Articles - Revista Brasileira de Enfermagem

  • 01-01-2017

    Fetal and neonatal deaths of children of patients classified as near miss

    Revista Brasileira de Enfermagem. 2017;70(1):104-111

    Abstract

    Fetal and neonatal deaths of children of patients classified as near miss

    Revista Brasileira de Enfermagem. 2017;70(1):104-111

    DOI 10.1590/0034-7167-2016-0405

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    ABSTRACT

    Objective:

    identify the epidemiological aspects of early fetal and neonatal deaths in children of patients classified with near miss and the factors associated with this outcome.

    Method:

    a cross-sectional study of 79 women identified with near miss and their newborns. The variables were analyzed using Fisher’s exact test. Risk factors were estimated based on unadjusted and adjusted odds ratios, and by means of multiple correspondence analysis, with significance for p <0.05.

    Results:

    hypertensive disorders totaled 40.5%; Of these, 58.3% had adverse fetal and neonatal outcome. The newborns admitted to the Neonatal Intensive Care Unit proved to be significant for the outcome (70.8%), gestational age <32 weeks (41.6%), birth weight <2500 (66.7%), neonatal asphyxia (50%) and early respiratory discomfort (72.2%).

    Conclusion:

    prematurity, neonatal asphyxia, and early respiratory distress were significant characteristics for the outcome among newborns.

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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.
    Fetal and neonatal deaths of children of patients classified as near miss
  • 01-01-2017

    Adherence to standard precautions in a teaching hospital

    Revista Brasileira de Enfermagem. 2017;70(1):96-103

    Abstract

    Adherence to standard precautions in a teaching hospital

    Revista Brasileira de Enfermagem. 2017;70(1):96-103

    DOI 10.1590/0034-7167-2016-0138

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    ABSTRACT

    Objective:

    analyze related factors and the level of adherence to standard precautions of nursing professionals from the clinical medical division of a teaching hospital.

    Method:

    a quantitative, cross-sectional, analytical study was conducted with 54 nursing professionals using the Psychometric Scale of Adherence to Standard Precautions, translated and validated to Brazilian Portuguese.

    Results:

    the global score of adherence was intermediate (4.41); no statistically significant correlation was observed between adherence and professional category (p=0.404) and length of professional practice (p= 0.612). A correlation was observed between ‘Washes hands after removing disposable gloves’ (p=0.026) and professionals with nursing practice above 10 years.

    Conclusion:

    adherence to standard precautions by the nursing team was intermediate, with no statistically significant difference in relation to the professional category and length of professional practice.

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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.
    Adherence to standard precautions in a teaching hospital
  • 01-01-2017

    Analysis of adverse events following immunization caused by immunization errors

    Revista Brasileira de Enfermagem. 2017;70(1):87-95

    Abstract

    Analysis of adverse events following immunization caused by immunization errors

    Revista Brasileira de Enfermagem. 2017;70(1):87-95

    DOI 10.1590/0034-7167-2016-0034

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    ABSTRACT

    Objective:

    to analyze adverse events following immunization (AEFI) caused by immunization error in the state of Paraná, Brazil, from 2003 to 2013.

    Method:

    this is a descriptive, documental, retrospective, and quantitative research using secondary data from the Adverse Event Following Immunization Information System and the Immunization Program Evaluation System. We included cases confirmed and/or associated with different types of vaccines. For the analysis, we collected frequencies and incidence rates, and used simple linear regression models with Student’s t-test.

    Results:

    it was observed an AEFI increase due to immunization errors, especially hot subcutaneous abscesses. BCG vaccine had the highest incidence of adverse events and children under one year old were the most affected individuals.

    Conclusion:

    the current scenario is worrisome because these are preventable AEFI – injuring patients due to bad vaccination practices – that may undermine the population’s confidence, reducing immunization coverage, and the progress in the control of vaccine-preventable diseases.

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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.
    Analysis of adverse events following immunization caused by immunization errors
  • 01-01-2017

    Nursing practice environment and work satisfaction in critical units

    Revista Brasileira de Enfermagem. 2017;70(1):79-86

    Abstract

    Nursing practice environment and work satisfaction in critical units

    Revista Brasileira de Enfermagem. 2017;70(1):79-86

    DOI 10.1590/0034-7167-2016-0211

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    ABSTRACT

    Objective:

    to analyze the association between the environment of nursing practices and work satisfaction in Intensive Care Units (ICU).

    Method:

    a cross-sectional study was performed in eight adult ICUs of a public university hospital between 2012 and 2015. The Nursing Work Index-Revised (NWI-R), in their short forms, and the Index of Work Satisfaction (IWS) were applied to investigate the environment of nursing practices and work satisfaction, respectively.

    Results:

    a total of 100 (34.84%) nurses and 187 (65.15%) nursing assistants/technicians participated in this study. The environment was favorable for autonomy and relationships and it showed vulnerability for control of practices and organizational support. The IWS score indicated low work satisfaction. “Environment of practices”, “length of work in the ICU” and “willingness to work” were associated with work satisfaction.

    Conclusion:

    to invest in the environment of practices, in factors that promote willingness to work and length of experience in the ICU increases nursing work satisfaction.

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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.
  • 01-01-2017

    Care for women involved with drugs: social representations of nurses

    Revista Brasileira de Enfermagem. 2017;70(1):71-78

    Abstract

    Care for women involved with drugs: social representations of nurses

    Revista Brasileira de Enfermagem. 2017;70(1):71-78

    DOI 10.1590/0034-7167-2016-0339

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    ABSTRACT

    Objective:

    analyze social representations of nurses related to the care for women involved with drugs.

    Method:

    qualitative research founded on the theory of social representations, with 42 nurses from a public maternity ward of Salvador-BA, using identification questionnaire, test of free association of words, and semi-structured interview. We analyzed the structure of social representations and the similarity tree of free evocations, and also analyzed the content of interviews.

    Results:

    care for women involved with drugs is represented by a set of words that shows theoretical questions and scientific techniques, but faced with experiences in the training, in the daily work and in ideas and values assigned to the consumption of drugs especially in the gravidic-puerperal period.

    Conclusion:

    The social representations of nurses show conflicts between social and cultural aspects around the problem of drugs and the health care provided to women involved with drugs.

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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.
    Care for women involved with drugs: social representations of nurses
  • 01-01-2017

    Support to woman/nourisher in the advertising pieces of the World Breastfeeding Week

    Revista Brasileira de Enfermagem. 2017;70(1):61-70

    Abstract

    Support to woman/nourisher in the advertising pieces of the World Breastfeeding Week

    Revista Brasileira de Enfermagem. 2017;70(1):61-70

    DOI 10.1590/0034-7167-2016-0376

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    ABSTRACT

    Objective:

    to unveil the support to woman/nourisher in the advertisements of the World Breastfeeding Week.

    Method:

    This is a descriptive, exploratory, documentary, qualitative study. Since the collection until the analyses of these advertisements, we adopted the methodological steps of Gemma Penn, based on the semiology of Roland Barthes. The results were interpreted by the theory of Social Network of Sanícola and of the five types of support: companionship, emotional, instrumental, informational, and self-supportive.

    Results:

    we identified actors of the social network of the woman/nourisher in nine advertisements of the 22 world breastfeeding weeks. In five of them, partner, grandmother, and brother showed emotional and companionship support to breastfeeding. We observed self-support in three posters; instrumental support in one; and informational support in none.

    Conclusion:

    the support unraveled in only five advertisements included: emotional, companionship, instrumental, and self-supportive. In the others, there was no support. The set of supports was not revealed in any of them.

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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.
  • 01-01-2017

    Emergency interventions for air medical services trauma victims

    Revista Brasileira de Enfermagem. 2017;70(1):54-60

    Abstract

    Emergency interventions for air medical services trauma victims

    Revista Brasileira de Enfermagem. 2017;70(1):54-60

    DOI 10.1590/0034-7167-2016-0311

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    ABSTRACT

    Objective:

    to analyze emergency interventions for air medical services trauma victims, considering the time at the scene of trauma and the severity of the victims.

    Method:

    This was a descriptive, correlational and quantitative study, conducted from October of 2014 to December of 2015. Six nurses participated, completing an instrument containing emergency interventions performed in the care of victims after the occurrence of trauma. The sample consisted of 97 treatments.

    Results:

    Among the 97 for whom care was provided, peripheral venipuncture was performed in 97.94% of the cases; immobilization, including a backboard, was used in 89.70% of cases. The most commonly used medications were dipyrone in 44.33%, and ondansetron in 76.29%. The time on the scene showed significance with the severity of the victims. The Glasgow Coma scores were inversely related to time on the scene.

    Conclusion:

    Further studies are necessary, focused on care protocols for trauma victims

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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.
  • 01-01-2017

    Evaluation of the hospital accreditation program: face and content validation

    Revista Brasileira de Enfermagem. 2017;70(1):47-53

    Abstract

    Evaluation of the hospital accreditation program: face and content validation

    Revista Brasileira de Enfermagem. 2017;70(1):47-53

    DOI 10.1590/0034-7167-2016-0184

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    ABSTRACT

    Objective:

    to describe the results of face and content validation of the questionnaire entitled Quality Improvement Implementation Survey, and of two complementary scales as part of the adaptation process to the Brazilian language and culture.

    Method:

    included the following stages: (1) translation and synthesis of translations; (2) consideration by the expert committee; (3) back translation; (4) evaluation of verbal understanding by the target population.

    Results:

    the questionnaire was translated into Portuguese and its final version included 90 items. In the pre-test, the target population evaluated all items as easy to understand, with the global average of 4.58 (maximum value = 5).

    Conclusion:

    the questionnaire is currently translated into Portuguese and adapted to the Brazilian context. The adapted version maintained the semantic, idiomatic, conceptual and cultural equivalence, according to the assessment of the expert committee and the information provided by the target population, which confirmed the face and content validity.

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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.

  • 07-09-2021

    Algorithm for transitional care for caregivers of dependent older adults: a validation study

    Revista Brasileira de Enfermagem. 2021;74:e20200625

    Abstract

    Algorithm for transitional care for caregivers of dependent older adults: a validation study

    Revista Brasileira de Enfermagem. 2021;74:e20200625

    DOI 10.1590/0034-7167-2020-0625

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    ABSTRACT

    Objective:

    To construct and validate an algorithm for transitional care for caregivers of dependent older adults.

    Method:

    This was a methodological study developed in three phases: a literature review, designing an algorithm, and its validation by a peer panel with twenty-seven experts selected according to pre-defined inclusion criteria.

    Results:

    The algorithm predicted interventions in transitional care (hospital stay, at discharge, and 30 days at home post-discharge) aimed at the exercise of the caregiver role; needs assessment; training in care management of dependent older adults and management of self-care, and ensuring continuity of care (of older adults and caregivers).

    Conclusion:

    Agreement between expert raters and a reliability test of 0.92 indicate that the algorithm can be used by professionals to decide the transitional care interventions to be administered to the caregivers of dependent older adults. Future studies should be conducted to perform its clinical validation.

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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.
    Algorithm for transitional care for caregivers of dependent older adults: a validation study
  • EXPERIENCE REPORT09-18-2020

    Telemonitoring of Brazilian Nursing homes before Coronavirus and COVID-19 Infections

    Revista Brasileira de Enfermagem. 2020;73:e20200350

    Abstract

    EXPERIENCE REPORT

    Telemonitoring of Brazilian Nursing homes before Coronavirus and COVID-19 Infections

    Revista Brasileira de Enfermagem. 2020;73:e20200350

    DOI 10.1590/0034-7167-2020-0350

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    ABSTRACT

    Objective:

    to report the experience of telemonitoring Brazilian nursing homes before coronavirus and COVID-19 infections.

    Methods:

    a descriptive experience report that occurred between March 18 and April 25, 2020 through telemonitoring nursing homes in Salvador, Bahia, following a script previously prepared for first contact and follow-up. The telemonitoring was carried out by professors from the School of Nursing of Universidade Federal da Bahia and Graduate Program students for four weeks.

    Results:

    thirty-two institutions were followed for four weeks. Some facilities and difficulties appeared during the monitoring.

    Final consideratios:

    as nursing homes are collective households, their residents are vulnerable to transmission of infections. In addition, the diversity of structures and economic, social and human resources needs of these locations reveal their fragility and urgency of public policies that address such diversities.

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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.
  • 06-28-2021

    Individual and contextual variables associated with smoking and alcohol consumption during pregnancy

    Revista Brasileira de Enfermagem. 2021;74:e20200804

    Abstract

    Individual and contextual variables associated with smoking and alcohol consumption during pregnancy

    Revista Brasileira de Enfermagem. 2021;74:e20200804

    DOI 10.1590/0034-7167-2020-0804

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    ABSTRACT

    Objective:

    to analyze the association between individual characteristics and housing context with smoking and alcohol consumption during pregnancy.

    Methods:

    a cross-sectional study with a probabilistic sample of 3,580 pregnant women who underwent prenatal care in the Unified Health System in 2019. The outcomes were firsthand, secondhand smoke and alcohol consumption during pregnancy. Individual characteristics and the living environment were used as exploratory variables.

    Results:

    living in a neighborhood with episodes of violence, without social cohesion and without urban elements that encourage physical activity was associated with smoking. Alcohol consumption during pregnancy was associated with living in environments that do not encourage physical activity. Smoking was also associated with lower income and education.

    Conclusions:

    individual characteristics and the living environment are associated with smoking, secondhand smoke and alcohol consumption during pregnancy.

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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.
  • ORIGINAL ARTICLE08-19-2019

    The daily routine of nurses in rural areas in the Family Health Strategy

    Revista Brasileira de Enfermagem. 2019;72(4):918-925

    Abstract

    ORIGINAL ARTICLE

    The daily routine of nurses in rural areas in the Family Health Strategy

    Revista Brasileira de Enfermagem. 2019;72(4):918-925

    DOI 10.1590/0034-7167-2018-0243

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    ABSTRACT

    Objective:

    to analyze the daily work of rural Family Health Strategy (FHS) nurses.

    Method:

    a qualitative, descriptive and exploratory research. The data were collected with eleven rural nurses of the city of Campina Grande, Paraíba State, through semi-structured interviews, between January and March of 2017, using Content Analysis.

    Results:

    rural nurses have a strong relationship with the population. However, they reveal a daily work with various organizational barriers that range from the team displacement to the workplace to the operationalization of health actions, which are mediated by the characteristics of rurality. Some of these barriers can be remedied by a more proactive action from the management.

    Final considerations:

    conditioned by the characteristics of rurality, the differentiated dynamics work reveal weaknesses in the quality of nursing care and lower effectiveness of the FHS.

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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.
  • ORIGINAL ARTICLE12-05-2019

    Health situation in the perception of elderly widows assisted by primary health care

    Revista Brasileira de Enfermagem. 2019;72:199-204

    Abstract

    ORIGINAL ARTICLE

    Health situation in the perception of elderly widows assisted by primary health care

    Revista Brasileira de Enfermagem. 2019;72:199-204

    DOI 10.1590/0034-7167-2018-0549

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    ABSTRACT

    Objective:

    Analyze the perception of elderly widow women about their health situation.

    Method:

    Descriptive and exploratory research, based on qualitative approach performed with 34 widowed women aged 60 years and over, enrolled in primary health care. It was used content analysis in its thematic analysis modality.

    Results:

    Three thematic nuclei were obtained: “positive self-perception of health in old age”, “negative understanding of health related to the diseases” and “negative repercussions of the absence of the husband in the health situation of the widows”. Presence of the family, chronic diseases under control, physical limitations and absence of the partner directly influenced the responses of the elderly widows.

    Final considerations:

    The elderly widows perceive their health situation as relatively good and some factors are challenges to a better health situation. For the participants, widowhood means more than just the physical loss of the husband, interfering negatively in the perception of their health situation.

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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.
  • ORIGINAL ARTICLE05-18-2020

    Women in situations of sexual violence: potentialities and weaknesses of the intersectoral network

    Revista Brasileira de Enfermagem. 2020;73(4):e20190856

    Abstract

    ORIGINAL ARTICLE

    Women in situations of sexual violence: potentialities and weaknesses of the intersectoral network

    Revista Brasileira de Enfermagem. 2020;73(4):e20190856

    DOI 10.1590/0034-7167-2018-0856

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    ABSTRACT

    Objectives:

    to identify potentialities and weaknesses of the intersectoral network for women in situations of sexual violence, from the perspective of Intervention Bioethics and the Universal Declaration on Bioethics and Human Rights.

    Methods:

    qualitative study conducted with multidisciplinary team members who work in intersectoral care services for women subject to sexual violence. It was held in a municipality in southern Brazil. An intentional sample, totaling 30 professionals. Semi-structured interview was used from January to April 2016. Interviews were analyzed by Thematic Analysis.

    Results:

    two categories emerged: potentialities and weaknesses related to the intersectoral network. Potentialities confirm the importance of the articulated intersectoral network; weaknesses such as lack of organized flow and disarticulation of services result in women revictimization and care fragmentation.

    Final Considerations:

    it is necessary to articulate services and qualify professionals. The Intervention Bioethics and the Universal Declaration on Bioethics and Human Rights foster discussions that contribute to how to organize and sustain the intersectoral network.

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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.
    Women in situations of sexual violence: potentialities and weaknesses of the intersectoral network
  • ORIGINAL ARTICLE12-13-2019

    Applying best practices to pregnant women in the obstetric center

    Revista Brasileira de Enfermagem. 2019;72:191-196

    Abstract

    ORIGINAL ARTICLE

    Applying best practices to pregnant women in the obstetric center

    Revista Brasileira de Enfermagem. 2019;72:191-196

    DOI 10.1590/0034-7167-2018-0422

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    ABSTRACT

    Objective:

    To identify the meaning attributed by nursing technicians to good care practices based on scientific evidence used with the pregnant women during the dilation stage of labor.

    Method:

    A qualitative study, based on Grounded Theory principles. Twelve interviews with nursing technicians attending labor in the obstetric center of two public hospitals, in Florianópolis/SC, were performed, from August of 2016 to March of 2017. Data were analyzed using open, axial coding.

    Results:

    The implementation of good practices, for nursing technicians, means adequately performing their activities, providing humanized care to the pregnant woman, respecting her autonomy, promoting pain relief, and a peaceful labor.

    Final Considerations:

    An adequate number of technicians must be determined to maintain quality of care, and to complete nursing records in a more detailed and systematized manner.

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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.
  • REVIEW09-09-2022

    Medical adhesive-related skin injury in adult intensive care unit: scoping review

    Revista Brasileira de Enfermagem. 2022;75(6):e20210926

    Abstract

    REVIEW

    Medical adhesive-related skin injury in adult intensive care unit: scoping review

    Revista Brasileira de Enfermagem. 2022;75(6):e20210926

    DOI 10.1590/0034-7167-2021-0926

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    ABSTRACT

    Objectives:

    to identify and synthesize scientific evidence on preventing medical adhesive-related skin injuries in adult intensive care patients.

    Methods:

    this is a scoping review based on PRISMA-ScR recommendations and the technique proposed by Joanna Briggs Institute. PubMed, CINAHL, Web of Science, Scopus, LILACS, and Embase databases were searched using “Injuries AND Adhesives AND Skin AND Medical” descriptors”.

    Results:

    1,329 studies were identified, and after analysis, the final sample consisted of nine articles. We obtained two experts’ consensus, three case studies, two cross-sectional studies, one prospective cohort study, and one literature review regarding the type of studies.

    Final Considerations:

    the synthesized evidence allowed us to list health care measures to prevent medical adhesive-related skin injuries. The professional must know how to identify the skin injuries associated with medical adhesives and the main strategies for their prevention.

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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.
    Medical adhesive-related skin injury in adult intensive care unit: scoping review

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