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ARTÍCULO ORIGINAL01/02/2019
Professional competence of nurses in emergency services: evidence of content validity
Revista Brasileira de Enfermagem. 2019;72:66-73
Resumen
ARTÍCULO ORIGINALProfessional competence of nurses in emergency services: evidence of content validity
Revista Brasileira de Enfermagem. 2019;72:66-73
DOI 10.1590/0034-7167-2017-0518
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Objective:
To verify the evidence of content validity of the Identifying Issues (Identification questions) elaborated from the theoretical-logical model of the Matrix and the Profile of Professional Competence of the emergency nurse.
Method:
Descriptive and methodological study of a quantitative approach with a psychometric reference as a precursor in the elaboration of a measurement instrument for the evaluation of competencies. The study was conducted in 2013 in Brazil, with a national sample of nurses specialized in emergency services and/or with professional competence in the area. Three stages were considered: questionnaire development; data collection with Delphi, appropriate statistics for Likert; and interpretative analysis of the comments/suggestions of the analyzed issues.
Results:
Delphi was used in four stages. There were minor adjustments to the content and inclusion of a new Competence. They obtained 90% of Score Percentage and 98.61 of Content Validity Index.
Conclusion:
There was consensus among the experts and the research demonstrated evidence of content validity, suggesting pertinence and adequacy to represent the constructs of competencies.
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ARTÍCULO ORIGINAL01/02/2019
Moral Distress Assessment in the Nursing Team of a Hematology-Oncology Sector
Revista Brasileira de Enfermagem. 2019;72:58-65
Resumen
ARTÍCULO ORIGINALMoral Distress Assessment in the Nursing Team of a Hematology-Oncology Sector
Revista Brasileira de Enfermagem. 2019;72:58-65
DOI 10.1590/0034-7167-2017-0408
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Objective:
To identify the frequency and intensity of Moral Distress, and to analyze the associations between Moral Distress and sociodemographic and labor characteristics of the nursing team of a Hematology-Oncology.
Method:
A cross-sectional study was carried out with 46 nursing professionals from a Hematology-Oncology sector of a hospital institution in Rio Grande do Sul State, Brazil, through the application of the Moral Distress Scale – Brazilian version. In the data analysis, descriptive statistics and nonparametric association tests were used.
Results:
Mortal Distress intensity of 3.27 (SD= 1.79) and frequency of 1.72 (SD= 1.02) were found in this team. The Moral Distress of greater intensity and frequency were related to the denial of the role of Nursing as a patient’s advocate and the disrespect to the patient’s autonomy, respectively.
Conclusion:
It is suggested a greater space for discussion among professionals, multiprofessional team and managers, so that adequate conditions of action and communication are provided.
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ARTÍCULO ORIGINAL01/02/2019
Improving social skills in care management provided by nurses: intervention research
Revista Brasileira de Enfermagem. 2019;72:49-57
Resumen
ARTÍCULO ORIGINALImproving social skills in care management provided by nurses: intervention research
Revista Brasileira de Enfermagem. 2019;72:49-57
DOI 10.1590/0034-7167-2017-0918
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Objective:
to analyze the process of introducing an educational intervention for the improvement of social skills in care management provided by nurses.
Method:
intervention research, according to its complexity, carried out in a South-Brazilian public university hospital. To identify learning needs, 11 nurses were interviewed and educational meetings were held with 20 participants, who evaluated with open-ended questions: what they would stop doing; what they would continue doing; and what they would start doing on the issues addressed. The data was analyzed comprehensively.
Results:
we developed 30 educational hours on social skills of communication, work, assertiveness, and other themes inherent in care management mentioned by the participants as deficient. The evaluation revealed intentions of advances in: self-monitoring, communication, empathy, assertiveness, leadership and search for knowledge. Monthly meetings on care management were formally requested by the institution.
Final considerations:
social skills are intertwined in care management relationships and their improvement has proved to be dialogical, recursive and hologrammatic.
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ARTÍCULO ORIGINAL01/02/2019
Productivity of subjectivity and autonomy of nursing professionals in Pediatrics
Revista Brasileira de Enfermagem. 2019;72:41-48
Resumen
ARTÍCULO ORIGINALProductivity of subjectivity and autonomy of nursing professionals in Pediatrics
Revista Brasileira de Enfermagem. 2019;72:41-48
DOI 10.1590/0034-7167-2017-0591
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Objective:
To know the aspects involved in the production of subjectivity and autonomy of nursing professionals working in Pediatric Units.
Method:
An exploratory and descriptive study, with a qualitative approach, performed with users, professionals and nursing managers, totaling 44 participants. Data collection took place in the pediatric hospitalization units of two University Hospitals through semi-structured interviews, organized and treated by Nvivo 10 software and then submitted to content analysis.
Results:
The production of subjectivity and autonomy in nursing workers involves both the conditions of the work environment as the relation of the nursing team, the relation of hierarchy and the profile of the professional that works in the Pediatric Unit.
Final considerations:
The valorization path of the nursing profession emerges, whose knowledge and competence in the area of work contribute to the construction of autonomous subjectivities.
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ARTÍCULO ORIGINAL01/02/2019
Occupational exposure and poisoning by chemical products in the Federal District
Revista Brasileira de Enfermagem. 2019;72:32-40
Resumen
ARTÍCULO ORIGINALOccupational exposure and poisoning by chemical products in the Federal District
Revista Brasileira de Enfermagem. 2019;72:32-40
DOI 10.1590/0034-7167-2017-0439
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Objective:
to describe case of occupational exposure to chemical products.
Method:
descriptive retrospective study using record data of 382 workers assisted in the Outpatient Care for Occupational Toxicology of the Reference Center of Workers’ Health of the Federal District, between 2009 and 2013.
Results:
From the total, 66.7% were men, 55.2% had up to 9 years of activity and 81% did not use personal protective equipment (PPE). Nearly 60% were farmers and environmental surveillance agents, exposed to pesticides (63%), of which 40% were organophosphorus insecticides. The majority (68%) presented butyrylcholinesterase activity decreased, mostly farmers (85.9%); 57.3% of workers were considered poisoned – 61.6% by pesticides and 37.9% by industrial chemicals -, and away from work for at least 10 days.
Conclusion:
The profile was male workers, from 30 to 39 years, which not used PPE, indicating the need for prevention together with them to prevent poisonings.
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ARTÍCULO ORIGINAL01/02/2019
Professional practice models used by nurses in Portuguese hospitals
Revista Brasileira de Enfermagem. 2019;72:24-31
Resumen
ARTÍCULO ORIGINALProfessional practice models used by nurses in Portuguese hospitals
Revista Brasileira de Enfermagem. 2019;72:24-31
DOI 10.1590/0034-7167-2017-0670
Visualizações0Ver maisABSTRACT
Objective:
To analyze the professional practice models used by nurses in the hospital context.
Method:
A descriptive study with a qualitative approach was carried out in 19 hospitals with 56 nurses. Data collection was carried out by means of a semi-structured interview.
Results:
The following categories emerged from analysis: a practice focused on the management of signs and symptoms, where the biomedical model, prevention of complications, and early detection of signs and symptoms of clinical worsening stood out, and a practice based on patients’ human responses, emphasizing health promotion, self-care promotion, autonomy reconstruction, functional rehabilitation, patients’ training, preparation to return home, and facilitation of transitions.
Final considerations:
In spite of the evolution seen in some contexts, a distance between the models practiced and those presented is still found, which indicates the need for changes ensuring structuring and systematization of the professional practice.
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ARTÍCULO ORIGINAL01/02/2019
Socialization of nurses in the Family Health Strategy: contributions to professional identity
Revista Brasileira de Enfermagem. 2019;72:17-23
Resumen
ARTÍCULO ORIGINALSocialization of nurses in the Family Health Strategy: contributions to professional identity
Revista Brasileira de Enfermagem. 2019;72:17-23
DOI 10.1590/0034-7167-2016-0455
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Objective:
To verify how socialization of nurses in the Family Health Strategy (FHS) influences their professional identity.
Method:
Exploratory, descriptive research, whose theoretical-methodological framework was dialectical hermeneutics, anchored in the premises of the Sociology of Professions. Data were collected through semi-structured interviews with 27 nurses from the FHS of the city of São Paulo. The resulting empirical material was subjected to Discourse Analysis.
Results:
The choice for Nursing was influenced by previous knowledge of the profession and by the affinity with care. Socialization was not limited to what was absorbed, including the search for an individual professional identity and collective sharing.
Final considerations:
Nursing care is built in daily practice, mobilizing the nurse for an action that includes herself, the relationship with the other and the conditions in which the work is performed, opening the opportunity for identity reconstruction, consistent with the concreteness of the work.
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ARTÍCULO ORIGINAL01/02/2019
Radiological protection in the perspective of health professionals exposed to radiation
Revista Brasileira de Enfermagem. 2019;72:9-16
Resumen
ARTÍCULO ORIGINALRadiological protection in the perspective of health professionals exposed to radiation
Revista Brasileira de Enfermagem. 2019;72:9-16
DOI 10.1590/0034-7167-2017-0545
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Objective:
To evaluate the knowledge of health professionals about radiological protection and to implement educational actions to promote a safe working environment for professionals, patients and companions.
Method:
An exploratory cross-sectional study, applying a questionnaire to 59 participants from different sectors of a teaching hospital. Open-ended questions were analyzed through the discourse of the collective subject and closed-ended questions were analyzed through quantitative analysis.
Results:
In the opinion of the participants, their professional training did not offer radioprotection class or the training was insufficient for the practice. In addition, the work environment does not provide regulatory norms and training on radioprotection. Most participants do not have solid knowledge and do not present safe behavior in radioprotection. In the internal week for the prevention of work accidents, a lecture and a theatricalisation about the topic of radioprotection were conducted and a booklet was distributed.
Conclusion:
Radiation protection education is necessary in the curricula of the training courses for health professionals and in the work environment.
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ARTÍCULO ORIGINAL04/12/2020
Lesão por pressão relacionada ao uso de equipamentos de proteção individual na pandemia da COVID-19
Revista Brasileira de Enfermagem. 2020;73:e20200670
Resumen
ARTÍCULO ORIGINALLesão por pressão relacionada ao uso de equipamentos de proteção individual na pandemia da COVID-19
Revista Brasileira de Enfermagem. 2020;73:e20200670
DOI 10.1590/0034-7167-2020-0670
Visualizações0RESUMO
Objetivo:
Descrever prevalência e fatores associados da lesão por pressão relacionada ao uso de equipamentos de proteção individual durante a pandemia da COVID-19.
Métodos:
Estudo transversal realizado por meio de instrumento disponibilizado em redes sociais com 1.106 profissionais de saúde. Os dados foram analisados por meio de estatística descritiva e comparada, considerando valor de p < 0,05.
Resultados:
Houve prevalência de 69,4% para lesão por pressão relacionada ao uso do equipamento de proteção individual, com uma média de 2,4 lesões por profissional. Os fatores significativos foram: menores de 35 anos de idade, trabalhar e fazer uso de equipamentos de proteção individual por mais de seis horas no dia, em unidades hospitalares e sem o uso de insumos para proteção.
Conclusão:
A lesão por pressão relacionada ao uso de dispositivos médicos apresentou alta prevalência nessa população. O reconhecimento da lesão nesses profissionais possibilita avançar em estratégias de prevenção.
Palavras-chave: CoronavírusEquipamento de Proteção IndividualLesão por PressãoPandemiasPessoal de SaúdeVer mais -
ARTÍCULO ORIGINAL13/07/2020
Dermatite associada à incontinência em idosos: prevalência e fatores de risco
Revista Brasileira de Enfermagem. 2020;73:e20180475
Resumen
ARTÍCULO ORIGINALDermatite associada à incontinência em idosos: prevalência e fatores de risco
Revista Brasileira de Enfermagem. 2020;73:e20180475
DOI 10.1590/0034-7167-2018-0475
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Objetivo:
Determinar prevalência e fatores de risco para dermatite associada à incontinência em idosos.
Método:
Estudo transversal exploratório realizado em hospitais públicos. Obtevese prevalência da dermatite e associações pelo cálculo da razão. A dimensão do efeito foi estimada pela razão de chances com intervalo de confiança de 95% e significância estatística p < 0,05.
Resultados:
Incluíram-se 138 idosos, média de idade 77,2 anos (± 9,3); 69 (50%) com incontinência fecal e urinária combinadas. A prevalência de dermatite foi 36,2% (50); 28% (14) apresentavam lesão por pressão; 14% (7), candidose. Foram fatores de risco: maior tempo de internação (Odds Ratio = 5,8 [2,6-12,9]), obesidade (Odds Ratio = 3,6 [1,2-10,4]), alto nível de dependência (Odds Ratio = 2,4 [1,1-5,0]) e alto risco para lesão por pressão (Odds Ratio = 6,1 [1,4-26,9]).
Conclusão:
Houve alta prevalência de dermatite associada à incontinência. O reconhecimento precoce dos fatores de risco favorece ações preventivas efetivas.
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ARTÍCULO ORIGINAL21/10/2019
Nursing care systematization: perceptions and knowledge of the Brazilian nursing
Revista Brasileira de Enfermagem. 2019;72(6):1547-1553
Resumen
ARTÍCULO ORIGINALNursing care systematization: perceptions and knowledge of the Brazilian nursing
Revista Brasileira de Enfermagem. 2019;72(6):1547-1553
DOI 10.1590/0034-7167-2018-0606
Visualizações0Ver maisABSTRACT
Objective:
to present the perception and knowledge of Brazilian nursing nurses and academics regarding Nursing Care Systematization.
Method:
a descriptive study, carried out in the first half of 2018.
Results:
of the 596 respondents, 86% perceived Nursing Care Systematization as very important, but only 60.9% used it in their care practice. Its use was statistically associated with a higher level of training. Non-utilization was associated with the perception that it is irrelevant and with little knowledge on the Nursing Process, even in the face of recognition of its obligation. Among professionals who wish to learn more about the subject, understanding the application of the process, especially the planning step, is perceived as a necessity.
Conclusion:
the relevance perception of systematization and levels of knowledge of the professional/academic are directly related to the use or not of Nursing Care Systematization principles.
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ARTÍCULO DE REVISIÓN05/12/2019
Vulnerability of the elderly: a conceptual analysis
Revista Brasileira de Enfermagem. 2019;72:337-344
Resumen
ARTÍCULO DE REVISIÓNVulnerability of the elderly: a conceptual analysis
Revista Brasileira de Enfermagem. 2019;72:337-344
DOI 10.1590/0034-7167-2018-0728
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Objective:
To analyze the concept of vulnerability of the elderly.
Method:
A concept analysis, according to the method proposed by Walker and Avant, operationalized through integrative review through search in scientific data portals using the
Descriptors:
Health vulnerability, aged, health services for the aged, health of the elderly, vulnerable populations and geriatric health services. To compose the literary corpus, 36 studies were selected.
Results:
Concept antecedents, as well as its attributes, were identified in individual, social and programmatic characteristics, which make up the characteristics of “vulnerability of the elderly”, besides consequences of the phenomenon. These characteristics were analyzed with emphasis on aspects that contribute to the process of vulnerability of the elderly.
Conclusion:
The study demonstrated the multidimensionality of the phenomena studied, highlighting the peculiarities of vulnerability during aging. However, there is a need for further studies on the construct.
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ARTÍCULO ORIGINAL21/10/2019
Workloads and burnout of nursing workers
Revista Brasileira de Enfermagem. 2019;72(6):1435-1441
Resumen
ARTÍCULO ORIGINALWorkloads and burnout of nursing workers
Revista Brasileira de Enfermagem. 2019;72(6):1435-1441
DOI 10.1590/0034-7167-2017-0659
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Objective:
to identify workloads in nursing work and its association with nursing worker burnout.
Method:
a cross-sectional study, including 211 nursing workers from a university hospital, between July and August 2016. For the analysis, the descriptive statistics, Chi-Square Test, Fisher’s Exact Test and Mann Whitney U-Test were used.
Results:
the most evidenced loads were biological. A significant association was found between workloads and workers’ occupation, as well as a significant association between workloads and worker burnout. Burnout caused upper limb pain, neck and lumbar pain, lower limb pain, muscle spasm, lower limb edema, mental fatigue, headache, nervousness, and forgetfulness.
Conclusion:
workloads identification is a subsidy for the promotion of interventions that minimize the burnout generated to the health of the nursing worker.
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19/08/2019
La intervención humor en la interacción enfermero-paciente
Revista Brasileira de Enfermagem. 2019;72(4):1078-1085
Resumen
La intervención humor en la interacción enfermero-paciente
Revista Brasileira de Enfermagem. 2019;72(4):1078-1085
DOI 10.1590/0034-7167-2018-0609
Visualizações0RESUMEN
Objetivo:
Describir los factores que influencian el uso del humor en el cuidado de enfermería, su aplicabilidad y beneficios.
Método:
Revisión de alcance según la metodología de Arksey y O’Mally. Se investigaron artículos publicados entre 2008 y 2018, en las plataformas EBSCO Host, Biblioteca Virtual en Salud y Google Académico.
Resultados:
Se han identificado 465 artículos e incluidos 17 de ellos. Se encontró información sobre la definición de humor; su aplicabilidad como intervención de enfermería; el humor como herramienta para mejorar la comunicación y la relación entre el enfermero y el paciente; factores de influencia; el tipo de intervenciones de humor; beneficios del humor en la atención de salud y; las limitaciones y precauciones de intervención del humor.
Conclusión:
El humor promueve la comunicación, las relaciones y el bienestar; ayuda a manejar situaciones difíciles y desagradables, reduce la tensión, la incomodidad y el estrés; y fortalecer el sistema inmunológico. Esta intervención debe usarse con precaución.
Palavras-chave: ComunicaciónEnfermeríaEvaluación del Resultado de la Atención al PacienteIngenio y Humor como AsuntoRelaciones Enfermera-PacienteVer mais -
29/01/2021
Violência doméstica contra a mulher na pandemia: estratégias de enfrentamento divulgadas pelas mídias digitais
Revista Brasileira de Enfermagem. 2021;74:e20200631
Resumen
Violência doméstica contra a mulher na pandemia: estratégias de enfrentamento divulgadas pelas mídias digitais
Revista Brasileira de Enfermagem. 2021;74:e20200631
DOI 10.1590/0034-7167-2020-0631
Visualizações0RESUMO
Objetivo:
conhecer as estratégias de enfrentamento da violência doméstica contra a mulher divulgadas pelas mídias digitais no início da pandemia de COVID-19.
Métodos:
estudo documental de abordagem qualitativa. A busca aconteceu de 11 de março a 30 de abril de 2020, em quatro fontes: jornais e portais online, rede social, páginas oficiais governamentais e portais do terceiro setor. Realizou-se análise de conteúdo temática dos achados.
Resultados:
foram identificadas 77 estratégias na imprensa jornalística, 93 na rede social, 45 nos portais governamentais e 40 nas organizações do terceiro setor. Da análise, emergiram três categorias empíricas: Estratégias para comunicação com as mulheres; Estratégias adotadas pelos serviços de atendimento; Estratégias para informar a população.
Considerações finais:
a maior parte das estratégias foram adaptações de serviços já existentes, centradas na denúncia da violência pelas mulheres.
Palavras-chave: Estratégias NacionaisMeios de ComunicaçãoPandemiasViolência Contra a MulherViolência DomésticaVer mais -
20/01/2021
Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses
Revista Brasileira de Enfermagem. 2021;74:e20190535
Resumen
Burnout Syndrome and Associated Factors in Intensive Care Unit Nurses
Revista Brasileira de Enfermagem. 2021;74:e20190535
DOI 10.1590/0034-7167-2019-0535
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Objective:
to estimate prevalence and factors associated with Burnout Syndrome in intensive care nurses in a city in the state of Bahia.
Methods:
a cross-sectional, population-based study carried out with 65 intensive care nurses through a self-administered questionnaire, from July to November 2016, containing sociodemographic data, lifestyle, work characteristics. To define burnout syndrome, the Maslach Burnout Inventory was used.
Results:
Burnout Syndrome prevalence was 53.6%, an association was observed with age, tobacco consumption, alcohol use, weekly night shift hours, employment relationship, having an intensive care specialist title, number of patients on duty, monthly income and considering active or high-strain job.
Conclusion:
the results of this study can contribute to expanding the discussion on stressful working conditions in Intensive Care Units.
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