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ARTÍCULO ORIGINAL16/12/2024
Construction and validation of an educational game on biosafety in the central sterile supply department
Revista Brasileira de Enfermagem. 2024;77(6):e20230478
Resumen
ARTÍCULO ORIGINALConstruction and validation of an educational game on biosafety in the central sterile supply department
Revista Brasileira de Enfermagem. 2024;77(6):e20230478
DOI 10.1590/0034-7167-2023-0478
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Objectives:
to construct and validate an educational game on biosafety in the Central Sterile Supply Department of a hospital in Curitiba, PR.
Methods:
the study was conducted using a quantitative approach, employing applied and technological research with an exploratory design. The process was divided into six stages, from the definition of the theme to the validation and application of the game. The study was carried out from May to August 2022, involving 17 nursing professionals from a Central Sterile Supply Department during day and night shifts, as well as 9 judges.
Results:
the study resulted in the construction of a board game named by the authors as “My Health First.”
Conclusions:
the research achieved its objective of constructing and validating an educational game. By reflecting on professional practice and correlating the occupational risks present, the professionals were able to list safe actions, identify problems, and seek solutions.
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ARTÍCULO ORIGINAL16/12/2024
Health literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
Resumen
ARTÍCULO ORIGINALHealth literacy development of Primary Health Care patients: qualitative research
Revista Brasileira de Enfermagem. 2024;77(6):e20240154
DOI 10.1590/0034-7167-2024-0154
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Objectives:
to identify the process of health literacy development among primary care patients, relating it to their self-care practices.
Methods:
qualitative, prospective research with 22 patients from two Family Health Strategy units. Data were obtained through individual semi-structured interviews, examined through descriptive statistics and thematic content analysis.
Results:
the results discuss how participants learn about health and how this resonates in their behaviors, culminating in two thematic categories: “Health knowledge construction”; and “Dialogue between health knowledge construction and patient care actions”.
Final Considerations:
health knowledge is developed mainly through interpersonal relationships, mediated by health professionals through bonding and communication. Community educational actions and training of health professionals in communication can promote health literacy and self-care among patients.
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ARTÍCULO ORIGINAL16/12/2024
Analysis of omission of antimicrobial doses in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(6):e20240102
Resumen
ARTÍCULO ORIGINALAnalysis of omission of antimicrobial doses in Intensive Care Units
Revista Brasileira de Enfermagem. 2024;77(6):e20240102
DOI 10.1590/0034-7167-2024-0102
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Objectives:
to analyze the rate of antimicrobial dose omission in intensive care units.
Methods:
cross-sectional study carried out between March 1 and September 30, 2023, in intensive care units of a University Hospital in Rio de Janeiro.
Results:
the sample consisted of 452 prescriptions and 1467 antimicrobial doses. The dose omission rate was 4.29%. Each antimicrobial prescribed increased the chance of omission by 51%. The strategy of double-checking prescriptions helped prevent 30% of antimicrobial dose omissions (p=0.0001).
Conclusions:
monitoring the omission of antimicrobial doses can guide nursing actions to improve quality and patient safety, contributing to the prevention of medication errors, antimicrobial stewardship and the fight against antimicrobial resistance.
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ARTÍCULO DE REVISIÓN16/12/2024
Recommendations for guidelines for promoting mental health in the workplace: an umbrella review
Revista Brasileira de Enfermagem. 2024;77(6):e20240086
Resumen
ARTÍCULO DE REVISIÓNRecommendations for guidelines for promoting mental health in the workplace: an umbrella review
Revista Brasileira de Enfermagem. 2024;77(6):e20240086
DOI 10.1590/0034-7167-2024-0086
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Objectives:
to summarize the recommendations of guidelines for promoting mental health in the workplace.
Methods:
an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845.
Results:
four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention – worker protection; secondary prevention – promoting workers’ mental health; and tertiary prevention – supporting, monitoring and rehabilitating workers upon returning to work.
Conclusions:
the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.
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ARTÍCULO ORIGINAL16/12/2024
Psychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
Revista Brasileira de Enfermagem. 2024;77(6):e20240085
Resumen
ARTÍCULO ORIGINALPsychometric analysis of ProQOL-BR in nursing: building hospital safety and protection
Revista Brasileira de Enfermagem. 2024;77(6):e20240085
DOI 10.1590/0034-7167-2024-0085
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Objectives:
to analyze the psychometric properties of the ProQOL-BR instrument in hospital nursing professionals.
Methods:
a methodological study to validate the ProQOL-BR. Confirmatory factor analysis, assessment of local and global adjustment quality, Pearson hypothesis testing and Cronbach’s alpha internal consistency analysis were used.
Results:
a total of 490 professionals participated. The model presents adequate quality due to factor weights (λ≥ 0.40), acceptable overall fit quality and adequate chi-square ratio and degrees of freedom (χ2/g.1=2.51) for the parameters of CFI (0.923), GFI (0.902), TLI (0.914) and RMSEA (0.042). In terms of validity, it was shown to be adequate with CC=0.89. The internal consistency obtained by standardized Cronbach’s alpha was 0.761. Criterion validity was shown to be favorable with significant correlations (0.001).
Conclusions:
the instrument was validated regarding content, criteria and reliability. Three questions were removed from the original instrument, ProQOL-BR, leaving the final instrument with 25 questions.
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16/12/2024
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
Resumen
GerenciaDOR™: development of digital technology by nurses for the assessment of patients with chronic pain
Revista Brasileira de Enfermagem. 2024;77(6):e20240050
DOI 10.1590/0034-7167-2024-0050
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Objectives:
to develop a digital technological solution (prototype) for assessing patients with chronic pain.
Methods:
this is a methodological and technological development study based on the Human-Centered Design framework and the principles of Patient-Centered Care. The prototype guides patients through a body diagram and directs them to an evaluation using specific instruments that address the multidimensional aspects of chronic pain.
Results:
the GerenciaDOR* project enables navigation through the Web App screens, providing access to pain assessment features up to the presentation of results.
Final Considerations:
the study describes a systematic approach to pain assessment and expands nurses’ knowledge in pain management. Additionally, it can promote the development of other digital technologies for chronic pain assessment and contribute to a multidisciplinary, patient centered treatment.
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ARTÍCULO ORIGINAL16/12/2024
Respectful care for postpartum women with sickle cell disease: a netnographic study
Revista Brasileira de Enfermagem. 2024;77(6):e20230545
Resumen
ARTÍCULO ORIGINALRespectful care for postpartum women with sickle cell disease: a netnographic study
Revista Brasileira de Enfermagem. 2024;77(6):e20230545
DOI 10.1590/0034-7167-2023-0545
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Objectives:
to analyze principles of respectful maternity care in narratives of postpartum women with sickle cell disease, relating them to Sustainable Development Goals.
Methods:
netnographic study, with two videos published in 2020. Deductive iconographic and thematic analysis by Respectful Maternity Care Charter, organized in MAXQDA.
Results:
principles identified were the right to: freedom from harm and ill-treatment; information, informed consent, refusal of medical procedures, and respect for their choices and preferences including companion; be considered a person from birth, with dignified and respectful treatment; health at the highest possible level; newborns being with their parents or guardians. The Sustainable Development Goals for women by 2030 were not positively contemplated in postpartum women’s experience.
Final Considerations:
it is appropriate that health workers qualify themselves to provide respectful maternity care, with qualified listening, understanding, and resolution of unique demands of postpartum women with sickle cell disease, seeking equality in care for women.
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ARTÍCULO DE REVISIÓN16/12/2024
Strategies for expanding vaccination coverage in children in Brazil: systematic literature review
Revista Brasileira de Enfermagem. 2024;77(6):e20230343
Resumen
ARTÍCULO DE REVISIÓNStrategies for expanding vaccination coverage in children in Brazil: systematic literature review
Revista Brasileira de Enfermagem. 2024;77(6):e20230343
DOI 10.1590/0034-7167-2023-0343
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Objectives:
to identify the strategies found in the literature for increasing vaccination coverage among children in Brazil. It is justified mainly by the current scenario of falling vaccination coverage.
Methods:
systematic literature review. The search was carried out in the Pubmed (MEDLINE), Embase and Scopus databases, following the PRISMA guidelines.
Results:
initially, 4,824 results were returned. In the end, 6 studies were included for narrative synthesis using the SWiM methodology. Of these, 50% dealt with studies related to the Bolsa Família Program (PBF). The others explored strategies for approaching parents directly, Rapid Vaccination Monitoring (MRV) and the Community Health Agents Program (PACS). The PBF did not guarantee compliance with the conditionality of keeping vaccinations up to date. The MRV and PACS are effective strategies, especially because they allow active search for absentees.
Conclusions:
we conclude that more publications are needed on strategies to increase vaccination coverage among children in Brazil.
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ARTÍCULO DE REVISIÓN18/09/2020
Mental health of healthcare professionals in China during the new coronavirus pandemic: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200338
Resumen
ARTÍCULO DE REVISIÓNMental health of healthcare professionals in China during the new coronavirus pandemic: an integrative review
Revista Brasileira de Enfermagem. 2020;73:e20200338
DOI 10.1590/0034-7167-2020-0338
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Objective:
to identify publishing related to the mental health of health professionals working in the front line of the COVID-19 pandemic.
Methods:
an integrative review that included primary articles indexed in the Latin American and Caribbean Literature in Health Sciences, Medical Literature Analysis and Retrieval System Online, Cumulative Index to Nursing and Allied Health Literature, Scopus, Embase, Web of Science, Science Direct databases and US National Library of Medicine databases. The result analysis was performed descriptively, in four analytical categories.
Results:
The publishing involved aspects related to insufficient personal protective equipment, feelings of fear and stigma, the need for psychological and psychiatric support and the possibility of post-outbreak mental disorders.
Conclusion:
All mentioned aspects have a direct impact on the mental health of professionals, demanding the creation of strategies that minimize the emotional burnout of workers, considering that each country and culture reacts differently to the disease.
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ARTÍCULO ORIGINAL22/04/2020
Construção e validação de cartilha educativa sobre cuidados para crianças com gastrostomia
Revista Brasileira de Enfermagem. 2020;73(3):e20190108
Resumen
ARTÍCULO ORIGINALConstrução e validação de cartilha educativa sobre cuidados para crianças com gastrostomia
Revista Brasileira de Enfermagem. 2020;73(3):e20190108
DOI 10.1590/0034-7167-2019-0108
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Objetivos:
descrever o processo de construção e validação de uma cartilha educativa direcionada a cuidadores sobre cuidados para crianças com gastrostomia.
Métodos:
estudo metodológico desenvolvido em cinco etapas: levantamento bibliográfico; diagnóstico situacional; construção das ilustrações, layout, design e textos; validação com especialistas e cálculo do Índice de Legibilidade de Flesch; e validação com o público-alvo. Na etapa de análise dos especialistas, foram aplicados o Índice de Validade de Conteúdo e o instrumento Suitability Assessmente of Materials.
Resultados:
o Índice de Validade de Conteúdo obteve escore global de 0,93 e, no escore Suitability Assessmente of Materials, a cartilha alcançou pontuação de 85,2%. Obteve-se percentual de legibilidade satisfatório, com pontuação global de 72%. O material educativo construído foi considerado coerente com a avaliação das cuidadoras na validação com o público-alvo, além de explicativo, importante e adequado.
Conclusões:
a cartilha educativa desenvolvida foi considerada válida para ser utilizada pelos cuidadores e poderá contribuir para a manutenção de boas práticas nos cuidados da criança com gastrostomia.
Palavras-chave: Cuidado da CriançaEducação em SaúdeEnfermagem PediátricaGastrostomiaTecnologia EducacionalVer mais -
ARTÍCULO DE REVISIÓN05/12/2019
Cuidados de transição hospitalar à pessoa idosa: revisão integrativa
Revista Brasileira de Enfermagem. 2019;72:294-301
Resumen
ARTÍCULO DE REVISIÓNCuidados de transição hospitalar à pessoa idosa: revisão integrativa
Revista Brasileira de Enfermagem. 2019;72:294-301
DOI 10.1590/0034-7167-2018-0286
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Objetivo:
identificar evidências da produção científica sobre os cuidados de transição hospitalar prestado à pessoa idosa.
Método:
revisão integrativa, com busca de publicações nas bases de dados MEDLINE, PubMed, LILACS, BDENF, Index Psicologia e SciELO, com as palavras-chave e Mesh terms: idoso, hospitalização, alta do paciente, saúde do idoso e cuidado transicional, entre 2013 e 2017, nos idiomas inglês, português e espanhol. A análise dos 14 artigos selecionados deu-se por meio da leitura exploratória e crítica dos títulos, resumos e dos resultados das pesquisas.
Resultados:
os cuidados de transição podem evitar re-hospitalizações, à medida que permitem a reabilitação, promoção e cura de enfermidades na pessoa idosa.
Considerações finais:
os cuidados transicionais implicam na melhoria da qualidade de vida da pessoa idosa, sendo necessários profissionais de saúde habilitados e que envolvam a família através de comunicação acessível.
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ARTÍCULO DE REVISIÓN07/08/2020
Positive aspects of authentic leadership in nursing work: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190118
Resumen
ARTÍCULO DE REVISIÓNPositive aspects of authentic leadership in nursing work: integrative review
Revista Brasileira de Enfermagem. 2020;73(6):e20190118
DOI 10.1590/0034-7167-2019-0118
Visualizações0Ver maisABSTRACT
Objective:
To identify and analyze the existing scientific production on the positive aspects of authentic leadership in the nurse’s work process.
Method:
This is an integrative literature review. The databases used were Scientific Electronic Library Online; Latin American and Caribbean Literature on Health Sciences; and National Library of Medicine – National Institutes of Health.
Results:
In this study, 17 articles were selected for analysis; 1 study (6%) was published in a national journal, and 16 (94%) were international studies. Of the 17 (100%) articles studied, 11 (65%) were developed in Canada. The hospital environment was present in the 17 (100%) articles.
Final considerations:
Authentic leadership has several positive aspects that significantly influence the nurse’s work process, such as engagement and job satisfaction, retention of new nurses, organizational commitment, among others.
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ARTÍCULO ORIGINAL21/12/2020
Development of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
Resumen
ARTÍCULO ORIGINALDevelopment of an appearance validity instrument for educational technology in health
Revista Brasileira de Enfermagem. 2020;73:e20190559
DOI 10.1590/0034-7167-2019-0559
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Objectives:
to develop and evaluate the convergence of the instrument for the appearance validity of educational technologies in health.
Methods:
methodological study conducted in two steps. In step 1, the instrument items were developed, with subsequent content validity by nine specialists in the development of educational technologies in health. In step 2, the convergent validity between another instrument and the appearance instrument was performed. Correlation results above r> 0.3 and p <0.05 were considered as plausible convergent validity.
Results:
the ten items of the initial version of the appearance instrument were submitted to content validity that resulted in a final version with 12 items (Content Validity Index = 0.93). The correlation indexes were strong with the objective and appearance domains; moderate with motivation, organization and total; and weak with writing style.
Conclusions:
the appearance instrument demonstrated content validity and convergent validity, in addition to a strong correlation with the other instrument.
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ARTÍCULO ORIGINAL10/02/2020
Burnout among nursing students: predictors and association with empathy and self-efficacy
Revista Brasileira de Enfermagem. 2020;73(1):e20180280
Resumen
ARTÍCULO ORIGINALBurnout among nursing students: predictors and association with empathy and self-efficacy
Revista Brasileira de Enfermagem. 2020;73(1):e20180280
DOI 10.1590/0034-7167-2018-0280
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Objective:
to analyze burnout, its predictors and association with empathy and self-efficacy among nursing students.
Method:
cross-sectional analytical study with 284 students from five state universities in the state of Parana, Brazil. The instruments applied were: social and academic questionnaire, Maslach Burnout Inventory, Interpersonal Reactivity Index and Occupational Self-Efficacy Scale (Short Form). Spearman’s correlation and univariate and multivariate logistic analysis were used.
Results:
6.0% of the students presented high burnout, 36.3% presented high emotional exhaustion, 37.7% presented high depersonalization and 28.2% presented low personal accomplishment. The burnout predictors were: absence of physical activity; weekly workload >24 hours; low empathic concern. There were negative correlations between empathy (empathic concern and perspective taking) and depersonalization; self-efficacy and emotional exhaustion; and positive correlations between personal accomplishment and empathy and self-efficacy.
Conclusion:
Personal factors and an academic variable were burnout predictors among nursing students. The correlations suggest that self-efficacy and empathy can prevent burnout.
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ARTÍCULO DE REVISIÓN01/06/2020
Acesso da população negra a serviços de saúde: revisão integrativa
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
Resumen
ARTÍCULO DE REVISIÓNAcesso da população negra a serviços de saúde: revisão integrativa
Revista Brasileira de Enfermagem. 2020;73(4):e20180834
DOI 10.1590/0034-7167-2018-0834
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Objetivos:
evidenciar e discutir como ocorre o acesso da população negra aos serviços de saúde.
Métodos:
revisão integrativa da literatura com a seguinte pergunta: Como ocorre o acesso da população negra aos serviços de saúde? A busca foi realizada nas bases de dados Scholar, LILACS e SciELO e utilizou o descritor “acesso aos serviços de saúde” e o termo “população”, resultando em uma amostra de doze artigos.
Resultados:
estudos demonstram que a dificuldade de acesso é um fator fundamental para a qualidade de vida das pessoas, comprometendo diretamente serviços preventivos, principalmente para a saúde da mulher e, ainda, é impactante para o processo de adoecimento da população negra dentro de suas particularidades.
Considerações Finais:
diversos fatores limitantes comprometem o acesso da população negra aos serviços de saúde, desde institucionais a estruturais.
Palavras-chave: Acesso aos Serviços de SaúdeAtenção Primária à SaúdeGrupo com Ancestrais do Continente AfricanoPolítica de SaúdeSaúde das Minorias ÉtnicasVer mais -
ARTÍCULO DE REVISIÓN19/10/2020
Métodos de validação de protocolos assistenciais de enfermagem: revisão integrativa
Revista Brasileira de Enfermagem. 2020;73:e20200050
Resumen
ARTÍCULO DE REVISIÓNMétodos de validação de protocolos assistenciais de enfermagem: revisão integrativa
Revista Brasileira de Enfermagem. 2020;73:e20200050
DOI 10.1590/0034-7167-2020-0050
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Objetivo:
identificar a produção científica acerca dos métodos de validação de protocolos assistenciais de enfermagem.
Método:
revisão integrativa, com busca nas bases de dados Scielo, PubMed/MEDLINE, Biblioteca Virtual em Saúde, Web of Science, Scopus e EBSCOhost, utilizando os descritores validation studies, validation studies as topic, protocols, clinical protocols, practice guidelines as topic, nursing e nursing assessment e o descritor não controlado validation.
Resultados:
foram selecionados 32 artigos, sendo a maioria brasileiros. A validação de conteúdo por especialistas foi o método mais frequente, sem consenso sobre o número de participantes para o processo. Os instrumentos de coleta foram majoritariamente elaborados pelos autores. A análise dos dados foi realizada por estatística descritiva e Índice de Validade de Conteúdo, com taxa de concordância variável nos artigos analisados.
Conclusão:
protocolos validados por especialistas constituem ferramentas robustas para o uso na prática clínica, sendo o rigor metodológico no desenvolvimento imprescindível para a qualidade do mesmo.
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