REFLECTION Archives - Revista Brasileira de Enfermagem

  • REFLECTION07-12-2021

    Women and COVID-19: reflections for a sexual and reproductive rights-based obstetric care

    Revista Brasileira de Enfermagem. 2021;74:e20201164

    Abstract

    REFLECTION

    Women and COVID-19: reflections for a sexual and reproductive rights-based obstetric care

    Revista Brasileira de Enfermagem. 2021;74:e20201164

    DOI 10.1590/0034-7167-2020-1164

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    ABSTRACT

    Objective:

    This essay aims to reflect on the repercussions of the pandemic in obstetric care in the light of sexual and reproductive rights, focusing on delivery and birth care.

    Results:

    The reflection shows that the pandemic has accentuated the violation of these rights, which is evidenced by racial inequalities in maternal mortality, as well as restrictions and interventions in childbirth care without scientific evidence, detour of resources, interruption of services, reduced human resources, shortage of medicines and supplies, and imbalances in the provision of health services.

    Conclusion:

    It is concluded obstetric care faces even greater barriers in access to health care, just as the pandemic of COVID-19 highlighted inequities, disproportionately impacting vulnerable populations whose human rights are less protected.

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  • REFLECTION07-12-2021

    Florence Nightingale: Legacy, present and perspectives in COVID-19 pandemic times

    Revista Brasileira de Enfermagem. 2021;74:e20201306

    Abstract

    REFLECTION

    Florence Nightingale: Legacy, present and perspectives in COVID-19 pandemic times

    Revista Brasileira de Enfermagem. 2021;74:e20201306

    DOI 10.1590/0034-7167-2020-1306

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    ABSTRACT

    Objective:

    Reflect on the influence of Florence Nightingale’s teachings to face the COVID-19 pandemic and its repercussions for the future of the profession.

    Methods:

    Descriptive reflective study, carried out between May and July 2020, through narrative review on the theme and debates between the authors.

    Results:

    The findings are divided into two chapters, namely: Environmental Theory and the teachings of Florence Nightingale in the face of the COVID-19 pandemic; and Florence Nightingale: legacy, present and perspectives.

    Final considerations:

    Florence Nightingale’s studies with the Environmentalist Theory and her teachings as a nurse are still valid, even after almost two centuries since her prelude, and should continue to serve as a foundation for the consolidation of the nursing profession.

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  • REFLECTION06-18-2021

    Training and practice of nurses in Primary Care management: perspectives of Schön’s Theory

    Revista Brasileira de Enfermagem. 2021;74(3):e20200461

    Abstract

    REFLECTION

    Training and practice of nurses in Primary Care management: perspectives of Schön’s Theory

    Revista Brasileira de Enfermagem. 2021;74(3):e20200461

    DOI 10.1590/0034-7167-2020-0461

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    ABSTRACT

    Objectives:

    to analyze the process of permanent professional training of Primary Health Care nurse managers from the perspective of reflective practice theory, built by Donald Schön.

    Methods:

    this is a theoretical-reflective study.

    Results:

    the findings apply to nurse managers’ practice to deal with the dilemmas that present themselves in the professional routine according to their knowledge, skills and attitudes, anchored in the reflection-in-action movement, which unites the process of permanent and practical training reflective, favoring the development of skills relevant to management.

    Final Considerations:

    nursing health managers, during their ongoing training process, can develop skills to act effectively in Primary Care, reflecting in practice and on practice, deciding on the need to remain in training to address the issues arising from that same practice.

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  • REFLECTION06-18-2021

    Reflections on elderly autonomy and its meaning for the practice of nursing care

    Revista Brasileira de Enfermagem. 2021;74(3):e20200723

    Abstract

    REFLECTION

    Reflections on elderly autonomy and its meaning for the practice of nursing care

    Revista Brasileira de Enfermagem. 2021;74(3):e20200723

    DOI 10.1590/0034-7167-2020-0723

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    ABSTRACT

    Objective:

    To reflect on autonomy in health care, its perspective on the lives of the elderly, and its meaning for the practice of nursing care.

    Methods:

    Theoretical essay on the practice of nursing care to promote autonomy and self-care for the elderly.

    Results:

    It is necessary to qualify the practice of nursing care to consider the aging process and maintain the autonomy of the elderly. Three parts emerged: “The autonomy of the elderly and the care plan”, “Nursing in the self-care process”, and “Challenges to the practice of caring for the elderly in nursing”.

    Final considerations:

    There is still a deficiency in promoting autonomy for the elderly due to the need for a review of the practice of nursing care, which, considering aging in Brazil, needs to undertake new actions in order to encourage self-care and autonomy in this population.

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  • REFLECTION06-09-2021

    Ethical reflexivity in qualitative research: the use of cinematographic movies as an instrument for continuous training

    Revista Brasileira de Enfermagem. 2021;74(3):e20190146

    Abstract

    REFLECTION

    Ethical reflexivity in qualitative research: the use of cinematographic movies as an instrument for continuous training

    Revista Brasileira de Enfermagem. 2021;74(3):e20190146

    DOI 10.1590/0034-7167-2019-0146

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    ABSTRACT

    Objectives:

    to analyze ethically, aesthetically and politically the cine-debate of the movie “Human”, reflecting on training of researchers in qualitative research.

    Methods:

    the debate about moral questions as the essence of humanity was based on Narrative Bioethics; the comprehensive, relational and reflective character of qualitative methods; and the ethical and social sense of qualitative researches.

    Results:

    the narratives of the experiences of morality, loaded with facts and valuations, highlighting the importance of reflexivity in all phases of the qualitative research process, from thinking about themes and research questions to fieldwork, from data analysis to the production of reports, fostering the researcher’s responsibility both in the intervention for understanding and narrating the world, and in its possible transformation.

    Final Considerations:

    cinematographic art becomes an instrument of reflexivity capable of affecting and mobilizing students, in a fusion of horizons of understanding of different universes that dialogue.

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  • REFLECTION06-04-2021

    Care in pediatric nursing from the perspective of emotions: from Nightingale to the present

    Revista Brasileira de Enfermagem. 2021;74(4):e20200377

    Abstract

    REFLECTION

    Care in pediatric nursing from the perspective of emotions: from Nightingale to the present

    Revista Brasileira de Enfermagem. 2021;74(4):e20200377

    DOI 10.1590/0034-7167-2020-0377

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    ABSTRACT

    Objective:

    Reflect on the evolution of pediatric nursing care from the perspective of emotions, from the conceptions of Florence Nightingale to the present.

    Method:

    Reflective study based on theoretical and experiential aspects of emotional care in pediatric nursing.

    Results:

    From Nightingale, there were many definitions regarding the nursing care in an integrative and humanist logic; and with certain bond to emotional dimension. That time, nursing care was based on the religious conceptions of charity and love of our neighbor and, despite the conceptualization that shapes nursing science today, such conceptions have not ceased to be its attribute, mainly in the care of pediatric nurses.

    Final considerations:

    In pediatric nursing, nurture care with affection and facilitate emotions management in each interaction nurse-child-family is crucial for caring. This emotional care should evolve into a competence that recognizes the expertise and merit of professional action.

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  • REFLECTION06-04-2021

    The oral ability of premature children with regard to breastfeeding under the light of the Theory of Causation

    Revista Brasileira de Enfermagem. 2021;74:e20200120

    Abstract

    REFLECTION

    The oral ability of premature children with regard to breastfeeding under the light of the Theory of Causation

    Revista Brasileira de Enfermagem. 2021;74:e20200120

    DOI 10.1590/0034-7167-2020-0120

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    ABSTRACT

    Objective:

    To reflect on the repercussions of premature babies’ oral ability concerning breastfeeding, under the light of the theory of causation.

    Methods:

    Theoretical production of reflections based on Hobbes’s theory of causation.

    Results:

    The study addresses the understanding of oral abilities as the main accident regarding the capacity of the premature newborn, which, coupled with other accidents that make up the other domains, concerning breastfeeding, is an integral cause of the phenomenon.

    Final considerations:

    Although there are protocols, even if some of them are inconsistent or incomplete, the use of criteria such as weight and gestational age as standards to understand this readiness can still be observed. However, the effect manifests itself even in the absence of these accidents, showing them as partial causes of the phenomenon, while oral ability is, by itself, a necessary cause for this event to take place.

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    The oral ability of premature children with regard to breastfeeding under the light of the Theory of Causation
  • REFLECTION05-28-2021

    The psychiatric hospital worker in Wonderland

    Revista Brasileira de Enfermagem. 2021;74:e20200342

    Abstract

    REFLECTION

    The psychiatric hospital worker in Wonderland

    Revista Brasileira de Enfermagem. 2021;74:e20200342

    DOI 10.1590/0034-7167-2020-0342

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    ABSTRACT

    Objective:

    To propose a reflection on the labor practice in a psychiatric hospital, emphasizing Brazil.

    Method:

    A theoretical-reflexive study with an analogy between work in a psychiatric hospital and the literary work “Alice in Wonderland.”

    Results:

    The complex movement of the psychiatric hospital’s history induces a discordant work process and demands from the worker a personified performance of a world of “wonders.”

    Final considerations:

    This manuscript contributed to the equalization of knowledge about the work in the psychiatric hospital, aiming to minimize the conceptual distortions identified and expose the worker’s real situation in these institutions.

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