RESEARCH Archives - Revista Brasileira de Enfermagem

  • RESEARCH

    Replication of the training program in nonverbal communication in gerontology

    Revista Brasileira de Enfermagem. 2015;68(6):1042-1049
    01-01-2015

    Abstract

    RESEARCH

    Replication of the training program in nonverbal communication in gerontology

    Revista Brasileira de Enfermagem. 2015;68(6):1042-1049
    01-01-2015

    DOI 10.1590/0034-7167.2015680607i

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    ABSTRACT

    Objective:

    to measure the rate of assimilation of applied content at immediate and subsequent moments after a nonverbal communication in gerontology training program.

    Method:

    descriptive and exploratory fi eld study developed in three state administered hospitals, which attend Brazilian National Health Service (SUS) clients. The duration of the training was twelve hours, applied with 102 healthcare professionals.

    Results:

    the results revealed that the rate of assimilation of the content immediately after the program was satisfactory, as well as being satisfactory in the aspects concept of aging; strategies to foster the independence and autonomy of the elderly person; communication interferences linked to the elderly and the professional; recognition of non-verbal functions and dimensions. The exception was the professional perception faced with aspects that influence the success of communication.

    Conclusion:

    it was concluded that the replication of this program was relevant and current for the hospital context, remaining effi cient for healthcare professionals.

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  • RESEARCH

    Compliance of hand hygiene in maintaining the catheter for hemodialysis

    Revista Brasileira de Enfermagem. 2015;68(6):1050-1055
    01-01-2015

    Abstract

    RESEARCH

    Compliance of hand hygiene in maintaining the catheter for hemodialysis

    Revista Brasileira de Enfermagem. 2015;68(6):1050-1055
    01-01-2015

    DOI 10.1590/0034-7167.2015680608i

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    ABSTRACT

    Objective:

    to assess the compliance of the practice of hand hygiene in maintaining the temporary double-lumen catheter for hemodialysis, through the use of process indicator at the University Hospital of the University of São Paulo.

    Method:

    a quantitative, exploratory, descriptive, observational study. Sample consists of 155 observations of patients with catheter from March to November 2011, using the Maintenance Indicator Temporary Dual Lumen Catheter for Hemodialysis.

    Results:

    the overall compliance rate was 65.8%. Of the 13 specific components evaluated, 9 (69.2%) had 100% compliance. Hand hygiene by health professionals presented one of the worst rates (83.9%).

    Conclusion:

    it is necessary to implement strategies to reduce the rates of non-compliance, improve quality of care and safety of patients with catheter, and explore factors that affect the process, such as structural issues, and behavioral materials.

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    Compliance of hand hygiene in maintaining the catheter for hemodialysis
  • RESEARCH

    Women’s temporality after cardiac surgery: contributions to nursing care

    Revista Brasileira de Enfermagem. 2015;68(6):1056-1062
    01-01-2015

    Abstract

    RESEARCH

    Women’s temporality after cardiac surgery: contributions to nursing care

    Revista Brasileira de Enfermagem. 2015;68(6):1056-1062
    01-01-2015

    DOI 10.1590/0034-7167.2015680609i

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    ABSTRACT

    Objective:

    to unveil women's existential movement after cardiac surgery.

    Method:

    qualitative phenomenological study. The research setting was a hospital in Minas Gerais, in which ten women were interviewed between December 2011 and January 2012.

    Results:

    after hospital discharge, the women experienced physical, social and emotional impairments, and expressed the desire to go back to the time before their diagnosis, because they felt as though they still had heart disease. This vague and average understanding led to three units of meaning that, from a Heideggerian hermeneutic point of view, revealed the phenomenon of cardiac surgery as a present circumstance that limited the participants' daily lives.

    Conclusion:

    nurses supporting women patients after cardiac surgery should promote health considering existential facets that are expressed during care. The bases for comprehensive care are revealed in singular and whole meetings of subjectivity.

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  • RESEARCH

    Conceptions of mid-level nursing professionals facing those with a chemical dependency

    Revista Brasileira de Enfermagem. 2015;68(6):1063-1068
    01-01-2015

    Abstract

    RESEARCH

    Conceptions of mid-level nursing professionals facing those with a chemical dependency

    Revista Brasileira de Enfermagem. 2015;68(6):1063-1068
    01-01-2015

    DOI 10.1590/0034-7167.2015680610i

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    ABSTRACT

    Objective:

    to describe and understand the conceptions of nursing assistants working in Psychosocial Care Centers for alcohol and drugs (CAPS ad), about the patient with addictions.

    Method:

    sixteen nursing assistants and technicians from nine of the CAPS ad in São Paulo were interviewed, and data were analyzed using the constant comparative method.

    Results:

    performing the functions in the CAPS ad enabled the change in staff’s conception from a stigmatizing and prejudiced view, to the concept of chemical dependence as a disease and those who are chemically dependent as patients with comorbidities and family problems, in need of help and treatment.

    Conclusion:

    professional practice in specialized services for alcohol and other drugs enables changes in the staff’s conceptions about chemically dependent individuals, highlighting the need to include the subject of alcohol and drugs in the school curriculum.

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  • RESEARCH

    Speeches of managers about the policy of the directly observed treatment for tuberculosis

    Revista Brasileira de Enfermagem. 2015;68(6):1069-1077
    01-01-2015

    Abstract

    RESEARCH

    Speeches of managers about the policy of the directly observed treatment for tuberculosis

    Revista Brasileira de Enfermagem. 2015;68(6):1069-1077
    01-01-2015

    DOI 10.1590/0034-7167.2015680611i

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    ABSTRACT

    Objective:

    to analyze the managers' speeches about the policy transfer of the directly observed treatment (DOT) for tuberculosis control in the city of João Pessoa, Paraíba, Brazil.

    Method:

    this is a qualitative study developed in May and June, 2013 through semi-directed interviews with twenty health professionals in five health districts in João Pessoa/PB. The empirical material produced was analyzed according to the theoretical-analytical basis of the French Discourse Analysis by Pêcheux.

    Results:

    the study demonstrated weaknesses in the conduction and organization of actions in relation to the DOT. It revealed that the lack of knowledge of the managers about this policy has direct implications to the care of tuberculosis patients.

    Conclusion:

    the management should trace strategic plans to rethink the care practices and thus, reorganize the entire care network to users in order to effectively contribute to user adherence in the fight against tuberculosis.

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  • RESEARCH

    Family caregivers articulating the social network of a child with special health care needs

    Revista Brasileira de Enfermagem. 2015;68(6):1078-1085
    01-01-2015

    Abstract

    RESEARCH

    Family caregivers articulating the social network of a child with special health care needs

    Revista Brasileira de Enfermagem. 2015;68(6):1078-1085
    01-01-2015

    DOI 10.1590/0034-7167.2015680612i

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    ABSTRACT

    Objective:

    the study sought to characterize the social network of the child and analyze the role of the family in its creation.

    Method:

    a qualitative approach was developed through five dynamics (Speaking Map) based on the creative sensitive method, with five groups of families (12 participants) in their homes.

    Results:

    the critical discourse analysis of the caregivers (grandparents, siblings and neighbors) showed that the mother plays the main role in articulating the social network, with its points being linked by the hospital, primary and rehabilitation care, household, school, etc. Familial care becomes more visible at home and within the community.

    Conclusion:

    with the insufficient public policy that articulating healthcare facilities for CSHCN in the community, family members shape a social network characterized by a dense and fluid mesh.

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    Family caregivers articulating the social network of a child with special health care needs
  • RESEARCH

    Convergence, divergence and diagnostic accuracy in the light of two nursing terminologies

    Revista Brasileira de Enfermagem. 2015;68(6):1086-1092
    01-01-2015

    Abstract

    RESEARCH

    Convergence, divergence and diagnostic accuracy in the light of two nursing terminologies

    Revista Brasileira de Enfermagem. 2015;68(6):1086-1092
    01-01-2015

    DOI 10.1590/0034-7167.2015680613i

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    ABSTRACT

    Objective:

    compare divergences and convergences between the nursing diagnoses established for a case study, in the light of two nursing terminologies.

    Method:

    a descriptive research was undertaken. The participants were 24 nurses from public teaching hospitals (N=12) and hospital care institutions (N=12) in the Northeast of Brazil.

    Results:

    in group A (6 faculty members and 6 clinical professionals), 51 diagnoses were established according to NANDA-I: 54.9% of high accuracy, 23.5% zero, 15.7% low and 5.9% moderate accuracy. In group B (6 faculty members and 6 clinical professionals), 43 declarations were established using the ICNP®: 44.2% of zero accuracy, 39.5% high, 16.3% low. Four out of fi ve diagnostic titles of high accuracy in group A and the seven titles in group B converged; divergences were attributed to the number of combinations among the focus, judgment and location axes of the ICNP®.

    Conclusion:

    a range of titles was observed with different diagnostic inferences and low diagnostic accuracy in both groups.

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  • RESEARCH

    Non-pharmacological strategies to decrease anxiety in cardiac catheterization: integrative review

    Revista Brasileira de Enfermagem. 2015;68(6):1093-1102
    01-01-2015

    Abstract

    RESEARCH

    Non-pharmacological strategies to decrease anxiety in cardiac catheterization: integrative review

    Revista Brasileira de Enfermagem. 2015;68(6):1093-1102
    01-01-2015

    DOI 10.1590/0034-7167.2015680614i

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    ABSTRACT

    Objective:

    to identify and review the literature on non-pharmacological strategies used for reducing anxiety in patients receiving cardiac catheterization.

    Method:

    this study was an integrative literature review. The research was conducted using the databases LILACS, SciELO, Medline (through BVS and PubMed) and Scopus. Studies were analyzed according to their objective, method, instruments used for evaluating patients' anxiety, and the results obtained.

    Results:

    the most used strategy for reducing anxiety in patients receiving cardiac catheterization was music therapy. However, no study identifying the most appropriate time for this intervention (before, during and/or after the procedure) was found. Other strategies identified in this review were educational videos, massage, and palm therapy.

    Conclusion:

    the results found suggest that anxiety can be reduced using non-pharmacological strategies.

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    Non-pharmacological strategies to decrease anxiety in cardiac catheterization: integrative review

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