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ARTÍCULO ORIGINAL24/09/2022
Spatial analysis of AIDS in the state of Maranhão: an ecological study 2011-2018
Revista Brasileira de Enfermagem. 2022;75(1):e20210131
Resumen
ARTÍCULO ORIGINALSpatial analysis of AIDS in the state of Maranhão: an ecological study 2011-2018
Revista Brasileira de Enfermagem. 2022;75(1):e20210131
DOI 10.1590/0034-7167-2021-0131
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Objective:
Analyze the spatio-temporal distribution of AIDS cases in Maranhão.
Methods:
Ecological study of AIDS cases in the Notifiable Diseases Information System, 2011-2018. Gross and adjusted incidences were calculated using the Baysean method; then, the Moran Global and Local Indices to observe the existence of spatial autocorrelation of the cases and for the delimitation of high and low risk clusters.
Results:
6,349 cases were reported, which were distributed heterogeneously. There was an advance of cases to new areas and persistence in old areas, such as in the capital São Luís and its surroundings. The dissemination did not occur at random, with positive spatial autocorrelation, with evidence of the formation of clusters in the municipalities of São Luís, São José de Ribamar and Paço do Lumiar.
Conclusion:
High-risk areas have been identified and should be considered a priority for investment in health, management, and organization of health services.
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INNOVACIÓN TECNOLÓGICA24/09/2022
Transitional care from the hospital to the home in heart failure: implementation of best practices
Revista Brasileira de Enfermagem. 2022;75(1):e20210123
Resumen
INNOVACIÓN TECNOLÓGICATransitional care from the hospital to the home in heart failure: implementation of best practices
Revista Brasileira de Enfermagem. 2022;75(1):e20210123
DOI 10.1590/0034-7167-2021-0123
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Objectives:
Assess the compliance of the implementation of better evidence in the transitional care of the person with heart failure from the hospital to the home.
Methods:
Evidence implementation project according to the JBI methodology in a cardiology hospital in São Paulo. Six criteria were audited before and after implementing strategies to increase compliance with best practices. 14 nurses and 22 patients participated in the audits.
Results:
In the baseline audit, compliance was null with five of the six criteria. Strategies: training of nurses; reformulation of the hospital discharge form and guidance on self-care in care contexts; and making telephone contact on the 7th, 14th and 21st days after discharge. In the follow-up audit, there was 100% compliance with five of the six criteria.
Conclusion:
The project made it possible to increase the compliance of transitional care practices in people with heart failure with the recommendations based on the best evidence.
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ARTÍCULO ORIGINAL24/09/2022
Characterization of obstetric care developed in teaching hospitals in a capital of northeast Brazil
Revista Brasileira de Enfermagem. 2022;75(1):e20200896
Resumen
ARTÍCULO ORIGINALCharacterization of obstetric care developed in teaching hospitals in a capital of northeast Brazil
Revista Brasileira de Enfermagem. 2022;75(1):e20200896
DOI 10.1590/0034-7167-2020-0896
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Objective:
to describe the obstetric care developed in teaching hospitals (TH) in the city of Maceió-AL, intended for high-risk pregnancies.
Methods:
Retrospective cohort study performed between June and November 2018 with 291 women who received assistance with vaginal delivery, cesarean section, or abortion process in teaching hospitals selected as settings for this research. Data collection allowed the characterization of the interviewees as well as the assistance received and its relationship with obstetric violence. The analysis was performed using descriptive and analytical statistics with the aid of the Epi Info software (version 7.2.0.1) and measures that allowed the comparison of means and proportions.
Results:
All women reported at least one violent situation, contrary to recommendations based on scientific evidence.
Conclusion:
It becomes necessary to optimize professional training to deconstruct obstetric care based on medicalization and pathologization of pregnancy and strengthen science-based care.
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ARTÍCULO ORIGINAL24/09/2022
Risk classification in a pediatric service: evaluation of the structure, process, and outcome
Revista Brasileira de Enfermagem. 2022;75(1):e20210022
Resumen
ARTÍCULO ORIGINALRisk classification in a pediatric service: evaluation of the structure, process, and outcome
Revista Brasileira de Enfermagem. 2022;75(1):e20210022
DOI 10.1590/0034-7167-2021-0022
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Objectives:
to evaluate a pediatric risk evaluation and classification service in the aspects of structure, process, and outcome.
Methods:
a cross-sectional, descriptive, and exploratory study in which qualitative data complement the results. Data collection by non-participant observation, interview, and consultation of medical records.
Results:
we observed two hundred and four visits. The service works in a makeshift room and without privacy. The nurses did not use various materials/equipment available for evaluation, rarely performed a physical examination, used the interview most of the time, and did not consult the protocol. Parents/companions received no information, and medical records showed incomplete records. Nurses classified 69.1% of the children as non-emergency. The most frequent outcome of the visits was discharge.
Conclusions:
the service showed weaknesses in the physical structure, in the risk classification process, and the outcomes, but it presents a good resolution in the assistance. We recommend a revision in the protocol used and sensitize nurses about the work process and communication with parents/companions.
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ARTÍCULO ORIGINAL23/09/2022
Peripherally inserted central catheter obstruction in packed red blood cell transfusions in neonates
Revista Brasileira de Enfermagem. 2022;75(4):e20210967
Resumen
ARTÍCULO ORIGINALPeripherally inserted central catheter obstruction in packed red blood cell transfusions in neonates
Revista Brasileira de Enfermagem. 2022;75(4):e20210967
DOI 10.1590/0034-7167-2021-0967
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Objectives:
to estimate incidence and free time of peripherally inserted central catheter obstruction in newborns undergoing red blood cell transfusion in the first 24 hours after the procedure.
Methods:
a longitudinal study, carried out with neonates in Neonatal Intensive Care Unit at a teaching hospital in Paraná, between January and July 2019. The sample consisted of 46 transfusion events performed in neonates through a peripherally inserted central catheter. Analysis performed according to descriptive statistics.
Results:
thirty-one catheters were analyzed, inserted in 24 neonates, through which 46 red blood cell transfusions were performed. Most neonates were male, gestational age <32 weeks, weight <1,500 grams, hospitalized mainly for prematurity. Among the 31 catheters, one (3.2%) presented obstruction after transfusion.
Conclusions:
The occurrence of obstructions immediately after transfusion was low and the catheters remained complication free for the next 24 hours.
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ARTÍCULO ORIGINAL23/09/2022
Validation of the Informal Caregiver Burden Assessment Questionnaire for Brazil – short version
Revista Brasileira de Enfermagem. 2022;75(4):e20210862
Resumen
ARTÍCULO ORIGINALValidation of the Informal Caregiver Burden Assessment Questionnaire for Brazil – short version
Revista Brasileira de Enfermagem. 2022;75(4):e20210862
DOI 10.1590/0034-7167-2021-0862
Visualizações0Ver maisABSTRACT
Objectives:
to cross-culturally adapt the short version of the Informal Caregiver Burden Assessment Questionnaire to the Brazilian culture and test its psychometric properties.
Methods:
the questionnaire was translated, adapted, and applied to a sample of 280 informal caregivers. The psychometric assessment was verified by estimating psychometric sensitivity and internal structure validity.
Results:
inter-rater agreement was satisfactory among specialists. In the seven-factor model, item (Q9) of the domain “Perception of Efficacy and Control Mechanisms” showed a factor loading less than 0.40 (ʎ = 0.26), and an alternative six-factor model was evaluated. However, both models showed excellent fit indices, and it was decided to keep the seven-factor reference model. Reliability was satisfactory for the seven subscales (α > 0.70).
Conclusions:
the questionnaire was adapted and showed adequate psychometric indices in the Brazilian context in which it was evaluated, preserving its original essence.
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ARTÍCULO ORIGINAL23/09/2022
Analysis of the concept of cardiovascular risk: contributions to nursing practice
Revista Brasileira de Enfermagem. 2022;75(4):e20210803
Resumen
ARTÍCULO ORIGINALAnalysis of the concept of cardiovascular risk: contributions to nursing practice
Revista Brasileira de Enfermagem. 2022;75(4):e20210803
DOI 10.1590/0034-7167-2021-0803
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Objectives:
to analyze the concept of cardiovascular risk to support nursing practice.
Methods:
this is an analysis to define the concept of cardiovascular risk, through the use of eight steps of Walker’s and Avant’s framework, using a literature review in indexed scientific journals.
Results:
cardiovascular risk is defined in a broad and original way as a context of health and nursing care that makes it possible to identify modifiable (cardiometabolic, behavioral, psychosocial, cultural and occupational) and non-modifiable (biological) risk factors for cardiovascular diseases that act as early and interrelated markers, of multiple and heterogeneous etiology, predisposing to cardiovascular vulnerability.
Conclusions:
with the analysis and definition of the concept of cardiovascular risk, we realized that it will be possible to base nursing practice, with implications in clinical practice for identifying and reducing risk factors for cardiovascular diseases, with nursing relevance in the care of these subjects.
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ARTÍCULO ORIGINAL23/09/2022
Brain death communication with parents of children and adolescents: care strategies
Revista Brasileira de Enfermagem. 2022;75(3):e20210943
Resumen
ARTÍCULO ORIGINALBrain death communication with parents of children and adolescents: care strategies
Revista Brasileira de Enfermagem. 2022;75(3):e20210943
DOI 10.1590/0034-7167-2021-0943
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Objectives:
to identify care strategies developed by professionals from critically ill patients’ units in communicating BD with parents of children and adolescents.
Methods:
an exploratory and descriptive research with a qualitative approach, carried out in two health institutions between October and December 2019, through semi-structured interviews. Data analysis took place through content analysis.
Results:
twenty-one professionals participated. Three care strategies were identified: actual clinical situation in suspected brain death; sensitizing families to the real clinical situation after brain death diagnosis; and time to assimilate the death information.
Final Considerations:
the care strategies for communicating brain death to families identified in this study present the possibility of subsidizing health managers in training and support promotion for professionals in care practice. Moreover, they can be incorporated and validated in the care practice of the studied context.
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ARTÍCULO ORIGINAL24/06/2020
Interprofessional relationships of a patient assistance team in critical care
Revista Brasileira de Enfermagem. 2020;73(4):e20190420
Resumen
ARTÍCULO ORIGINALInterprofessional relationships of a patient assistance team in critical care
Revista Brasileira de Enfermagem. 2020;73(4):e20190420
DOI 10.1590/0034-7167-2019-0420
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Objectives:
to identify perceptions of teamwork according to the professionals of an Adult Intensive Care Unit.
Methods:
descriptive research with qualitative approach. The methodological framework was thematic content analysis. The theoretical framework of the work process was used to guide the interpretation of the data. Data collection: A semi-structured interview was conducted with 38 professionals in a public teaching hospital in the state of Minas Gerais. Results: three thematic categories emerged from the interviews: Work Organization, which is related to work performed through tasks/routines, with or without coordinated actions; Non-material Work Instruments, which reveal that teamwork is based on communication/collaboration; Insufficient Material Resources, which indicate that lack of material creates conflicts between professionals.
Conclusions:
Teamwork requires effective communication and collaboration, integrated work and appropriate professional training. On the other hand, fragmentation and rigidity at work, poor collaboration/communication and lack of material make teamwork difficult. We emphasize the need to revise the curriculum of health courses, with a view to including and/or improving discussions about teamwork in order to train professionals for a more integrated and perhaps even sympathetic health practice.
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ARTÍCULO ORIGINAL01/07/2020
Conhecimento de profissionais da atenção primária em saúde sobre política de saúde para populações ribeirinhas
Revista Brasileira de Enfermagem. 2020;73(5):e20190080
Resumen
ARTÍCULO ORIGINALConhecimento de profissionais da atenção primária em saúde sobre política de saúde para populações ribeirinhas
Revista Brasileira de Enfermagem. 2020;73(5):e20190080
DOI 10.1590/0034-7167-2019-0080
Visualizações0RESUMO
Objetivos:
analisar conhecimentos dos profissionais de saúde sobre a política de saúde para a população ribeirinha; analisar o desenvolvimento das práticas de saúde direcionadas a esse grupo e discutir facilidades e dificuldades de implementar essa política.
Métodos:
estudo qualitativo, descritivo, com 24 profissionais das Equipes de Estratégia Saúde da Família Ribeirinha no município de Belém-Pará. Os dados foram produzidos em entrevista individual e analisados por Análise de Conteúdo.
Resultados:
embora os profissionais conheçam algo da política pública de saúde, há necessidade de ampliar e fortalecer conhecimentos sobre a política de saúde para população ribeirinha. As atividades direcionadas às comunidades ocorriam na própria Unidade, sendo que algumas não eram desenvolvidas por insuficiência de recursos materiais e humanos.
Considerações Finais:
a maior dificuldade para a organização da assistência à saúde é a carência de recursos materiais e humanos, e a maior facilidade é a união e coesão na equipe de saúde.
Palavras-chave: Assistência à SaúdeAtenção Primária em SaúdeEstratégia Saúde da FamíliaPolítica de SaúdePopulações VulneráveisVer mais -
ARTÍCULO ORIGINAL19/08/2019
The daily routine of nurses in rural areas in the Family Health Strategy
Revista Brasileira de Enfermagem. 2019;72(4):918-925
Resumen
ARTÍCULO ORIGINALThe daily routine of nurses in rural areas in the Family Health Strategy
Revista Brasileira de Enfermagem. 2019;72(4):918-925
DOI 10.1590/0034-7167-2018-0243
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Objective:
to analyze the daily work of rural Family Health Strategy (FHS) nurses.
Method:
a qualitative, descriptive and exploratory research. The data were collected with eleven rural nurses of the city of Campina Grande, Paraíba State, through semi-structured interviews, between January and March of 2017, using Content Analysis.
Results:
rural nurses have a strong relationship with the population. However, they reveal a daily work with various organizational barriers that range from the team displacement to the workplace to the operationalization of health actions, which are mediated by the characteristics of rurality. Some of these barriers can be remedied by a more proactive action from the management.
Final considerations:
conditioned by the characteristics of rurality, the differentiated dynamics work reveal weaknesses in the quality of nursing care and lower effectiveness of the FHS.
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ARTÍCULO ORIGINAL06/07/2020
Tempo e qualidade das admissões: carga de trabalho em enfermagem
Revista Brasileira de Enfermagem. 2020;73(5):e20190267
Resumen
ARTÍCULO ORIGINALTempo e qualidade das admissões: carga de trabalho em enfermagem
Revista Brasileira de Enfermagem. 2020;73(5):e20190267
DOI 10.1590/0034-7167-2019-0267
Visualizações0RESUMO
Objetivos:
mensurar o tempo médio despendido pela equipe de enfermagem durante a admissão de pacientes e investigar sua conformidade em relação às atividades descritas pela Classificação das Intervenções de Enfermagem; avaliar o grau de interferência sobre a carga de trabalho da equipe.
Métodos:
observacional com cronometragem de tempo por meio de um software. Acompanharam-se 199 admissões realizadas pela equipe de enfermagem em sete unidades utilizando-se dois instrumentos validados. Escores total ≥ 70% e 50% qualificavam o processo.
Resultados:
o tempo médio dos enfermeiros variou de 5,5 (desvio padrão = 2,3) a 13 (desvio padrão = 1,1) minutos; e dos auxiliares/técnicos, entre 4,7 (desvio padrão = 2,1) e 6,8 (desvio padrão = 2,0) minutos (p ≤ 0,01). Seis admissões realizadas por enfermeiros e 33 por auxiliares/técnicos mostraram-se qualificadas. A intervenção despendeu de 16,3% a 31,5% do tempo da jornada de trabalho da equipe.
Conclusões:
a admissão impacta a carga de trabalho e precisa ser considerada tanto na mensuração das atividades como no dimensionamento da equipe de enfermagem.
Palavras-chave: Avaliação de Processos em Cuidados de SaúdeCarga de TrabalhoFluxo de TrabalhoGerenciamento do TempoRecursos Humanos de EnfermagemVer mais -
ARTÍCULO ORIGINAL18/05/2020
Care of wheelchair pregnant women in the light of Collière’s theory
Revista Brasileira de Enfermagem. 2020;73(4):e20180755
Resumen
ARTÍCULO ORIGINALCare of wheelchair pregnant women in the light of Collière’s theory
Revista Brasileira de Enfermagem. 2020;73(4):e20180755
DOI 10.1590/0034-7167-2018-0755
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Objectives:
to discuss care needs of wheelchair pregnant women in the light of Collière’s Theory of Caring.
Methods:
qualitative, descriptive, exploratory, with eight women, between August 2014 and March 2015, in Rio de Janeiro State, Brazil. The method of data collection was the life history. The theoretical reference used was Marie-Françoise Collière’s Theory of Caring. The thematic type analysis identified three categories: pregnancy planning; support and prejudice of family and health professionals; and caring for the wheelchair pregnant woman.
Results:
prejudice, fear, lack of support, lack of knowledge about the maintenance of pregnancy and childbirth interfered negatively in the process of gestation. Participants had urinary tract infection, miscarriages and preterm birth.
Final Considerations:
gestation in these women should predict possible intercurrences, which makes it imperative to train professionals in integral care to promote and protect health.
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ARTÍCULO ORIGINAL09/04/2020
Trabalho e competência do enfermeiro nos serviços de hemoterapia: uma abordagem ergológica
Revista Brasileira de Enfermagem. 2020;73(3):e20180775
Resumen
ARTÍCULO ORIGINALTrabalho e competência do enfermeiro nos serviços de hemoterapia: uma abordagem ergológica
Revista Brasileira de Enfermagem. 2020;73(3):e20180775
DOI 10.1590/0034-7167-2018-0775
Visualizações1RESUMO
Objetivos:
analisar os ingredientes da competência que os enfermeiros utilizam na realização do seu trabalho na hemoterapia.
Métodos:
estudo qualitativo com 22 enfermeiros, realizado por meio de estudo documental, observação e entrevista semiestruturada, com recursos do software Atlas.ti, embasado nos fundamentos do Materialismo Histórico Dialético e da Ergologia. Foi efetuada Análise de Conteúdo.
Resultados:
o domínio do conhecimento específico da hemoterapia e o tempo de experiência na área, aliados à motivação do trabalhador e à capacidade de trabalho em equipe, favorecem o agir com competência nas atividades laborais. Por outro lado, a falta de condições adequadas de trabalho, especialmente em relação a materiais, equipamentos e estrutura adequados, prejudica o trabalho do enfermeiro em hemoterapia.
Considerações Finais:
a experiência adquirida é determinante para o sucesso na tomada de decisão. Além disso, condições adequadas de trabalho, atualização de conhecimentos e habilidade no trabalho em equipe favorecem um cenário de práticas seguras.
Palavras-chave: Assistência de EnfermagemDoação de SangueServiço de HemoterapiaTrabalhoTransfusão de SangueVer mais -
ARTÍCULO ORIGINAL25/10/2022
Caracterização clínica, incapacidade e mortalidade de pessoas com acidente vascular cerebral isquêmico em 90 dias
Revista Brasileira de Enfermagem. 2022;75(2):e20201383
Resumen
ARTÍCULO ORIGINALCaracterização clínica, incapacidade e mortalidade de pessoas com acidente vascular cerebral isquêmico em 90 dias
Revista Brasileira de Enfermagem. 2022;75(2):e20201383
DOI 10.1590/0034-7167-2020-1383
Visualizações0RESUMO
Objetivos:
descrever características clínicas e a mortalidade de pessoas com acidente vascular cerebral isquêmico; comparar a incapacidade antes do evento e 90 dias depois.
Métodos:
estudolongitudinal, com 308 pessoas hospitalizadas em Salvador-BA. A coleta de dados ocorreu de 03/2019 a 01/2020. Empregou-se estatística descritiva e inferencial.
Resultados:
a média de idade foi de 64,8 anos ( dp=14,1) e a pontuação da National Institute of Health Stroke Scale foi 10,7 (dp=7,2). Amediana do tempo de internação foi de 11 dias. Predominaram negros (84,0%), escolaridade até o fundamental (68,4%), renda até três salários mínimos (89,1%), chegada até 4,5 horas do início dos sintomas (57,9%) e internação em unidade especializada (71,8%). Realizaram trombólise: 26,0%. Predominou a categoria assintomática (85,3%) antes do evento e incapacidade moderada/severa (41,5%) após 90 dias (p= 0.117). Óbito atingiu 19,7% da amostra.
Conclusões:
a alta mortalidade e incapacidade geradas pelo evento têm implicações para a gestão e cuidado em saúde.
Palavras-chave: Acidente Vascular CerebralEnfermagemEpidemiologiaEstatísticas de Sequelas e IncapacidadePrevenção de DoençasVer mais -
ARTÍCULO DE REVISIÓN13/07/2020
Augmentative and Alternative Communication in Ventilated Patients: A Scoping Review
Revista Brasileira de Enfermagem. 2020;73(5):e20190562
Resumen
ARTÍCULO DE REVISIÓNAugmentative and Alternative Communication in Ventilated Patients: A Scoping Review
Revista Brasileira de Enfermagem. 2020;73(5):e20190562
DOI 10.1590/0034-7167-2019-0562
Visualizações0Ver maisABSTRACT
Objectives:
to map the benefits of Augmentative and Alternative Communication in ventilated adults in Intensive Care Unit and identify strategies used.
Methods:
a Scoping Review was carried out according to the Joanna Brigs Institute Protocol. The research question was: “In adult patients ventilated in Intensive Care Units, what are the benefits of Augmentative and Alternative Communication?”. An article research was carried out at PubMed, EBSCOhost and B-On databases. It was held between October and November 2018, from 2013 to 2018, in Portuguese and in English.
Results:
61 references were obtained. After selection according to the inclusion criteria, 7 articles were analyzed.
Conclusions:
studies enunciate Augmentative and Alternative Communication as a strategy to enhance communication, describing methods and tools. There is no agreement on the most effective tool.
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