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08-21-2023
Percepciones, maltrato y religión como predictores del impacto psicoemocional en enfermeros durante la pandemia COVID-19
Revista Brasileira de Enfermagem. 2023;76(3):e20220768
Abstract
Percepciones, maltrato y religión como predictores del impacto psicoemocional en enfermeros durante la pandemia COVID-19
Revista Brasileira de Enfermagem. 2023;76(3):e20220768
DOI 10.1590/0034-7167-2022-0768es
Views0See moreRESUMEN
Objetivos:
analizar la relación entre percepciones, maltrato y religión con el impacto psicoemocional en enfermeros durante la pandemia por covid-19.
Métodos:
estudio transversal descriptivo-analítico. Fue realizado entre los años 2020 y 2021; se encuestó a 319 enfermeros asistenciales de Perú mediante DASS-21; se evaluaron asociaciones mediante Rho de Spearman y regresión múltiple.
Resultados:
el 18,5 % presentó algún grado de estrés; el 50,2 %, ansiedad y el 29,1 %, depresión. La experiencia de maltrato, la autopercepción de la salud mental y la religión fueron predictores de estrés, ansiedad y depresión. El tiempo de experiencia laboral predice el estrés y ansiedad. Además, la autopercepción de la información y el género fueron predictores de la depresión.
Conclusiones:
los enfermeros peruanos presentaron altos niveles de estrés, ansiedad y depresión; y este impacto psicoemocional estuvo asociado a las percepciones, experiencias de maltrato y la religión.
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ORIGINAL ARTICLE08-21-2023
Identity dimension of rural women and the sexual and reproductive health
Revista Brasileira de Enfermagem. 2023;76(3):e20220298
Abstract
ORIGINAL ARTICLEIdentity dimension of rural women and the sexual and reproductive health
Revista Brasileira de Enfermagem. 2023;76(3):e20220298
DOI 10.1590/0034-7167-2022-0298
Views0See moreABSTRACT
Objectives:
to analyze the social representations of rural women about being a woman in the rural context and its implications for sexual and reproductive health.
Methods:
this is a descriptive qualitative study with data triangulation, based on the Theory of Social Representations, developed with 31 women who live in the rural context of Minas Gerais (MG/BR). An in-depth interview with a semi-structured script was conducted. A lexical analysis was performed with the help of the ALCESTE 2012 software.
Results:
the family relationship, especially the couple’s, demonstrated subjectivities and was permeated by violence and normalized sexual practice. The imagery dimension of the ideal family seems to be responsible for exerting domination over rural women.
Final Considerations:
rural women are subject to the norms and prescriptions of a patriarchal society. It is urgent to increase attention to sexual and reproductive health in an egalitarian and liberating way in order to minimize the consequences of machismo and conservatism.
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ORIGINAL ARTICLE08-11-2023
Agreement with COVID-19 disinformation among Portuguese-speaking older adults: an international study
Revista Brasileira de Enfermagem. 2023;76:e20230091
Abstract
ORIGINAL ARTICLEAgreement with COVID-19 disinformation among Portuguese-speaking older adults: an international study
Revista Brasileira de Enfermagem. 2023;76:e20230091
DOI 10.1590/0034-7167-2023-0091
Views0See moreABSTRACT
Objectives:
to assess agreement with COVID-19 disinformation among Portuguese-speaking individuals aged 50 years or older.
Methods:
a descriptive and analytical study involving 1,214 older adults born in Portuguese-speaking countries. Data collection occurred through online information mining to recognize COVID-19 and disinformation content, and the application of a structured questionnaire.
Results:
agreement with disinformation content was 65.2%. Residing outside Brazil is a protective factor for agreement with disinformation content, and those who believe in the truthfulness of the information sources they receive were 31% more likely to agree with disinformation content.
Conclusions:
there is a high prevalence of disinformation among the older population in two Portuguese-speaking countries, which should raise the attention of healthcare professionals and guide coping strategies.
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ORIGINAL ARTICLE08-07-2023
The relationship of general, physical, and psychological violence with depressive symptoms and cognition in elders (cross-sectional study)
Revista Brasileira de Enfermagem. 2023;76(3):e20220375
Abstract
ORIGINAL ARTICLEThe relationship of general, physical, and psychological violence with depressive symptoms and cognition in elders (cross-sectional study)
Revista Brasileira de Enfermagem. 2023;76(3):e20220375
DOI 10.1590/0034-7167-2022-0375
Views0See moreABSTRACT
Objectives:
to analyze the relationship of general, physical, and psychological violence with depressive symptoms and cognition in the elderly.
Methods:
quantitative, cross-sectional study, carried out with 323 elders from the Brazilian northeast. Data collection used a sociodemographic instrument; the Conflict Tactics Scales Form R; the Geriatric Depression Scale; and the Mini-Mental State Examination. The analysis employed descriptive and inferential statistics.
Results:
as violence increases, so do the depressive symptoms; the opposite was true when comparing violence with cognitive involvement. There is a correlation between physical and psychological violence and depressive symptoms; more depressive elders are from 1.96 to 3.00 times more likely to be the victims of psychological and physical violence, respectively.
Conclusions:
general, physical, and psychological violence is associated with depressive symptoms; those with less cognitive alterations are more vulnerable to abuse. Elders with depressive symptoms are more likely to suffer psychological and physically violence.
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ORIGINAL ARTICLE08-07-2023
Professional burnout and patient safety culture in Primary Health Care
Revista Brasileira de Enfermagem. 2023;76(3):e20220311
Abstract
ORIGINAL ARTICLEProfessional burnout and patient safety culture in Primary Health Care
Revista Brasileira de Enfermagem. 2023;76(3):e20220311
DOI 10.1590/0034-7167-2022-0311
Views0See moreABSTRACT
Objectives:
to analyze the association between the risk of occupational exhaustion (burnout) and safety culture in Primary Health Care.
Methods:
ross-sectional study conducted in 18 Primary Health Care Units in the Northeast of Brazil. Three questionnaires were used: sociodemographic, Maslach Burnout Inventory, and the Medical Office Survey on Patient Safety Culture. The study was approved by the Research Ethics Committee.
Results:
seventy-eight healthcare workers participated, of which 64.1% presented a reduced risk of burnout; and 11.5%, a high risk (p=0.000). The following were identified as weakened dimensions of safety culture: Work pressure and pace; Owner, managing partners, leadership support; Overall ratings on quality; and Overall rating on patient safety.
Conclusions:
an association was found between low risk of developing burnout syndrome and positive evaluation of safety culture.
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ORIGINAL ARTICLE08-07-2023
Systematization of Nursing Care: how did the concept mature?
Revista Brasileira de Enfermagem. 2023;76(3):e20220464
Abstract
ORIGINAL ARTICLESystematization of Nursing Care: how did the concept mature?
Revista Brasileira de Enfermagem. 2023;76(3):e20220464
DOI 10.1590/0034-7167-2022-0464
Views0See moreABSTRACT
Objectives:
to analyze the Systematization of Nursing Care conceptual maturation from the perspective of pragmatic utility.
Methods:
a concept analysis study. The stages were: select the concept; elaborate analytical questions; comprehensively review the literature; and determine concept structural components. Sixty-one documents were analyzed after a search carried out until October 2019.
Results:
four temporal periods of contextual changes have occurred since the emergence of ideas of a systematization in the 1960s. This first lasted until 1990. It was followed by those from 1990 to 2002, from 2002 to 2009 and from 2009 onwards. Partial conceptual maturity was identified, operationalization over the years, based on multiple definitions, and, currently, a concept of Systematization of Nursing Care with managerial and organizational attributes.
Conclusions:
the concept of Systematization of Nursing Care is partially mature, presents multiple definitions, being operationalized in uncertain connections with other concepts.
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ORIGINAL ARTICLE08-07-2023
King’s Parkinson’s Disease Pain Questionnaire: reliability and convergent construct validity
Revista Brasileira de Enfermagem. 2023;76(3):e20220379
Abstract
ORIGINAL ARTICLEKing’s Parkinson’s Disease Pain Questionnaire: reliability and convergent construct validity
Revista Brasileira de Enfermagem. 2023;76(3):e20220379
DOI 10.1590/0034-7167-2022-0379
Views0See moreABSTRACT
Objectives:
to assess the evidence of reliability and convergent construct validity of the King’s Parkinson’s Disease Pain Questionnaire.
Methods:
psychometric study of 75 older adults with Parkinson’s disease. The instrument was applied by two researchers separately and reapplied by one researcher 15 days later. In terms of reliability, internal consistency was assessed using the Cronbach’s alpha test and stability using the intraclass correlation coefficient. Scores of the King’s Parkinson’s Disease Pain Questionnaire were compared to those of the Geriatric Pain Measure in the assessment of construct validity.
Results:
the mean Cronbach’s alpha obtained between the three assessments was above 0.60, the intraclass correlation between the three assessments was above 0.90, and there was a weak but significant correlation between the two applied scales.
Conclusions:
the instrument showed adequate evidence of convergent construct validity and reliability, and can be used in clinical practice.
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ORIGINAL ARTICLE08-07-2023
Construction and validity of the Interprofessional Communication in Health Scale
Revista Brasileira de Enfermagem. 2023;76(3):e20220483
Abstract
ORIGINAL ARTICLEConstruction and validity of the Interprofessional Communication in Health Scale
Revista Brasileira de Enfermagem. 2023;76(3):e20220483
DOI 10.1590/0034-7167-2022-0483
Views0See moreABSTRACT
Objectives:
to construct and validate the Interprofessional Communication Scale in Health.
Methods:
a psychometric study was carried out on a sample of 360 nurses from a hospital and university center in central Portugal. Reliability was assessed through internal consistency and construct validity through exploratory and confirmatory factor analysis.
Results:
the Interprofessional Communication in Health Scale, consisting of 27 items, is organized into 3 factors: “Teamwork”, “Conflict management” and “Leadership”, with a total variance of 51.1%. Good internal consistency was obtained, with a Cronbach’s alpha of 0.842, and adequate Goodness of Fit Index model.
Conclusions:
the Interprofessional Communication in Health Scale presents a factorial structure with adequate validity and reliability results, and may constitute a useful self-report instrument in assessing interprofessional communication in health.
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ORIGINAL ARTICLE05-28-2021
Nurses’ educational practices in Family Health Strategy
Revista Brasileira de Enfermagem. 2021;74(2):e20200045
Abstract
ORIGINAL ARTICLENurses’ educational practices in Family Health Strategy
Revista Brasileira de Enfermagem. 2021;74(2):e20200045
DOI 10.1590/0034-7167-2020-0045
Views0See moreABSTRACT
Objectives:
to analyze the nurse’s educational practice in Family Health Strategy.
Methods:
descriptive study with a qualitative approach, whose data production used the World Café group technique, in two meetings, with 26 nurses of a health district of Manaus-AM. The technique used was Categorial-Thematic Content Analysis.
Results:
the study generated two units of analysis: Political and Organizational Configuration of Educational Work at ESF and Operational Configuration of Educational Work at ESF, revealing the necessary (re)configurations in co-management, in the centrality of the subject for the planning of educational work, and in (re)pactuation between the management of services and training institutions to overcome contradictions in the implementation of National Policies on Permanent Education and Basic Health Care.
Conclusions:
the configuration of nurses’ educational practice at ESF works toward interactions, organized to respond to health policies, incorporating creativity in doing, but facing numerous obstacles.
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ORIGINAL ARTICLE09-21-2020
Adaptive problems arising out of the progenitor’s abandonment after Zika Congenital Syndrome
Revista Brasileira de Enfermagem. 2020;73:e20190602
Abstract
ORIGINAL ARTICLEAdaptive problems arising out of the progenitor’s abandonment after Zika Congenital Syndrome
Revista Brasileira de Enfermagem. 2020;73:e20190602
DOI 10.1590/0034-7167-2019-0602
Views0See moreABSTRACT
Objective:
to reveal the adaptive problems of the woman abandoned by the child’s parent after Congenital Zika Syndrome, in the light of Roy’s Adaptation Model.
Method:
a qualitative, descriptive study, based on Roy’s Adaptation Model, developed with six women abandoned by their child’s parent after Zika Congenital Syndrome diagnosis, through interview and Content Analysis technique.
Results:
adaptive problems appeared in nutrition, activity, rest, and protection patterns, due to limitations in self-care; self-concept, related to dissatisfaction with body image and personal being; in the role of transition role, through difficulties in taking over new roles and in interdependence, related to changes in affective needs.
Final considerations:
the overload of care for children with Congenital Zika Syndrome, added to the challenges of the abandoned woman by her child’s parent, led to adaptive problems, showing their main difficulties of coping.
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REVIEW07-14-2021
Stress level experienced by participants in realistic simulation: a systematic review
Revista Brasileira de Enfermagem. 2021;74(4):e20201151
Abstract
REVIEWStress level experienced by participants in realistic simulation: a systematic review
Revista Brasileira de Enfermagem. 2021;74(4):e20201151
DOI 10.1590/0034-7167-2020-1151
Views0See moreABSTRACT
Objectives:
to identify the available evidence regarding stress levels experienced by participants in education based on a realistic simulation.
Methods:
systematic review that included randomized clinic trials on electronic databases: Cumulative Index to Nursing and Allied Health Literature, Cochrane Library, Latin-American and Caribbean Literature in Health Sciences, LIVIVO, PubMed, Scopus, and Web of Science. The additional search was performed on Google Scholar and OpenGrey. All searches occurred on September 24, 2020. The methodologic quality of the results was evaluated by the Cochrane Collaboration Risk of Bias Tool.
Results:
eighteen studies were included, which evaluated the participants’ stress using physiologic, self-reported measures, or the combination of both. Stress as experienced in a high level in simulated scenarios.
Conclusions:
evidence of the study included in this systematic review suggest that stress is experienced in a high level in simulated scenarios.
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ORIGINAL ARTICLE10-19-2020
Spatial patterns of multidrug-resistant tuberculosis: correlation with sociodemographic variables and type of notification
Revista Brasileira de Enfermagem. 2020;73:e20190845
Abstract
ORIGINAL ARTICLESpatial patterns of multidrug-resistant tuberculosis: correlation with sociodemographic variables and type of notification
Revista Brasileira de Enfermagem. 2020;73:e20190845
DOI 10.1590/0034-7167-2019-0845
Views1See moreABSTRACT
Objective:
Correlate the cases of multidrug-resistant tuberculosis and its spatial patterns with the type of notification and sociodemographic variables.
Method:
Ecological study carried out in the municipality of Belém, with 77 cases of multidrug-resistant tuberculosis registered in the Special Treatment Information System for Tuberculosis, between 2012 and 2016. For analysis, the data was debugged followed by geo-referencing in ArcGis 10.3 and Terra View 4.2.2. To relate the cases with the type of notification, the BioEstat 5.4 software was used, with a significance level of 95%.
Results:
Of the total, 40 (52%) were new cases; 27 (35%), relapses; and ten (13%) were re-enrolled after leaving. Multidrug-resistant tuberculosis was randomly distributed and related to income, household, territorial cluster and water supply. There was a concentration of cases in two administrative districts, corresponding to 28.5% and 27.3% of the total, with a median Sociodemographic Index.
Conclusion:
Behavior of multidrug-resistant tuberculosis influenced by sociodemographic indicators.
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ORIGINAL ARTICLE10-19-2020
Problematization educational intervention to promote healthy habits in elderly people with diabetes: randomized clinical trial
Revista Brasileira de Enfermagem. 2020;73:e20190719
Abstract
ORIGINAL ARTICLEProblematization educational intervention to promote healthy habits in elderly people with diabetes: randomized clinical trial
Revista Brasileira de Enfermagem. 2020;73:e20190719
DOI 10.1590/0034-7167-2019-0719
Views0See moreABSTRACT
Objective:
to assess the effects of a problematization educational intervention to promote healthy habits in elderly people with diabetes.
Methods:
a randomized clinical trial conducted with 202 individuals drawn for the intervention group and the control group. The intervention consisted of problematization educational activities on a monthly basis for over six months. The control group participated in conventional monitoring at the health unit. Data were collected through semi-structured interviews before and after the intervention, in addition to laboratory tests.
Results:
after the intervention, when compared to the control group, there was an increase in knowledge about the disease (p<0.001), positive attitude towards self-care (p=0.011), physical activity (p=0.020), diet variety (p=0.002), and lower consumption of oils and fats (p<0.05).
Conclusion:
the intervention performed has a beneficial effect to promote healthy habits.
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ORIGINAL ARTICLE09-21-2020
Nurses’ attitudes facing the family involvment in caring for people with mental disorder
Revista Brasileira de Enfermagem. 2020;73:e20200041
Abstract
ORIGINAL ARTICLENurses’ attitudes facing the family involvment in caring for people with mental disorder
Revista Brasileira de Enfermagem. 2020;73:e20200041
DOI 10.1590/0034-7167-2020-0041
Views0See moreABSTRACT
Objective:
To characterize the attitudes of Primary Health Care nurses, regarding the involvement of the family in the care for people with Mental Disorder.
Methods:
Correlational study with 257 nurses from the city of São Paulo. The scale “Importance of Families in Nursing Care- Nurses’ Attitudes” was used. For the analysis, descriptive and inferential statistics were used.
Results:
The scale scores were high, with a mean value of 82.1 (SD=8.4) favorable to the families’ involvement, and are related to being a nurse in the Family Health Strategy (p<0.001), having received education/training in family nursing (p<0.005), the workload of 40 hours/week (p<0.005), working in the West, East and Center Regions (p<0.005).
Conclusion:
Most nurses have positive attitudes towards the involvement of families, a relevant indicator for their inclusion in the health-mental care process.
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08-30-2021
Products and technologies for treating patients with evidence-based pressure ulcers
Revista Brasileira de Enfermagem. 2021;74(5):e20180686
Abstract
Products and technologies for treating patients with evidence-based pressure ulcers
Revista Brasileira de Enfermagem. 2021;74(5):e20180686
DOI 10.1590/0034-7167-2018-0686
Views0See moreABSTRACT
Objective:
to identify products/technologies for treating patients with pressure ulcers with an evidence level 1.
Method:
this is an integrative literature review. A survey of studies was carried out using the United States National Library of Medicine Portal, Scientific Electronic Library Online, Virtual Health Library, National Library of Medicine(®), The Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean in Health Sciences, Nursing Database.
Results:
sixteen articles were selected with level of evidence 1. The findings were categorized into five categories: Topical therapy to promote healing; Alternative therapy to promote healing; Topical therapy to promote debridement; Topical therapy to minimize lesion contamination; Topical therapy to reduce lesion size.
Final considerations:
the 17 products/technologies identified favor/fast healing, debridement, minimize contamination and reduce lesion size to accelerate healing.
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ORIGINAL ARTICLE10-23-2020
Active ageing among elderly community members: structural equation modeling analysis
Revista Brasileira de Enfermagem. 2020;73:e20200110
Abstract
ORIGINAL ARTICLEActive ageing among elderly community members: structural equation modeling analysis
Revista Brasileira de Enfermagem. 2020;73:e20200110
DOI 10.1590/0034-7167-2020-0110
Views0See moreABSTRACT
Objective:
to propose a structural model of active ageing among elderly community members based on the World Health Organization’s theoretical framework and to identify the most relevant determinants of active ageing to the proposed model.
Methods:
a cross-sectional and analytical study conducted with 957 elderly community members. Confirmatory factor analysis and structural equation modeling were performed.
Results:
the final measurement model was composed of the six determinants of active ageing: behavioral (R²=0.66); personal (R²=0.74); physical environment (R²=0.70); social (R²=0.77); economic (R²=0.44); and social and health services (R²=0.95). The last one showed good quality of adjustment: χ2/gl=3.50; GFI=0.94; CFI=0.92; TLI=0.90; RMSEA=0.05. By analyzing the trajectories between determinants and active ageing, the most representative was social and health services active ageing (λ=0.97; p<0.001).
Conclusion:
satisfaction with access to health services and positive self-assessment of health status were the factors that most contributed to active ageing in this population.
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