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ARTÍCULO ORIGINAL01/10/2022
Mental health assistance: identification of nursing diagnoses in a community mental health service
Revista Brasileira de Enfermagem. 2022;75(2):e20201175
Resumen
ARTÍCULO ORIGINALMental health assistance: identification of nursing diagnoses in a community mental health service
Revista Brasileira de Enfermagem. 2022;75(2):e20201175
DOI 10.1590/0034-7167-2020-1175
Visualizações0Ver maisABSTRACT
Objective:
to map and identify nursing diagnoses targeted at night care users in a Psychosocial Care Center according to NANDA-I Taxonomy.
Method:
this is a descriptive-exploratory study, of documentary research type of 319 records in medical records. It was held in a Psychosocial Care Center III in Goiás, from 2014-2018. Nursing diagnoses and records were extracted with non-standardized language.
Results:
813 records of nursing diagnoses identified in 53 different titles, in 10 domains, were identified. The most frequent diagnosis was risk for self-extermination. The domain with the highest number of diagnostic records was activity/rest. There was a predominance of diagnoses focused on the problem.
Final considerations:
mapping contributes to the planning of evidence-based nursing interventions and to the strengthening of professional identity in mental health. It is evident the need for practices that go beyond the symptoms in a preventive perspective, with a view to comprehensiveness.
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ARTÍCULO ORIGINAL01/10/2022
Training-professional profile of nurses teaching at the Technical Schools of the Unified Health System
Revista Brasileira de Enfermagem. 2022;75(2):e20201142
Resumen
ARTÍCULO ORIGINALTraining-professional profile of nurses teaching at the Technical Schools of the Unified Health System
Revista Brasileira de Enfermagem. 2022;75(2):e20201142
DOI 10.1590/0034-7167-2020-1142
Visualizações0Ver maisABSTRACT
Objective:
to describe the training-professional profile of nursing professors in the vocational course in nursing at the Technical Schools of the Unified Health System.
Methods:
a quantitative descriptive research, carried out with 61 nurses who are professors of technical courses in nursing at five technical schools in three Brazilian regions. Data were collected through an online questionnaire and submitted to descriptive analysis.
Results:
only 36% of teaching nurses were licensed and 80% had a specialization in nursing or health. Although 95.1% of participants considered training for teaching necessary, 44.2% did not have qualifications for this job. The average length of work in care was 8 years, focusing on the hospital network.
Conclusion:
the need for professor training and investment in it is evidenced, as the training of essential workers for nursing care and consolidation of the Unified Health System is on the agenda.
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ARTÍCULO ORIGINAL01/10/2022
Continuing health education for qualification of professional practice in Psychosocial Care Centers
Revista Brasileira de Enfermagem. 2022;75(2):e20210155
Resumen
ARTÍCULO ORIGINALContinuing health education for qualification of professional practice in Psychosocial Care Centers
Revista Brasileira de Enfermagem. 2022;75(2):e20210155
DOI 10.1590/0034-7167-2021-0155
Visualizações0Ver maisABSTRACT
Objective:
to describe and analyze a strategy of continuing health education to manage the quality of professionals’ work in Psychosocial Care Centers.
Method:
this is a research-intervention carried out in Psychosocial Care Centers in the state of Goiás, Brazil, with the participation of 58 professionals. Data were collected in 2016 through seminars and workshops. Thematic content analysis was carried out.
Results:
professionals associated the Singular Therapeutic Project to the record of performed procedures and described the need to develop skills for correct completion and interpretation of procedures, use of a record software and computerization of processes. The qualification strategy used was considered to be effective in making improvements to the work carried out feasible.
Final Considerations:
the study presents a qualification strategy for community mental health service teams to guide the care model for territorial care centered on users.
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ARTÍCULO ORIGINAL01/10/2022
Frailty in the elderly: screening possibilities in Primary Health Care
Revista Brasileira de Enfermagem. 2022;75(2):e20200973
Resumen
ARTÍCULO ORIGINALFrailty in the elderly: screening possibilities in Primary Health Care
Revista Brasileira de Enfermagem. 2022;75(2):e20200973
DOI 10.1590/0034-7167-2020-0973
Visualizações0Ver maisABSTRACT
Objectives:
to evaluate two instruments for screening frailty in the elderly in Primary Health Care.
Methods:
this is an observational, cross-sectional study, with a quantitative approach, with 396 elderly people. SPSS software helped to perform the statistical analyses. The study used the kappa coefficient and Spearman’s correlation.
Results:
the kappa coefficient between the Clinical-Functional Vulnerability Index 20 and the Edmonton Frailty Scale was 0.496, considered moderate. There was a positive and significant correlation (r = 0.77; p < 0.001) between the frailty conditions and the total score of the two instruments.
Conclusions:
when this article assessed fragility through the kappa coefficient, both instruments presented positive correlation and agreement. However, the identification of frailty was higher when it used the Edmonton Frailty Scale.
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ARTÍCULO ORIGINAL01/10/2022
Factors associated with vulnerability and fragility in the elderly: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(2):e20200399
Resumen
ARTÍCULO ORIGINALFactors associated with vulnerability and fragility in the elderly: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(2):e20200399
DOI 10.1590/0034-7167-2020-0399
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Objectives:
to assess factors associated with vulnerability and fragility in the elderly.
Methods:
crosssectional study with 384 elderly people in Fortaleza, Ceará. The Vulnerable Elders Survey and Clinical-Functional Vulnerability Index – 20 were used. Chi-square and Fisher’s exact tests were used for associations. In the analysis of the combined influence of risk factors, the stepwise logistic regression and multinomial regression methods were adopted.
Results:
251 (65.4%) non-vulnerable and 133 (34.6%) vulnerable elders. From the vulnerable elders analyzed, 42 (30.9%) are at high risk for frailty. Factors associated with vulnerability: age, gender, presence of comorbidities, hypertension, diabetes, osteoporosis and use of polypharmacy. There is a 30% increase in the chance of vulnerability for each additional drug. Physical activity reduces the chance of vulnerability by 60%. Factors associated with frailty: educational level; self-perception of health; comorbidities; polypharmacy.
Conclusions:
it is important to pay attention to the presence of arterial hypertension, osteoporosis, polypharmacy, and encourage the practice of physical activity.
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01/10/2022
Sintomas musculoesqueléticos em cuidadores formais e informais de idosos
Revista Brasileira de Enfermagem. 2022;75(2):e20210249
Resumen
Sintomas musculoesqueléticos em cuidadores formais e informais de idosos
Revista Brasileira de Enfermagem. 2022;75(2):e20210249
DOI 10.1590/0034-7167-2021-0249
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Objetivo:
Evaluar los síntomas musculoesqueléticos en cuidadores formales e informales de los ancianos y verificar la asociación con factores personales y laborales. Métodos: Estudio transversal. Los instrumentos para la evaluación fueron el Cuestionario Internacional de Actividad Física (IPAQ), Self-Reporting Questionnaire-20, Escala de Percepción del Esfuerzo de Borg y el Cuestionario Nórdico de Síntomas Musculoesqueléticos.
Resultados:
Los cuidadores informales trabajaron más tiempo (60,2% vs. 41%), tuvieron más horas de trabajo (37,4% >12h por día), menos tiempo libre (85,4% vs. 2,5%) y falta de pautas de atención (90,2%). La región con más síntomas musculoesqueléticos fue la columna vertebral y, cuanto mayor la dependencia de los ancianos, mayores son las posibilidades de desarrollar síntomas musculoesqueléticos (OR= 1.3, 95% CI= 1.1-1.6, p <0.05).
Conclusión:
Factores personales y relacionados con el trabajo fueron más frecuentes en los cuidadores informales y la dependencia de los ancianos interfiere con el aumento de los síntomas musculoesqueléticos en cuidadores.
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ARTÍCULO ORIGINAL01/10/2022
ICNP® terminology subset for the care of people with heart failure
Revista Brasileira de Enfermagem. 2022;75(2):e20210196
Resumen
ARTÍCULO ORIGINALICNP® terminology subset for the care of people with heart failure
Revista Brasileira de Enfermagem. 2022;75(2):e20210196
DOI 10.1590/0034-7167-2021-0196
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Objective:
to develop an ICNP® terminology subset for the care of people with heart failure.
Methods:
this is a methodological study, which used the theoretical framework of the Mid-Range Nursing Theory for Cardiovascular Rehabilitation, with the steps: Construction of nursing diagnoses/outcomes and interventions statements and Cross-mapping of statements constructed.
Results:
forty-two diagnosis/outcome statements and 179 nursing intervention statements were constructed, organized based on five theory concepts, with a higher prevalence of statements related to “Rehabilitative care”, “Psychosocial support for patients and families” and “Supervised cardiovascular rehabilitation program”.
Final considerations:
it was possible to build nursing diagnosis/outcome and intervention statements for developing a terminology subset for the care of people with heart failure, based on the chosen theory.
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01/10/2022
Kangaroo Method: potentialities, barriers and difficulties in humanized care for newborns in the Neonatal ICU
Revista Brasileira de Enfermagem. 2022;75(2):e20201121
Resumen
Kangaroo Method: potentialities, barriers and difficulties in humanized care for newborns in the Neonatal ICU
Revista Brasileira de Enfermagem. 2022;75(2):e20201121
DOI 10.1590/0034-7167-2020-1121
Visualizações0Ver maisABSTRACT
Objective:
To identify the potentialities, barriers and difficulties for the implementation of humanized care from the perspective of the Kangaroo Method.
Methods:
Integrative literature review with a time cut from 02/01/2015 to 06/01/2019, totaling ten articles in the final sample.
Results:
The findings were categorized into two categories: Potentialities for humanized care from the perspective of the Kangaroo Method; Barriers or difficulties to the implementation of the Kangaroo Method. Several potentialities for humanized care allied to technology and continuing education were identified, as well as several barriers to the implementation of the Kangaroo Method, such as lack of physical space, lack of professionals and team training, lack of knowledge, lack of adherence and professional demotivation.
Final considerations:
There are still few studies that address the potentialities, barriers and difficulties for the implementation of humanized care from the perspective of the Kangaroo Method, and most of those included in this review were conducted in Brazil and present a qualitative approach.
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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
Visualizações0Ver maisABSTRACT
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
Visualizações0Ver maisABSTRACT
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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