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ORIGINAL ARTICLE07-29-2024
Sexual counseling for people with acute coronary syndrome: educational video development
Revista Brasileira de Enfermagem. 2024;77(3):e20230416
Abstract
ORIGINAL ARTICLESexual counseling for people with acute coronary syndrome: educational video development
Revista Brasileira de Enfermagem. 2024;77(3):e20230416
DOI 10.1590/0034-7167-2023-0416
Views0See moreABSTRACT
Objective:
to assess validity evidence of an educational video on safe sexual activity after acute coronary syndrome.
Method:
study in three phases: video development; content validity analysis by 11 experts; and analysis of validity based on response processes by seven people with coronary disease. The content validity ratio (CVR) was calculated with critical values for the second phase of 0.63 and for the third of 1.0.
Results:
the video addressed the importance of resuming sexual activity and positions that consume less energy, clinical warning signs, the importance of adhering to treatment and a welcoming environment for sexual practice. A CVR above the critical value was obtained with a total of 4 minutes and 41 seconds.
Conclusion:
the educational video brings together adequate content validity evidence and can be used as a tool for patients after acute coronary syndrome.
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REVIEW07-29-2024
Utilization of local pressure devices in pain management during injections: scoping review
Revista Brasileira de Enfermagem. 2024;77(3):e20230399
Abstract
REVIEWUtilization of local pressure devices in pain management during injections: scoping review
Revista Brasileira de Enfermagem. 2024;77(3):e20230399
DOI 10.1590/0034-7167-2023-0399
Views0See moreABSTRACT
Objective:
to map scientific evidence regarding the use of local pressure devices in pain relief during injection procedures in patients.
Methods:
scoping review, following the recommendations of the JBI Manual for Evidence Synthesis and PRISMA-ScR, with searches conducted in the PubMed, EMBASE, CINAHL, LILACS, and PsycINFO databases, without temporal restrictions and with a cutoff date of March 2023.
Results:
a total of 1,514 studies were identified, with 20 articles included in the final sample. The ShotBlocker® device was utilized during subcutaneous and intramuscular injections in children and adults, proving beneficial in reducing pain, anxiety, and fear associated with the procedure.
Final considerations:
the ShotBlocker® is a low-cost, easy-to-use device that can enhance nursing clinical practice during painful procedures. However, studies involving the Brazilian Pikluc® device are scarce. Further research involving both local pressure devices is recommended.
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ORIGINAL ARTICLE07-29-2024
Evidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
Revista Brasileira de Enfermagem. 2024;77(3):e20230386
Abstract
ORIGINAL ARTICLEEvidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
Revista Brasileira de Enfermagem. 2024;77(3):e20230386
DOI 10.1590/0034-7167-2023-0386
Views0See moreABSTRACT
Objectives:
to analyze the validity evidence of the internal structure of the Risk Self-Medication Questionnaire Focused on Health Literacy.
Methods:
a psychometric study with 499 adults. The internal structure was assessed with exploratory and confirmatory factor analysis to prove the adjustment. Internal consistency was measured by composite reliability and McDonald’s omega coefficient (ω).
Results:
the parameters revealed a model of 35 items distributed across four factors, explaining 56% of the total variance, with factor loadings ranging from 0.31 to 0.85 and adequate communalities. Accuracy (0.79
Conclusions:
an instrument was obtained with good evidence of structural validity for measuring self-medication.
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ORIGINAL ARTICLE07-29-2024
Nurses’ perspectives on nurses’ work methods
Revista Brasileira de Enfermagem. 2024;77(3):e20230374
Abstract
ORIGINAL ARTICLENurses’ perspectives on nurses’ work methods
Revista Brasileira de Enfermagem. 2024;77(3):e20230374
DOI 10.1590/0034-7167-2023-0374
Views0See moreABSTRACT
Objectives:
To analyze nurses’ perspectives on nurses’ work methods in the hospital context.
Methods:
A descriptive study with a qualitative approach was conducted in a hospital in northern Portugal, involving 17 nurses. Semi-structured interviews were used for data collection. Data collected between May and June 2023 underwent content analysis, supported by Atlas.ti software.
Results:
Three thematic areas emerged: “Nurses’ work methods in a hospital context,” highlighting the conception and components of work methods and the methods in use; “Implementation of nurses’ work methods,” emphasizing influencing factors and challenges to implementation; and “Impact of nurses’ work methods on patients, nurses, and institutions.”
Final Considerations:
Nurses’ work methods constitute the structure of nursing care. Some factors influence and some challenges arise in the implementation of these methods, producing impacts on patients, nurses, and institutions.
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ORIGINAL ARTICLE07-29-2024
Evaluation of software technical quality for collecting data from patients under palliative care
Revista Brasileira de Enfermagem. 2024;77(3):e20230435
Abstract
ORIGINAL ARTICLEEvaluation of software technical quality for collecting data from patients under palliative care
Revista Brasileira de Enfermagem. 2024;77(3):e20230435
DOI 10.1590/0034-7167-2023-0435
Views0See moreABSTRACT
Objectives:
to evaluate software technical quality for collecting data from patients under palliative care.
Methods:
this is methodological technology evaluation research, according to the technical standard International Organization for Standardization/International Electrotechnical Commission 25040-2011, developed from August 2021 to August 2023. Eight nurses and eight information technology professionals participated as judges, who evaluated six quality characteristics and 23 subcharacteristics. Items that reached a percentage of agreement greater than 70% were considered suitable.
Results:
the characteristics evaluated by nurses/information technology professionals received the following percentages of agreement, respectively: functional suitability (94%-84%); reliability (100-70%); usability (89.9-66.8%); performance efficiency (95.8%-86.1%); compatibility (95.8-79.6%); and safety (96%-83.4%).
Conclusions:
the software was considered suitable in quality evaluation to offer support to nurses in collecting patient data under palliative care, with the potential to operationalize the first Nursing Process stage.
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ORIGINAL ARTICLE07-29-2024
Excessive daytime sleepiness in nursing technicians: association with sleep quality and memory
Revista Brasileira de Enfermagem. 2024;77(3):e20230332
Abstract
ORIGINAL ARTICLEExcessive daytime sleepiness in nursing technicians: association with sleep quality and memory
Revista Brasileira de Enfermagem. 2024;77(3):e20230332
DOI 10.1590/0034-7167-2023-0332
Views0See moreABSTRACT
Objective:
to investigate excessive daytime sleepiness prevalence among nursing technicians and the association with sleep quality and memory.
Methods:
a cross-sectional, inferential study, carried out in a hospital unit in the state of Goiás between December 2020 and January 2021. Assessments were carried out using the Epworth Sleepiness Scale, the Pittsburgh Sleep Quality Index and the Prospective and Retrospective Memory Questionnaire, instruments validated for the Brazilian context. Bivariate and multivariate logistic regression analyzes were performed.
Results:
the sample consisted of 189 nursing technicians with a 40.9% excessive daytime sleepiness prevalence. In multivariate models, excessive daytime sleepiness was not associated with sleep quality, however there was a significant association with overall memory failures.
Conclusions:
study results demonstrate a high excessive daytime sleepiness occurrence, an association with overall memory failures and the need for psychosocial interventions for nursing technicians.
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ORIGINAL ARTICLE07-29-2024
University Student Depression Inventory, Brazilian Version, Construct Assessment
Revista Brasileira de Enfermagem. 2024;77(3):e20230232
Abstract
ORIGINAL ARTICLEUniversity Student Depression Inventory, Brazilian Version, Construct Assessment
Revista Brasileira de Enfermagem. 2024;77(3):e20230232
DOI 10.1590/0034-7167-2023-0232
Views0See moreABSTRACT
Objectives:
to assess the University Student Depression Inventory, Brazilian version (USDI-BR), construct.
Methods:
a methodological study carried out with a snowball probabilistic sample, consisting of 334 undergraduate and graduate students. Confirmatory factor analysis, reliability using McDonald’s omega coefficient and Cronbach’s alpha were performed. Principal component analysis was performed using the varimax rotation and oblimin rotation, using the Kaiser-Meyer-Olkin criteria, Bartlett’s test of sphericity and scree plot.
Results:
the USDI-BR presented an internal consistency of items of ω = 0.95 and remained with 30 items, with the addition of 1 factor (Death wish and social withdrawal), totaling 4 factors.
Conclusions:
the USDI-BR has evidence that points to its validity and also its internal consistency, deserving that new studies be carried out to expand the evidence of its psychometric properties.
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ORIGINAL ARTICLE07-29-2024
Fuzzy Logic: vulnerability of women who have sex with women to sexually transmitted infections
Revista Brasileira de Enfermagem. 2024;77(3):e20230271
Abstract
ORIGINAL ARTICLEFuzzy Logic: vulnerability of women who have sex with women to sexually transmitted infections
Revista Brasileira de Enfermagem. 2024;77(3):e20230271
DOI 10.1590/0034-7167-2023-0271
Views0See moreABSTRACT
Objective:
To describe the possibility of applying Fuzzy Logic in analyzing the vulnerability of Women Who Have Sex with Women to Sexually Transmitted Infections/HIV/AIDS.
Methods:
We developed a Fuzzy Logic system with 17 input variables and one output variable, using data related to vulnerability in a municipality located in the Midwest region of the State of São Paulo, Brazil.
Results:
The factor with the greatest positive impact was the confirmation that a low understanding of Sexually Transmitted Infections/HIV/AIDS is associated with higher vulnerability. Conversely, the statement “Not disclosing sexual activity to healthcare professionals,” where individuals do not admit to having sex with women, had the least impact.
Conclusions:
Fuzzy Logic facilitates the identification of vulnerability, expressed through the analysis of interaction between variables in each dimension. This makes it a promising method to assist in analyzing the vulnerability of specific populations.
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REVIEW09-06-2022
Religiosity and mental health as aspects of comprehensiveness in care
Revista Brasileira de Enfermagem. 2022;75(1):e20201011
Abstract
REVIEWReligiosity and mental health as aspects of comprehensiveness in care
Revista Brasileira de Enfermagem. 2022;75(1):e20201011
DOI 10.1590/0034-7167-2020-1011
Views0See moreABSTRACT
Objective:
to understand how religiosity can influence the health of individuals diagnosed with mental disorders, based on comprehensive care.
Methods:
this is an integrative literature review, with the inclusion of articles in Portuguese, English and Spanish, between 2010 and 2018.
Results:
the critical analysis and qualitative synthesis of the 24 selected studies were categorized into two subtopics: The influence of religiosity in promoting comprehensive mental health care; Mental health versus religiosity: influencing conditions for effective access to comprehensive care.
Final considerations:
a positive influence of religiosity was identified in the lives of individuals diagnosed with mental disorders; however, evidence shows that health teams do not feel comfortable and prepared to work with religiosity as an expression of spirituality. This being one of the dimensional aspects of health, it can be inferred, on the results, the existence of this gap in the comprehensive care approach.
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ORIGINAL ARTICLE06-09-2021
Professional practice in caring for maternal grief in the face of stillbirth in two countries
Revista Brasileira de Enfermagem. 2021;74(3):e20200253
Abstract
ORIGINAL ARTICLEProfessional practice in caring for maternal grief in the face of stillbirth in two countries
Revista Brasileira de Enfermagem. 2021;74(3):e20200253
DOI 10.1590/0034-7167-2020-0253
Views0See moreABSTRACT
Objective:
to understand professional care for maternal grief in the puerperium of stillbirth.
Methods:
a clinical-qualitative study with all the women who had stillbirths living in Maringá (Brazil) and participating in the Center d’Études et de Recherche in Family Intervention at the University of Quebec in Outaouais in Gatineau (Canada). Semi-structured interviews were carried out and the relevant aspects were categorized into themes.
Results:
the identified categories were: Assistance received in the puerperium with a focus on grief: hospital and outpatient environment, and Professional support in coping with maternal grief after fetal loss: with contact and memories, without contact and without memories and impossibilities of contact with the baby.
Final
considerations: the need for a multidisciplinary support and monitoring network for women who experienced fetal loss was evident. From this study, a routine of care for grief can be implemented in Brazil based on experiences in Canada.
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ORIGINAL ARTICLE05-03-2021
Implementation of a surgical safety checklist in Brazil: cross-sectional study
Revista Brasileira de Enfermagem. 2021;74(2):e20190874
Abstract
ORIGINAL ARTICLEImplementation of a surgical safety checklist in Brazil: cross-sectional study
Revista Brasileira de Enfermagem. 2021;74(2):e20190874
DOI 10.1590/0034-7167-2019-0874
Views0See moreABSTRACT
Objective:
to identify the implementation process of the World Health Organization Surgical Safety Checklist in Brazilian hospitals.
Methods:
this is a cross-sectional study with 531 participants during a Congress of Perioperative Nursing, promoted by the Brazilian Association of Operating Room Nurses, Anesthetic Recovery and Material and Sterilization Center, in 2017.
Results:
among the nursing professionals included, 84.27% reported the checklist implementation in the workplace. Regarding daily application in the Sign-in stage, 79.65% of professionals confirmed patient identification with two indicators; in the Time-out stage, 51.36% of surgeries started regardless of confirmation of one of the items. In the Sign-out stage, 69.34% of professionals did not count or occasionally counted the surgical instruments and suture needles, and only 36.36% reviewed concerns about postoperative recovery.
Conclusion:
this study identified needs for improvements in applying the checklist in the Brazilian reality, to guarantee safer surgical procedures.
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ORIGINAL ARTICLE06-18-2021
Standard drug consumption: a study with elderly people in Primary Health Care
Revista Brasileira de Enfermagem. 2021;74(3):e20200729
Abstract
ORIGINAL ARTICLEStandard drug consumption: a study with elderly people in Primary Health Care
Revista Brasileira de Enfermagem. 2021;74(3):e20200729
DOI 10.1590/0034-7167-2020-0729
Views0See moreABSTRACT
Objective:
To identify the pattern of medication consumption among the elderly assisted in Primary Health Care.
Methods:
Descriptive, quantitative, cross-sectional study, with a sample of 315 elderly people, in a city in rural Rio Grande do Norte.
Results:
The average age was 72.41 years, with an average consumption of 3.15 medications per day, ranging from 1 to 16 medications daily. There was a prevalence of antihypertensives, antidiabetics, hypolipidemic and psychotropic drugs. 238 different drugs were mentioned, 15 of which were “potentially inappropriate drugs” for the elderly. Most of these patients follow treatment according to medical prescription, with low self-medication. Most elderly people buy their drugs, although many are available for free.
Conclusion:
The most consumed drugs are consistent with the most reported diseases (hypertension and diabetes). The daily use of inappropriate medications for the elderly is worrying, especially psychotropics, given the risks of dependence or health complications of these users.
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ORIGINAL ARTICLE04-15-2022
Analysis of the temporal trend of mortality from sickle cell anemia in Brazil
Revista Brasileira de Enfermagem. 2022;75(4):e20210640
Abstract
ORIGINAL ARTICLEAnalysis of the temporal trend of mortality from sickle cell anemia in Brazil
Revista Brasileira de Enfermagem. 2022;75(4):e20210640
DOI 10.1590/0034-7167-2021-0640
Views0See moreABSTRACT
Objectives:
To analyze the temporal trend of mortality from sickle cell anemia in Brazil, by region, in the period 1997-2017.
Methods:
epidemiological study, with an ecological design, with a temporal trend, carried out with data from the Mortality Information System. For descriptive analysis, absolute and relative frequencies were used. In the correlation analysis, the ANOVA test was used, followed by Tukey’s post-test. The temporal trend was obtained using the cubic polynomial regression test.
Results:
6,813 deaths from sickle cell anemia were registered. Brown individuals (50.87%) were more frequent, with a predominance of males (50.4%), aged between 25 and 34 years and a higher incidence of deaths in the Midwest (0.25/100 thousand inhabitants). The time curve showed an increasing trend of deaths in the country between 1997 and 2015 (R2 = 0.98).
Conclusions:
sickle cell anemia showed increasing mortality in the 21 years analyzed and alerts health professionals and managers.
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TECHNOLOGICAL INNOVATION06-04-2021
Integrated Care model: Transition from acute to chronic care
Revista Brasileira de Enfermagem. 2021;74:e20200910
Abstract
TECHNOLOGICAL INNOVATIONIntegrated Care model: Transition from acute to chronic care
Revista Brasileira de Enfermagem. 2021;74:e20200910
DOI 10.1590/0034-7167-2020-0910
Views0See moreABSTRACT
Objective:
Description and discussion dimensions of Integrated Care Model.
Methods:
A descriptive study is done that describe a technological innovation, intervention strategies for professional performance.
Results:
Integrated Care Model (ICM) has two main categories include individual and Group-and disease-specific Model. First, is used for risky patients or with comorbidities. In second category; Chronic Care Model (CCM) is common form of Integrated Care Model to improve resultants in the patients with chronic condition, to move from acute care to integrate, regular, long-lasting, preventative and community-based nursing.
Final considerations:
It is important to consider patient as an active member of the treatment team. It seems to be essential to monitor performance of care system. On the other hand, offer multidisciplinary care leads to present desirable care, tailored to the specific needs of patients regarding safety, patient-centered care and their culture.
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ORIGINAL ARTICLE09-06-2022
Evaluation of the health level of the elderly: patient care team considerations
Revista Brasileira de Enfermagem. 2022;75(1):e20201277
Abstract
ORIGINAL ARTICLEEvaluation of the health level of the elderly: patient care team considerations
Revista Brasileira de Enfermagem. 2022;75(1):e20201277
DOI 10.1590/0034-7167-2020-1277
Views0See moreABSTRACT
Objective:
To understand the differences of physicians, nurses, and social workers in the evaluation of the health status of the elderly.
Methods:
A cross-sectional quantitative study, using descriptive statistics. Non-probabilistic sample, consisting of 291 participants from three professional categories: 71 (24.4%) physicians, 192 (66%) nurses, and 28 (9.6%) social workers. We used a questionnaire including the variables: sociodemographic characteristics and instruments used for evaluation.
Results:
Instruments with greater utility for the evaluation of the elderly: for physicians, Mini Mental State Examination; for nurses, Braden scale; and for social workers, genogram. In the physical examination, the data most collected by physicians and nurses are the vital signs; and by social workers, the condition for performing the Activities of Daily Living.
Conclusions:
The evaluation of the elderly is based on a diversity of instruments and is an area in which health and social professionals need to share information.
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EXPERIENCE REPORT09-01-2021
Process modeling: technological innovation to control the risk for perioperative positioning injury
Revista Brasileira de Enfermagem. 2021;74:e20200145
Abstract
EXPERIENCE REPORTProcess modeling: technological innovation to control the risk for perioperative positioning injury
Revista Brasileira de Enfermagem. 2021;74:e20200145
DOI 10.1590/0034-7167-2020-0145
Views0See moreABSTRACT
Objectives:
to report the construction of a process model to support the decision making of operating room nurses to control the risk for perioperative positioning injury.
Methods:
experience report on a process model that helps nurses with decision making regarding clients at risk for perioperative positioning injury. By following the steps, it was possible to identify intrinsic and extrinsic variables of the literature and of the workflows of teams involved in the positioning of the client for surgery. The Business Process Model and Notation, the Bizagi Modeler software and terms from the International Classification for Nursing Practice were used in the model.
Results:
the experience allowed the observation of the knowledge integration between different areas, which enabled the process modeling and its validation.
Conclusions:
process modeling is an innovative option for the development of support systems for clinical nursing decisions.
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