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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
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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
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
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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
“Educational Material on HIV”: validity of health educational technology for people living with HIV
Revista Brasileira de Enfermagem. 2023;76(3):e20220549
Abstract
ORIGINAL ARTICLE“Educational Material on HIV”: validity of health educational technology for people living with HIV
Revista Brasileira de Enfermagem. 2023;76(3):e20220549
DOI 10.1590/0034-7167-2022-0549
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Objectives:
to validate the educational technology “Educational Material on HIV” (INPI – BR 10 2020 003765 0).
Methods:
a methodological study with 39 expert judges in HIV/AIDS, using a 5-point Likert scale for assessment. Data were tabulated, processed and analyzed through descriptive analysis. Cronbach’s alpha and McDonald’s omega tests were performed to analyze internal consistency, and the Intraclass Correlation Coefficient, for reliability. Agreement was established by a Level Content Validity Index greater than 0.90.
Results:
the assessment instrument showed high internal consistency (Cronbach’s alpha of 0.89; McDonald’s omega of 0.91) with reliable values. Based on the Intraclass Correlation Coefficient, judges’ answers showed acceptable reliability, mean score 0.89 (p<0.001). Agreement among judges was greater than 0.90 in the three assessed dimensions (objectives, presentation and relevance).
Conclusions:
the technology was considered a qualified and adequate tool by the judges regarding its objectives, presentation and relevance.
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ORIGINAL ARTICLE08-07-2023
Content validity of the Post-Stroke Guidance and Follow-up Booklet
Revista Brasileira de Enfermagem. 2023;76(3):e20220532
Abstract
ORIGINAL ARTICLEContent validity of the Post-Stroke Guidance and Follow-up Booklet
Revista Brasileira de Enfermagem. 2023;76(3):e20220532
DOI 10.1590/0034-7167-2022-0532
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Objectives:
to provide sources of content validity evidence for the Post-Stroke Guidance and Follow-up Booklet.
Methods:
a quantitative-qualitative approach, using two Delphi method and content analysis rounds. The Educational Content Validation Instrument in Health was sent to 53 independent judges. A Content Validity Index above 0.90 was considered.
Results:
of the 14 nurses who participated, 64.3% have experience with stroke care, 35.7% with primary care and 64.3% with educational material production. In content analysis, judges’ suggestions were stratified into four categories: material conformation, objectivity, accuracy and perception. Spelling changes were made to the images, addition of functionality scale, adequacy of technical terms and language. The Content Validity Index in the second round showed a concordance of 0.97.
Conclusions:
the booklet presented satisfactory content validity sources of evidence.
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ORIGINAL ARTICLE08-07-2023
Undergraduate nursing students’ knowledge and experience in infusion therapy and peripheral vascular acces
Revista Brasileira de Enfermagem. 2023;76(3):e20220219
Abstract
ORIGINAL ARTICLEUndergraduate nursing students’ knowledge and experience in infusion therapy and peripheral vascular acces
Revista Brasileira de Enfermagem. 2023;76(3):e20220219
DOI 10.1590/0034-7167-2022-0219
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Objectives:
to analyze the knowledge and experience of undergraduate nursing students regarding infusion therapy and peripheral vascular access.
Methods:
descriptive, cross-sectional, analytical study with 123 undergraduate nursing students who answered a semi-structured instrument.
Results:
the majority were women, with a median age of 51 years old; 87% considered the teaching received insufficient to perform in clinical practice. The mean overall knowledge score was 78.1 (SD± 8.97). The themes catheter flushing and lock (38.1%), catheter selection (34.2%), infusion equipment (30.9%) and insertion site (30.9%) presented a significant number of errors.
Conclusions:
practical classes and execution of procedures in health services were predictors for a better knowledge about infusion therapy and vascular access by undergraduate nursing students.
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REVIEW08-07-2023
Early diagnosis of HIV/aids infection: concept analysis
Revista Brasileira de Enfermagem. 2023;76(3):e20220565
Abstract
REVIEWEarly diagnosis of HIV/aids infection: concept analysis
Revista Brasileira de Enfermagem. 2023;76(3):e20220565
DOI 10.1590/0034-7167-2022-0565
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Objectives:
to analyze the concept of “early diagnosis of HIV/Aids infection” in light of Walker and Avant’s conceptual analysis model.
Methods:
concept analysis study based on the framework proposed by Walker and Avant, instrumented by a scoping review conducted in April 2022, following the recommendations of the Joanna Briggs Institute and checklist Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. The search was made in eight data sources, obtaining sixteen articles.
Results:
the study found homosexual intercourses, early examination, anti-HIV antibodies, CD4 count, and sexually transmitted infection as the main attributes of the concept. As antecedents: information, risky behavior, unprotected sexual relations, prevention, and access to the service. As main consequences: antiretroviral treatment, seroconversion, transmission, and consultations.
Final Considerations:
the study approached the circumstantial situations of the theme, its attributes, antecedents, and consequences, qualifying the work process based on knowledge of nursing practice.
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REVIEW08-07-2023
Instruments for assessing foot self-care of people with diabetes: a scoping review
Revista Brasileira de Enfermagem. 2023;76(3):e20220555
Abstract
REVIEWInstruments for assessing foot self-care of people with diabetes: a scoping review
Revista Brasileira de Enfermagem. 2023;76(3):e20220555
DOI 10.1590/0034-7167-2022-0555
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Objectives:
to map, in the world literature, instruments for assessing foot self-care of people with diabetes.
Methods:
a scoping review in Scopus by Elsevier, MEDLINE via PubMed, LILACS, SciELO databases and gray literature, using the controlled words diabetic foot, self care, questionnaire. Search was carried out in February and March 2021, according to JBI recommendations and PRISMA-ScR extension.
Results:
fifteen studies made up the review, 14 articles and one thesis, published between 2000 and 2020. 16 instruments were identified: five with an emphasis on general self-care and 11 on foot self-care. Inspection, hygiene, washing and drying between the toes, lotion application and use of proper shoes and socks were the main self-care measures presented.
Final Considerations:
foot self-care is assessed by knowledge, social support and frequency with which measures are being put into practice, encouraging professional practice.
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ORIGINAL ARTICLE08-07-2023
Workload assessment: cross-cultural adaptation, content validity and instrument reliability
Revista Brasileira de Enfermagem. 2023;76(3):e20220556
Abstract
ORIGINAL ARTICLEWorkload assessment: cross-cultural adaptation, content validity and instrument reliability
Revista Brasileira de Enfermagem. 2023;76(3):e20220556
DOI 10.1590/0034-7167-2022-0556
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Objectives:
to adapt, validate the content and assess the reliability of the instrument National Aeronautics and Space Administration – Task Load Index, translated into Brazilian Portuguese.
Methods:
a methodological study, divided into five steps: translation; synthesis; back-translation; assessment of the Portuguese version by an expert committee; pre-test and content validity of the final version by health professionals working in inpatient units. The Content Validity Index (CVI) (minimum 0.80) and Cronbach’s alpha (minimum 0.70) were calculated.
Results:
in the first round, in the agreement analysis of the translated version, three items did not reach the minimum CVI value. It was decided to remove the statement. The instrument title and items “performance” and “effort” were changed. There was consensus and approval of the final version in the pre-test step.
Conclusions:
the NASA Task Load Index instrument, adapted to Brazilian Portuguese, presents reliability and content validity evidence.
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REVIEW09-09-2022
Medical adhesive-related skin injury in adult intensive care unit: scoping review
Revista Brasileira de Enfermagem. 2022;75(6):e20210926
Abstract
REVIEWMedical 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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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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06-28-2021
Validation of an instrument for systematizing nursing care in pediatrics
Revista Brasileira de Enfermagem. 2021;74:e20200222
Abstract
Validation of an instrument for systematizing nursing care in pediatrics
Revista Brasileira de Enfermagem. 2021;74:e20200222
DOI 10.1590/0034-7167-2020-0222
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Objective:
to verify the validity of indicators’ content referring to the instrument for data collection in children aged 0 to 5 years hospitalized in a pediatric clinic.
Method:
a cross-sectional methodological study was carried out with 11 experts between January and May 2018. For data collection, the steps for validating the instrument’s content were respected. For data analysis, Content Validity Index and Kappa agreement analysis were used.
Results:
after content analysis, a Content Validity Index of 0.94 and Kappa 0.71 was issued according to the experts’ suggestions 81.9%. Therefore, the instrument was suitable for applicability.
Conclusion:
the instrument proved to be valid in terms of content for pediatric care, contributing significantly to improving care for hospitalized children aged 0 to 5 years.
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06-11-2021
Severe acute postoperative pain self-reported by children after ambulatory surgeries: a cohort study
Revista Brasileira de Enfermagem. 2021;74:e20200151
Abstract
Severe acute postoperative pain self-reported by children after ambulatory surgeries: a cohort study
Revista Brasileira de Enfermagem. 2021;74:e20200151
DOI 10.1590/0034-7167-2020-0151
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Objectives:
to estimate the incidence and the risk factors for severe acute postoperative pain self-reported on the first day after hospital discharge.
Methods:
cohort study with 279 children from both sexes (5-12 years old), indicated for ambulatory surgery in two Brazilian hospitals. Children were assessed at the pre-surgery, immediate postoperative and first postoperative day. Faces Pain Scale-Revised and Yale Preoperative Anxiety Scale Modified were used. Severe postoperative pain was defined as score ≥6. Cox regression analyses were used.
Results:
the incidence of severe postoperative pain was 15.8% (95%CI:10.7%-20.4%) on the first postoperative day. Preoperative anxiety (HR=2.23; p=0.049), severe preoperative pain (HR=2.78; p=0.031) and having undergone two surgical procedures (HR=2.91; p=0.002) were associated with severe postoperative pain.
Conclusions
the incidence of severe postoperative pain self-reported after hospital discharge was high. Anxiety and severe preoperative pain, in addition to performing two surgical procedures at the same time were confirmed as risk factors.
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ORIGINAL ARTICLE10-21-2019
Multidisciplinary team actions of a Brazilian Psychosocial Care Center for Alcohol and Drugs
Revista Brasileira de Enfermagem. 2019;72(6):1624-1631
Abstract
ORIGINAL ARTICLEMultidisciplinary team actions of a Brazilian Psychosocial Care Center for Alcohol and Drugs
Revista Brasileira de Enfermagem. 2019;72(6):1624-1631
DOI 10.1590/0034-7167-2018-0760
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Objective:
to investigate the criteria used by health professionals to identify the phase of consumption of alcohol and drug users, and actions directed to their care.
Method:
a qualitative study developed with 14 professionals from a Brazilian Psychosocial Care Center for Alcohol and Drugs (Centro de Atenção Psicossocial Álcool e Drogas) based in the south of the country. Data were collected in June 2017 through semi-structured interviews and then submitted to thematic analysis.
Results:
the criteria used by the professionals were: periodicity of use; amount and type of drug used; repercussions of misuse; and place that the drug occupies in the person’s life. The actions developed were orientation and referral to support groups, therapeutic workshops and individual care.
Final considerations:
the chronic nature of alcohol/drug use/dependence requires specific care in each phase, and objective criteria to identify and intervene in early phases, aiming at the prevention of chemical dependence.
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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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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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ORIGINAL ARTICLE07-06-2020
Time and quality of admissions: nursing workload
Revista Brasileira de Enfermagem. 2020;73(5):e20190267
Abstract
ORIGINAL ARTICLETime and quality of admissions: nursing workload
Revista Brasileira de Enfermagem. 2020;73(5):e20190267
DOI 10.1590/0034-7167-2019-0267
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Objectives:
to measure the average time spent by the nursing staff during patient admission and investigate their compliance with the activities described by the Nursing Interventions Classification; evaluate the degree of interference in the workload of the team.
Methods:
observational with time measurement through software. We followed 199 admissions made by the nursing staff in seven units, using two validated instruments. Total scores ≥ 70% and 50% validated the process.
Results:
the average time of nurses ranged from 5.5 (standard deviation = 2.3) to 13 (standard deviation = 1.1) minutes; and the auxiliary / technician, between 4.7 (standard deviation = 2.1) and 6.8 (standard deviation = 2.0) minutes (p ≤ 0.01). We qualified six admissions made by nurses and 33 by assistants/technicians. The intervention spent 16.3% to 31.5% of the working hours of the team.
Conclusions:
admission impacts nursing workload and needs to be considered both in the measurement of activities and in the sizing of the nursing staff.
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ORIGINAL ARTICLE10-25-2022
Online mental health care during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20210554
Abstract
ORIGINAL ARTICLEOnline mental health care during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20210554
DOI 10.1590/0034-7167-2021-0554
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Objective:
Identify users, services, and reasons for seeking online mental health care during the COVID-19 pandemic.
Methods:
A descriptive, retrospective study, with documentary analysis of medical records of users served between April and July 2020.
Results:
Of the 258 accesses, 159 were complete, and 99 were offline messages. Although there were 61 (38.36%) consultations in May, in April, there were 49 (30.82%) in 18 days of reception. More than 89% of accesses were women between 40 and 59 years. Among the motivations in the search for care, anxiety, fear, depression, sadness, crying, stress, and suicidal ideation stand out.
Final considerations:
Chat is a quick, early and short-wait intervention opportunity for people in need of mental health care. Therefore, the study emphasizes the importance of investing in the training of nursing professionals to act in mental health.
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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 ARTICLEWomen 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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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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