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04/12/2023
General Law on Personal Data Protection and applicability to Nursing
Revista Brasileira de Enfermagem. 2023;76:e20230126
Resumen
General Law on Personal Data Protection and applicability to Nursing
Revista Brasileira de Enfermagem. 2023;76:e20230126
DOI 10.1590/0034-7167-2023-0126
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Objectives:
to reflect on the impacts of the General Personal Data Protection Law on Nursing practice.
Methods:
reflection article, through the intentional collection of materials relating to the topic.
Results:
legislation regulates confidentiality, processing and data sharing, requiring institutional protection measures. The nursing team is responsible for acting preventively, both in care and in the management role, in order to avoid the misuse of the patient’s personal data. The law allows academic research to be carried out as long as the purpose is clear, data collection occurs with an explicit purpose and data is anonymized.
Final Considerations:
although the General Personal Data Protection Law requires greater care in relation to data processing, it is established on precepts of good faith and respect for the rights of the individual, concepts aligned with the nursing code of ethics.
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ARTÍCULO DE REVISIÓN04/12/2023
Supervision of professional nursing practice in Brazil: a scoping review
Revista Brasileira de Enfermagem. 2023;76:e20230077
Resumen
ARTÍCULO DE REVISIÓNSupervision of professional nursing practice in Brazil: a scoping review
Revista Brasileira de Enfermagem. 2023;76:e20230077
DOI 10.1590/0034-7167-2023-0077
Visualizações0Ver maisABSTRACT
Objectives:
to map studies that analyze the audit process of nursing councils.
Methods:
this is a scoping review, anchored in the JBI framework, with the guiding question: what is the evidence of the audit process of legal practice of nursing by class councils (COFEN/COREN system)? The searches were carried out in October and November 2022 without limitation of language and year.
Results:
of the 9 selected studies, all are Brazilian and published from 2014 onwards. Among the topics addressed are the role, challenges, costs and difficulties in nurse auditors’ daily work process, in addition to the contribution of the audit sector in Brazil.
Conclusions:
the studies gathered discuss aspects related to costs, challenges and difficulties, but there is no focus on corrective, disciplinary and educational activities as well as little is said about the audit process, its reporting, referral and outcomes.
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ARTÍCULO ORIGINAL04/12/2023
Burnout, ethical climate and work organization in covid-19 intensive care units: mixed method study
Revista Brasileira de Enfermagem. 2023;76:e20220684
Resumen
ARTÍCULO ORIGINALBurnout, ethical climate and work organization in covid-19 intensive care units: mixed method study
Revista Brasileira de Enfermagem. 2023;76:e20220684
DOI 10.1590/0034-7167-2022-0684
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Objectives:
to analyze the association between burnout and the perception of the ethical climate in nursing professionals in the covid-19 Intensive Care Unit and the relationship with the organization of work from the perspective of managers of these units.
Methods:
mixed method study conducted in three university hospitals in southern Brazil from December 2021 to March 2022. A cross-sectional study was developed with 110 nursing professionals, followed by an exploratory-descriptive study through semi-structured interviews with six managers. Descriptive and analytical statistics and discursive textual analysis were used.
Results:
the prevalence of burnout was 10% and the perception of negative ethical climate was 24.5%. The association between burnout and ethical climate revealed overload and fatigue during working hours, related to tension, fear, and stress that emerged from the consequences of the organization and relations of work in the covid-19 Intensive Care Unit.
Conclusions:
there was an association between burnout and ethical climate and elements of the work organization.
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ARTÍCULO ORIGINAL04/12/2023
Incidence and risk factors of pressure injuries in critically ill patients with COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220553
Resumen
ARTÍCULO ORIGINALIncidence and risk factors of pressure injuries in critically ill patients with COVID-19
Revista Brasileira de Enfermagem. 2023;76:e20220553
DOI 10.1590/0034-7167-2022-0553
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Objective:
to analyze pressure injury (PI) incidence and risk factors in patients with COVID-19 admitted to an Intensive Care Unit and characterize the identified PIs.
Method:
a retrospective cohort study, consisting of 668 patients, carried out between March 2020 and February 2021. Clinical/demographic and PI variables were collected from medical records and electronic database. Data were analyzed using descriptive and inferential statistics. Logistic regression was performed to analyze risk factors for PI.
Results:
PI incidence was 30.2% (n=202), with the majority located in the sacral region (52.9%) and in stage 1 (39%). Risk factors were age (p<0.001), Diabetes Mellitus (p=0.005), length of stay (p<0.001), immunosuppression (p=0.034), nutritional risk (p=0.015) and mechanical ventilation (p<0.001).
Conclusion:
PI incidence in critically ill patients with COVID-19 was high.
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ARTÍCULO ORIGINAL04/12/2023
Estrés laboral entre enfermeros en la pandemia de COVID-19: ¿Cuáles son los factores contribuyentes?
Revista Brasileira de Enfermagem. 2023;76:e20220586
Resumen
ARTÍCULO ORIGINALEstrés laboral entre enfermeros en la pandemia de COVID-19: ¿Cuáles son los factores contribuyentes?
Revista Brasileira de Enfermagem. 2023;76:e20220586
DOI 10.1590/0034-7167-2022-0586
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Objetivo:
Analizar los factores contribuyentes del estrés laboral entre enfermeros en la pandemia de COVID-19.
Métodos:
Estudio transversal realizado con 101 enfermeros de dos hospitales de Java Occidental, Indonesia. Se distribuyó un cuestionario en línea para evaluar el estrés laboral y los datos se analizaron mediante regresión logística ordinal.
Resultados:
Más de la mitad de los enfermeros experimentaron un estrés laboral moderado. El estudio reveló que los enfermeros mayores de 35 años tenían una menor probabilidad de experimentar estrés laboral (AOR: 0.173; IC95%: 0.038-0.782) y los enfermeros casados tenían una mayor probabilidad (AOR: 7.156; IC95%: 1.456-35.163). Los enfermeros con cargas de trabajo bajas y moderadas tenían una probabilidad menor, (AOR: 0.003; IC95%: 0.000-0.051) y (AOR: 0.025; IC95%: 0.005-0.116), respectivamente.
Conclusión:
Es fundamental considerar la edad, el estado civil y la carga de trabajo para un abordaje eficaz del estrés laboral entre los enfermeros.
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ARTÍCULO ORIGINAL04/12/2023
Factores que afectan la actitud de la comunidad hacia la vacunación contra el COVID-19: estudio transversal
Revista Brasileira de Enfermagem. 2023;76:e20220597
Resumen
ARTÍCULO ORIGINALFactores que afectan la actitud de la comunidad hacia la vacunación contra el COVID-19: estudio transversal
Revista Brasileira de Enfermagem. 2023;76:e20220597
DOI 10.1590/0034-7167-2022-0597
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Objetivo:
El objetivo de este estudio fue analizar los factores que afectan la actitud de la comunidad hacia la vacunación contra el COVID-19 en el distrito de Tangerang.
Métodos:
Estudio transversal en el que se utilizó un muestreo por conveniencia para seleccionar a 400 encuestados. Los criterios de inclusión fueron vivir en el distrito de Tangerang, edad 18-55 años y trabajar. Se utilizó un cuestionario en línea, el cual pasó pruebas de validez y confiabilidad. Este estudio recibió aprobación ética.
Resultados:
La mayoría de los encuestados tenía un alto nivel de educación (48,50%), bajos ingresos (72,50%), alto conocimiento (78%) y una actitud positiva (76,50%) respecto a la vacunación contra el COVID-19. La prueba chi-cuadrado reveló una correlación entre el conocimiento y las actitudes hacia la vacunación contra el COVID-19 (p=0,001) y los niveles educativos (p=0,001). No hubo correlación entre los ingresos y las actitudes (p=0,094).
Conclusiones:
Los profesionales de la salud deben realizar una amplia socialización y visitas cara a cara con personas con acceso limitado a la información para promover una actitud positiva y ampliar el alcance de la vacunación contra el COVID-19.
Palavras-chave: Actitud Frente a la SaludCobertura de VacunaciónCOVID-19Vacilación a la VacunaciónVacunas COVID-19Ver mais -
ARTÍCULO ORIGINAL04/12/2023
Assessment of the quality of life and mental health of healthcare students during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20230068
Resumen
ARTÍCULO ORIGINALAssessment of the quality of life and mental health of healthcare students during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2023;76:e20230068
DOI 10.1590/0034-7167-2023-0068
Visualizações0Ver maisABSTRACT
Objective:
to evaluate the quality of life (QOL) and the presence of symptoms related to depression, anxiety, and stress among students in the healthcare field, in comparison to the period before the COVID-19 pandemic.
Methods:
A comparative cross-sectional research was conducted at a Brazilian public university. QOL was assessed using the WHOQOL-bref scale, while symptoms of depression, anxiety, and stress were evaluated using the DASS-21 scale. Descriptive and inferential analyses were employed to compare the two time periods.
Results:
A total of 355 students participated in this study. During the pandemic, there were significant increases in severe depression symptoms (15.1% versus 24.8%), moderate anxiety (18.3% versus 29.4%), and moderate stress (40.9% versus 53.8%) observed among the participants. Additionally, a significant reduction in QOL was noted, particularly in the domain of social relationships (65.2 versus 59.6, p-value 0.029).
Conclusion:
The study highlights a deterioration in both the quality of life and the mental health of healthcare students during the COVID-19 pandemic.
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ARTÍCULO ORIGINAL19/08/2019
Terms of specialized nursing language for people with pressure injury
Revista Brasileira de Enfermagem. 2019;72(4):1028-1035
Resumen
ARTÍCULO ORIGINALTerms of specialized nursing language for people with pressure injury
Revista Brasileira de Enfermagem. 2019;72(4):1028-1035
DOI 10.1590/0034-7167-2018-0492
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Objective:
to validate the terms of the specialized nursing language used in care for hospitalized patients with Pressure Injury, identified in nurses’ records, mapping them with the terms of the International Classification for Nursing Practice (ICNP® 2017).
Methods:
methodological study, carried out at a School Hospital in 2018. It was performed: extraction of terms of medical records; normalization; cross-mapping between extracted terms and those in ICNP®; distribution in the seven axes; theoretical definition and validation of terms.
Results:
27,756 terms were extracted. The normalization resulted in 370 relevant terms, being: 225 listed and 145 not listed in the ICNP®, being 60 similar, 13 more comprehensive, 38 more restricted and 34 without agreement, all of which are validated.
Conclusion:
this study identified and validated terms used by nurses to assist people with Pressure Injury. These may contribute to the unification of professional nursing language in care for these clients.
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REFLEXIÓN12/07/2021
Florence Nightingale: Legacy, present and perspectives in COVID-19 pandemic times
Revista Brasileira de Enfermagem. 2021;74:e20201306
Resumen
REFLEXIÓNFlorence 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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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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ARTÍCULO ORIGINAL05/12/2019
ICNP ® nursing diagnoses, outcomes and interventions for community elderly
Revista Brasileira de Enfermagem. 2019;72:191-198
Resumen
ARTÍCULO ORIGINALICNP ® nursing diagnoses, outcomes and interventions for community elderly
Revista Brasileira de Enfermagem. 2019;72:191-198
DOI 10.1590/0034-7167-2018-0540
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Objective:
To construct a nomenclature of nursing diagnoses, outcomes and interventions for elderly people under follow-up in the Family Health Strategy by using the International Classification for Nursing Practice and the theoretical reference of Virginia Henderson.
Method:
Methodological study developed according to guidelines of the International Council of Nurses.
Results:
A total of 127 concepts of nursing diagnoses/outcomes were constructed and distributed according to nursing care components in the subcategories of Biological/Physiological, Psychological, Social and Spiritual/Moral components. For these diagnoses, were proposed 551 nursing interventions.
Conclusion:
The concepts constructed may favor integral care for the elderly in the Family Health Strategy and the structuring of a terminological subset for this clientele.
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ARTÍCULO ORIGINAL24/03/2021
Validação de conteúdo e usabilidade do web software Aposentar-se com Saúde
Revista Brasileira de Enfermagem. 2021;74(1):e20200133
Resumen
ARTÍCULO ORIGINALValidação de conteúdo e usabilidade do web software Aposentar-se com Saúde
Revista Brasileira de Enfermagem. 2021;74(1):e20200133
DOI 10.1590/0034-7167-2020-0133
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Objetivos:
validar o conteúdo e a usabilidade do web software Aposentar-se com Saúde.
Métodos:
estudo metodológico. A validação de conteúdo foi realizada por sete experts da área de envelhecimento, por meio de instrumento que avaliou os objetivos, conteúdos, relevância e o ambiente do web software. A usabilidade foi validada por sete experts em desenvolvimento de software, quanto à ergonomia, funcionalidade, usabilidade e eficiência. Os dados foram submetidos à análise estatística, descritos por meio do cálculo do Índice de Validade de Conteúdo.
Resultados:
o Índice de Validade de Conteúdo global foi de 0,97 para os aspectos de usabilidade e de 1,00 para o conteúdo. Após incorporar todas as sugestões dos experts, o web software Aposentar-se com Saúde foi disponibilizado na internet (www.aposentarsecomsaude.com.br).
Conclusões:
Validação de conteúdo e usabilidade demonstraram que o web software atende ao objetivo de apoiar a reflexão sobre a aposentadoria, com elevado nível de concordância entre os experts.
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ARTÍCULO ORIGINAL07/09/2020
Construção de matriz de competências individuais do enfermeiro em unidades cirúrgicas
Revista Brasileira de Enfermagem. 2020;73(6):e20190584
Resumen
ARTÍCULO ORIGINALConstrução de matriz de competências individuais do enfermeiro em unidades cirúrgicas
Revista Brasileira de Enfermagem. 2020;73(6):e20190584
DOI 10.1590/0034-7167-2019-0584
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Objetivo:
Construir e descrever uma matriz de competências individuais e comportamentos/atitudes associados para enfermeiros atuantes em unidades cirúrgicas.
Métodos:
Estudo exploratório, qualitativo. Participaram 43 enfermeiros de cinco unidades cirúrgicas, sendo a coleta de dados realizada entre abril a setembro de 2017. Utilizou-se a técnica de grupo focal e, para interpretação dos dados, realizou-se análise temática indutiva. A matriz de competência foi construída a partir dos depoimentos dos participantes acrescida de busca na literatura de conceitos direcionados para cada competência e descrição dos comportamentos e/ou atitudes esperadas.
Resultados:
Para a matriz, foram identificadas as seguintes competências individuais: Planejamento; Comunicação; Competência relacional; Liderança; Tomada de decisão; e Ética.
Considerações Finais:
A construção de uma matriz deve auxiliar gestores no reconhecimento do perfil profissional e na avaliação do desempenho, a fim de fortalecer o alcance dos objetivos profissionais e organizacionais, bem como contribuir para qualidade e efetividade do cuidado prestado pelo enfermeiro nesses locais.
Palavras-chave: Centros CirúrgicosCompetência ProfissionalEnfermagem PerioperatóriaEnfermeirosHospitaisVer mais -
ARTÍCULO ORIGINAL29/09/2022
Construção e validação de um instrumento de classificação das lesões mamilo-areolares decorrentes da amamentação
Revista Brasileira de Enfermagem. 2022;75(1):e20210051
Resumen
ARTÍCULO ORIGINALConstrução e validação de um instrumento de classificação das lesões mamilo-areolares decorrentes da amamentação
Revista Brasileira de Enfermagem. 2022;75(1):e20210051
DOI 10.1590/0034-7167-2021-0051
Visualizações0RESUMO
Objetivos:
construir e validar uma classificação das lesões mamilo-areolares decorrentes da amamentação segundo conteúdo e aparência.
Métodos:
estudo metodológico, desenvolvido em quatro etapas: definição operacional, construção do instrumento, validação de conteúdo e de aparência. Utilizaram-se a técnica Delphi e a escala tipo Likert para a validação de conteúdo e de aparência, por meio da participação de dez e dezesseis juízes, respectivamente. Para análise, aplicou-se o Índice de Validade de Conteúdo e o Coeficiente Kappa.
Resultados:
o Índice de Validade de Conteúdo obteve valor global de 0,93 e, de aparência, 0,94. Os valores de Kappa variaram entre 0,46 e 1. As altas taxas de concordância entre os juízes demonstraram a qualidade da validade de conteúdo proposta.
Conclusões:
o Instrumento de Classificação das Lesões Mamilo-Areolares desenvolvido obteve valores aceitáveis de seus índices, mostrando-se válido quanto ao conteúdo e aparência.
Palavras-chave: Aleitamento MaternoEnfermagem ObstétricaEstudo de ValidaçãoFerimentos e LesõesMamilosVer mais -
ARTÍCULO ORIGINAL13/12/2019
Use of psychoactive substances in women in outpatient treatment
Revista Brasileira de Enfermagem. 2019;72:178-183
Resumen
ARTÍCULO ORIGINALUse of psychoactive substances in women in outpatient treatment
Revista Brasileira de Enfermagem. 2019;72:178-183
DOI 10.1590/0034-7167-2018-0399
Visualizações0Ver maisABSTRACT
Objective:
to characterize the sociodemographic and psychiatric profile of women users of psychoactive substances in treatment for drug addiction.
Method:
descriptive study of quantitative approach performed with women attended at a Psychosocial Care Center for Users of Alcohol and Other Drugs (CAPS ad) from the interior of São Paulo State.
Results:
the sample consisted of 349 adult women, single, low educational level and unemployed, users of alcohol, cocaine, crack and tranquillizers. Among the consequences of use include withdrawal syndrome, overdose, depressive and suicidal symptoms. Most were referred for treatment by the family or health services. Almost 20% of these women had previously started treatments.
Conclusion:
The results suggest marked morbidity and high levels of psychosocial vulnerability, which require thorough investigation at the patient’s admission, as well as damage associated with use, withdrawal symptoms and depressive symptoms.
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ARTÍCULO ORIGINAL29/11/2022
Exclusive breastfeeding and professionals from the family health strategy
Revista Brasileira de Enfermagem. 2022;75(3):e20200545
Resumen
ARTÍCULO ORIGINALExclusive breastfeeding and professionals from the family health strategy
Revista Brasileira de Enfermagem. 2022;75(3):e20200545
DOI 10.1590/0034-7167-2020-0545
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the perception of health professionals about exclusive breastfeeding in Family Health Strategy units in the city of Macaé.
Methods:
qualitative study carried out in four units of the Family Health Strategy in the city of Macaé, Rio de Janeiro. Thirty health professionals were interviewed from March to May 2019. Textual contents were processed in the IRaMuTeQ® software by the Descending Hierarchical Classification.
Results:
professionals use different strategies for actions to promote, protect and support breastfeeding in prenatal consultations, but social and cultural determinants are important issues that interfere in this process, the involvement of the family being essential for the success of this practice.
Final Considerations:
health professionals, including nurses, need training and qualification to strengthen the support and social network of pregnant women and insert the family in the different strategies used to improve adherence to exclusive breastfeeding.
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