guerrero
Views0See moreRESUMEN
Objetivo:
Analizar la situación laboral de las matronas y detectar sus necesidades de medición de cargas de trabajo.
Métodos:
Estudio de metodología mixta (cuantitativo y cualitativo), observacional, descriptivo y transversal. Se realizaron dos fases: La primera fase metodológica, consistió en la realización de entrevistas individuales semiestructuradas. Y en la segunda fase metodológica, se analizaron las intervenciones de enfermería (NIC) que las matronas efectúan en paritorio durante su jornada asistencial.
Resultados:
El 90,3% de las matronas presentan sobrecarga en el trabajo, pues para el 80,6% el ratio matrona- gestante no se encuentra bien establecido; pues tiempo medio de ejecución de una intervención de enfermería (NIC), es de 20 minutos. Por ello, el 100% de la muestra considera de máxima utilidad el desarrollo de herramientas de medición de cargas de trabajo.
Conclusiones:
Se ratifica la necesidad de generar un instrumento que considere la diversidad de intervenciones de enfermería (NIC) que desarrollan dentro del paritorio.
- Lorena Gómez García
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REVIEW09-18-2020
Allocation of resources for health care in COVID-19 pandemic times: integrative review
- Karla Rona da Silva ,
- Fernanda Gonçalves de Souza ,
- Fátima Ferreira Roquete ,
- Shirlei Moreira da Costa Faria ,
- Bruno César Ferreira Peixoto , [ … ],
- Adriane Vieira
Abstract
REVIEWAllocation of resources for health care in COVID-19 pandemic times: integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200244
DOI 10.1590/0034-7167-2020-0244
- Karla Rona da Silva ,
- Fernanda Gonçalves de Souza ,
- Fátima Ferreira Roquete ,
- Shirlei Moreira da Costa Faria ,
- Bruno César Ferreira Peixoto ,
- Adriane Vieira
Views0See moreABSTRACT
Objective:
To analyze information on resource allocation in the context of the COVID-19 pandemic, published in indexed scientific journals, from December 2019 to March 2020.
Methods:
This is an integrative literature review, which took place in March 2020. All databases were investigated and studies were found only in MEDLINE. After applying the established criteria, six articles were selected.
Results:
It was evident that the allocation of resources is carried out as the demands emerge. The fragility in presenting scientific-methodological evidence that can guide decision makers for assertive allocation of available resources is highlighted. The results showed that studies on this subject are incipient and need to be expanded.
Final considerations:
The need for health organizations and area authorities to be better prepared for the proper use of available resources, with allocation based on scientific evidence and maximization of resources is indicated.
- Karla Rona da Silva
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ORIGINAL ARTICLE05-24-2021
Critical thinking in nursing training: evaluation in the area of competence Education in Health
Revista Brasileira de Enfermagem. 2021;74:e20200979
Abstract
ORIGINAL ARTICLECritical thinking in nursing training: evaluation in the area of competence Education in Health
Revista Brasileira de Enfermagem. 2021;74:e20200979
DOI 10.1590/0034-7167-2020-0979
Views0See moreABSTRACT
Objective:
To analyze the constitution of critical thinking in nursing training in the approach by competence and the integrated curriculum, considering the evaluation process by capturing its challenges, and proposing overcoming strategies.
Methods:
Qualitative. In the first phase of data collection, interviews were conducted with twenty-four professors, nine preceptors, and fifteen students to reconstruct the profile of competence, and in the second phase, a workshop to validate the profile identified challenges and proposals. The Collective Subject Discourse was used to analyze the interviews and the holistic competence reference in reconstructing the profile.
Results:
The critical thinking is built based on experiences in the world of work, and evaluation is the conductor of reflections towards emancipation.
Final considerations:
It signals the importance of professor training in the learning evaluation and working with the collective construction of subjects to overcome challenges that happen in the changes of training.
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REFLECTION10-26-2020
Covid-19 pandemic and the motivations for demanding health service in indigenous villages
Revista Brasileira de Enfermagem. 2020;73:e20200312
Abstract
REFLECTIONCovid-19 pandemic and the motivations for demanding health service in indigenous villages
Revista Brasileira de Enfermagem. 2020;73:e20200312
DOI 10.1590/0034-7167-2020-0312
Views0See moreABSTRACT
Objective:
To discuss the fundamental aspects in the establishment of preventive measures to tackle covid-19 among indigenous people in view of the motivations for seeking health care in villages of the Terra Indígena Buriti, Mato Grosso do Sul, Brazil.
Methods:
Theoretical-reflective study based on assumptions of the National Health System and previous ethnographic research that enabled the identification of the motivations to seek health care in Buriti villages.
Results:
Indigenous people seek health centers for health care programs assistance, treatment of cases they cannot resolve and to chat. Such motivations were the basis for discussing the indigenization process in the confrontation of the new coronavirus pandemic in indigenous lands.
Final considerations:
The motivations for seeking health care show the physical and social vulnerability of the Terena ethnicity. The effectiveness of the social isolation measure in the villages depends on the dialogue with indigenous leaders, professional engagement and intersectoral actions.
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ORIGINAL ARTICLE07-10-2020
Formation of protagonist adolescents to prevent bullying in school contexts
- Waldemar Brandão Neto ,
- Catharina Ohany da Silva ,
- Renata Ribeiro Torres do Amorim ,
- Jael Maria de Aquino ,
- Antonio José de Almeida Filho , [ … ],
- Estela Maria Leite Meirelles Monteiro
Abstract
ORIGINAL ARTICLEFormation of protagonist adolescents to prevent bullying in school contexts
Revista Brasileira de Enfermagem. 2020;73:e20190418
DOI 10.1590/0034-7167-2019-0418
- Waldemar Brandão Neto ,
- Catharina Ohany da Silva ,
- Renata Ribeiro Torres do Amorim ,
- Jael Maria de Aquino ,
- Antonio José de Almeida Filho ,
- Betânia da Mata Ribeiro Gomes ,
- Estela Maria Leite Meirelles Monteiro
Views0See moreABSTRACT
Objective:
to develop a participative strategy of health education in the formative process of protagonist adolescents aimed at preventing school bullying.
Method:
qualitative interventive-participatory research, based on the Community-Based Participatory Research and in the Culture Circles of Paulo Freire. The sample was intentional, with the participation of 12 adolescents who were considered leaders. For data production at the moment of educational intervention, observation techniques were employed with note-taking in a field diary, plus photographic and video records.
Results:
the pedagogical intervention model raised the opportunity for the adolescents’ active participation, aiming at the development of skills that create pro-social behaviors, empathetic and assertive relations, which are able to face bullying and transform the school environment.
Final considerations:
the use of participative methodologies, in the youth protagonism perspective, has the potential to support educational practices of school nurses in collaboration and leadership of antibullying programs.
- Waldemar Brandão Neto
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03-26-2021
Professional competency for elder care: perception among professors, nursing students, and nurses
- Rafaela Ferreira ,
- Flávia Maria Derhun ,
- Lígia Carreira ,
- Vanessa Denardi Antoniassi Baldissera ,
- Cremilde Aparecida Trindade Radovanovic , [ … ],
- Pamela Patrícia Mariano
Abstract
Professional competency for elder care: perception among professors, nursing students, and nurses
Revista Brasileira de Enfermagem. 2021;74:e20200446
DOI 10.1590/0034-7167-2020-0446
- Rafaela Ferreira ,
- Flávia Maria Derhun ,
- Lígia Carreira ,
- Vanessa Denardi Antoniassi Baldissera ,
- Cremilde Aparecida Trindade Radovanovic ,
- Pamela Patrícia Mariano
Views0See moreABSTRACT
Objective:
to know the perception of nurses, undergraduate students, and professors about the competencies for professional nurses in elder care.
Methods:
this is a qualitative analytical study developed with six professors, four nurses, and 12 nursing students. Data were collected through semi-structured interviews and analyzed using Fiorin’s Discourse technique, with support from the MAXQDA software.
Results:
the competencies identified included knowledge of theories and general concepts of gerontology, communication, listening, leadership, teamwork, proactivity, respect, and empathy.
Final considerations:
knowing the competencies contributes to understanding the aging process and qualifying nurses for elder care.
- Rafaela Ferreira
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ORIGINAL ARTICLE08-30-2021
Family functionality and burden of family caregivers of users with mental disorders
- Jaciquely José da Costa Andrade ,
- Andrea Cristina Oliveira Silva ,
- Iracema da Silva Frazão ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Thassia Thame de Moura Silva , [ … ],
- Ana Márcia Tenório Souza Cavalcanti
Abstract
ORIGINAL ARTICLEFamily functionality and burden of family caregivers of users with mental disorders
Revista Brasileira de Enfermagem. 2021;74(5):e20201061
DOI 10.1590/0034-7167-2020-1061
- Jaciquely José da Costa Andrade ,
- Andrea Cristina Oliveira Silva ,
- Iracema da Silva Frazão ,
- Jaqueline Galdino Albuquerque Perrelli ,
- Thassia Thame de Moura Silva ,
- Ana Márcia Tenório Souza Cavalcanti
Views0See moreABSTRACT
Objective:
to verify the difference of mean or median in the scores of family functionality and burden of family caregivers of people with mental disorders.
Methods:
cross-sectional study carried out in a Psychosocial Care Center with 61 family caregivers. Instruments were used for sociodemographic characterization, care process, Family Apgar Index and Family Burden Interview Schedule. Mean/median difference tests were adopted.
Results:
women with mental disorders and the presence of children in the home decreased the median of the family Apgar score. Difficulty in the relationship between caregiver/user, nervousness/tension, physical aggression and agitation of patients increased the global average of subjective burden.
Conclusions:
nursing interventions to reduce burden and promote family functionality should prioritize caregivers of women with mental disorders, assist them in managing troublesome behaviors and raising awareness of family nucleus to co-responsibility for caring for sick people, especially in families with children who demand daily care.
- Jaciquely José da Costa Andrade
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REVIEW07-06-2020
Middle-Range Theory for the Nursing Diagnosis of Low Self-Efficacy in Health
Revista Brasileira de Enfermagem. 2020;73(5):e20190370
Abstract
REVIEWMiddle-Range Theory for the Nursing Diagnosis of Low Self-Efficacy in Health
Revista Brasileira de Enfermagem. 2020;73(5):e20190370
DOI 10.1590/0034-7167-2019-0370
Views0See moreABSTRACT
Objectives:
theoretical validation of the concept of low self-efficacy in health as a nursing diagnosis construct.
Methods:
construction of a middle-range theory for validating diagnoses, comprised of five stages: definition of the approach for building the theory; definition of the main concepts; creation of a pictorial diagram; formulation of proposals; establishment of causal relationships and evidence for clinical practice. The main concepts were identified through a literature review and the studies were taken from the LILACS, SCOPUS, CINAHL and PubMed/MEDLINE databases. The final sample was comprised of 92 articles.
Results:
eighteen etiological factors and 16 clinical indicators were identified; characterized as antecedents and manifestations for inferring a diagnosis of low self-efficacy in health.
Conclusions:
the related concepts of the new nursing diagnosis of low self-efficacy in health, to be applied in clinical nursing practice, were identified and defined.
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REFLECTION06-04-2021
Care in pediatric nursing from the perspective of emotions: from Nightingale to the present
- Paula Manuela Jorge Diogo ,
- Bruna Hinnah Borges Martins de Freitas ,
- Ana Inês Lourenço da Costa ,
- Maria Aparecida Munhoz Gaíva
Abstract
REFLECTIONCare in pediatric nursing from the perspective of emotions: from Nightingale to the present
Revista Brasileira de Enfermagem. 2021;74(4):e20200377
DOI 10.1590/0034-7167-2020-0377
- Paula Manuela Jorge Diogo ,
- Bruna Hinnah Borges Martins de Freitas ,
- Ana Inês Lourenço da Costa ,
- Maria Aparecida Munhoz Gaíva
Views0See moreABSTRACT
Objective:
Reflect on the evolution of pediatric nursing care from the perspective of emotions, from the conceptions of Florence Nightingale to the present.
Method:
Reflective study based on theoretical and experiential aspects of emotional care in pediatric nursing.
Results:
From Nightingale, there were many definitions regarding the nursing care in an integrative and humanist logic; and with certain bond to emotional dimension. That time, nursing care was based on the religious conceptions of charity and love of our neighbor and, despite the conceptualization that shapes nursing science today, such conceptions have not ceased to be its attribute, mainly in the care of pediatric nurses.
Final considerations:
In pediatric nursing, nurture care with affection and facilitate emotions management in each interaction nurse-child-family is crucial for caring. This emotional care should evolve into a competence that recognizes the expertise and merit of professional action.
- Paula Manuela Jorge Diogo
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