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23/09/2024
Política Nacional de Cuidados Paliativos: reflexiones a partir de la Agenda 2030 para el Desarrollo Sostenible
Revista Brasileira de Enfermagem. 2024;77(6):e770601
Resumen
Política Nacional de Cuidados Paliativos: reflexiones a partir de la Agenda 2030 para el Desarrollo Sostenible
Revista Brasileira de Enfermagem. 2024;77(6):e770601
DOI 10.1590/0034-7167.2024770601es
Visualizações2La Agenda 2030 para el Desarrollo Sostenible, un plan de acción para las personas, el planeta y la prosperidad, es un plan de acción global adoptado por representantes de los 193 Estados Miembros de las Naciones Unidas, reunidos en la Sede de las Naciones Unidas, en Nueva York, del 25 al 27 de septiembre de […]Ver mais -
23/09/2024
Política Nacional de Cuidados Paliativos: reflexões a partir da Agenda 2030 para o Desenvolvimento Sustentável
Revista Brasileira de Enfermagem. 2024;77(6):e770601
Resumen
Política Nacional de Cuidados Paliativos: reflexões a partir da Agenda 2030 para o Desenvolvimento Sustentável
Revista Brasileira de Enfermagem. 2024;77(6):e770601
DOI 10.1590/0034-7167.2024770601pt
Visualizações2A Agenda 2030 para o Desenvolvimento Sustentável, um plano de ação para as pessoas, para o planeta e para a prosperidade, é um plano de ação global adotado por representantes de todos os 193 Estados-Membros das Nações Unidas, reunidos na sede das Nações Unidas, em Nova York, de 25 a 27 de setembro de 2015. […]Ver mais -
ARTÍCULO ORIGINAL20/09/2024
Transgender people’s knowledge about the adverse effects of cross-hormonization: challenges for nursing
Revista Brasileira de Enfermagem. 2024;77(4):e20230346
Resumen
ARTÍCULO ORIGINALTransgender people’s knowledge about the adverse effects of cross-hormonization: challenges for nursing
Revista Brasileira de Enfermagem. 2024;77(4):e20230346
DOI 10.1590/0034-7167-2023-0346
Visualizações0Ver maisABSTRACT
Objectives:
to identify trans women’s and men’s knowledge about the adverse effects of cross-hormonization and understand the repercussions of hormonization practices on trans women’s and men’s health.
Methods:
exploratory, descriptive, qualitative research, developed with 41 participants, from July 2019 to February 2020, in a trans health outpatient clinic. Thematic-categorical content analysis was used.
Results:
from the analysis, the categories emerged: Knowledge about the adverse effects of cross-hormonization; and Cross-hormonization practices and their meaning.
Final Considerations:
nursing practices, based on the identification of knowledge about adverse effects and the understanding of cross-hormonization practices in trans women’s and men’s health, can result in more inclusive care.
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ARTÍCULO ORIGINAL20/09/2024
Content validity of guidance on self-care in the post-operative period for breast cancer
Revista Brasileira de Enfermagem. 2024;77(4):e20240188
Resumen
ARTÍCULO ORIGINALContent validity of guidance on self-care in the post-operative period for breast cancer
Revista Brasileira de Enfermagem. 2024;77(4):e20240188
DOI 10.1590/0034-7167-2024-0188
Visualizações0Ver maisABSTRACT
Objectives:
to validate the content of a guidance guide on self-care in the postoperative period of breast surgery for breast cancer.
Methods:
a methodological study with content validity, carried out with 15 expert nurses and physiotherapists, between May and July 2022. Recruitment took place from the Lattes Platform, using snowball sampling. The level of relevance and representativeness for each item was verified using the Content Validity Index (CVI). It was considered valid when CVI was equal to or greater than 78% (0.78).
Results:
from the initial total of 37 items, two were excluded, as they had insufficient practical relevance and theoretical relevance, and another five items which, although presenting a CVI lower than the established cut-off, were suggested to be rewritten and grouped with other similar items.
Conclusions:
thirty items were considered valid and demonstrated important and significant characteristics, constituting suitable material for application in clinical practice.
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ARTÍCULO ORIGINAL20/09/2024
Sociocognitive factors determining compliance with standard precautions by nursing professionals during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2024;77(4):e20230301
Resumen
ARTÍCULO ORIGINALSociocognitive factors determining compliance with standard precautions by nursing professionals during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2024;77(4):e20230301
DOI 10.1590/0034-7167-2023-0301
Visualizações0Ver maisABSTRACT
Objectives:
to assess the socio-cognitive factors determining adherence to standard precautions by nursing professionals in care practice during the COVID-19 pandemic in Brazil.
Methods:
an analytical cross-sectional study, carried out with 9,039 nursing professionals in Brazil, using an electronic form containing participant sociodemographic, training and work variables, and the Brazilian version of the Standard Precautions Questionnaire. Descriptive and inferential statistics were used using the statistical software R.
Results:
participants recognize standard precautions as effective measures to reduce infections and report intention to perform them. Training regarding standard precautions was evidenced as a facilitator of adherence (4.72; SD: 0.73), and problems related to materials (3.78; SD: 1.45) were a hindrance.
Conclusions:
among the determining factors, facilitating organization presented the highest score, followed by intention to perform. Facilitating and hindering factor identification makes it possible to develop intervention strategies to strengthen patient safety and reduce occupational risks among professionals.
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ARTÍCULO ORIGINAL20/09/2024
Predictor variables effect on the development of Burnout Syndrome in higher education professor
Revista Brasileira de Enfermagem. 2024;77(4):e20240132
Resumen
ARTÍCULO ORIGINALPredictor variables effect on the development of Burnout Syndrome in higher education professor
Revista Brasileira de Enfermagem. 2024;77(4):e20240132
DOI 10.1590/0034-7167-2024-0132
Visualizações0Ver maisABSTRACT
Objectives:
to correlate the development of Burnout Syndrome in higher education professors with the following variables: sociodemographic, economic, work, sleep pattern, level of anxiety and quality of life.
Methods:
observational, analytical, cross-sectional study with a quantitative approach. Data collection took place from August to November 2022, with 140 professors from a private higher education institution in the Western Brazilian Amazon.
Results:
professors who carried out activities outside institutional hours and who had sleep duration < 5 hours, presented lower scores in the personal fulfillment dimension of burnout, with (p=0.002) and (p=0.001), respectively. The higher the scores for the physical (p=0.001), psychological (p=0.000) and social relationships (p=0.002) domains of quality of life, the lower the personal fulfillment scores for the syndrome.
Conclusions:
through linear regression, it was evidenced that several variables explain the development of burnout. Institutional and governmental actions can minimize the negative influence of these variables.
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ARTÍCULO ORIGINAL20/09/2024
Risk assessment for postoperative complications in patients undergoing cardiac surgical procedures
Revista Brasileira de Enfermagem. 2024;77(4):e20230127
Resumen
ARTÍCULO ORIGINALRisk assessment for postoperative complications in patients undergoing cardiac surgical procedures
Revista Brasileira de Enfermagem. 2024;77(4):e20230127
DOI 10.1590/0034-7167-2023-0127
Visualizações0Ver maisABSTRACT
Objectives:
to evaluate the risk of postoperative complications in cardiac patients.
Methods:
an evaluative study using the Tuman Score on medical records of 70 adult patients who underwent cardiac surgery at a University Hospital. The R for Windows software was used for the analyses. Descriptive statistics and bivariate analysis were employed to verify the association between the risk score and complications. The relative risk between the Tuman Score and postoperative complications was obtained through Quasi-Poisson regression, with a 95% confidence interval.
Results:
the majority of the patients were male (58.57%), aged between 41-64 years (50%), who underwent myocardial revascularization (50%). These patients were associated with a lower risk of postoperative complications (p=0.003), (p=0.008), and (p=0.000), respectively. High-risk patients had pulmonary complications (RR=1.32, p=0.002) and neurological complications (RR=1.20, p=0.047).
Conclusions:
preoperative risk assessment promotes qualified care to reduce postoperative complications.
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ARTÍCULO ORIGINAL20/09/2024
Construction and validation of a checklist for the management of totally implanted catheters in children
Revista Brasileira de Enfermagem. 2024;77(4):e20230447
Resumen
ARTÍCULO ORIGINALConstruction and validation of a checklist for the management of totally implanted catheters in children
Revista Brasileira de Enfermagem. 2024;77(4):e20230447
DOI 10.1590/0034-7167-2023-0447
Visualizações0Ver maisABSTRACT
Objectives:
to construct and validate the content of a checklist for the management of totally implanted catheters in hospitalized children and adolescents.
Methods:
methodological research conducted from October 2021 to December 2022 in two stages: development of the instrument with care guidelines and content validation of the checklist. The instrument, containing 23 items presented in Likert format, was evaluated online by specialists in two rounds. The Content Validity Index was applied, considering indices above 0.8 as valid.
Results:
the final checklist included four domains and 22 checklist items, validated with a Content Validity Index of 0.98. The overall evaluation of the instrument presented a global score of 9.9.
Conclusions:
the validation and application of instruments that standardize procedures, in addition to supporting professionals, promote autonomy and quality of care for children and adolescents using this device.
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ARTÍCULO ORIGINAL21/09/2020
Anxiety and depression: a study of psychoaffective, family-related, and daily-life factors in celiac individuals
Revista Brasileira de Enfermagem. 2020;73:e20200086
Resumen
ARTÍCULO ORIGINALAnxiety and depression: a study of psychoaffective, family-related, and daily-life factors in celiac individuals
Revista Brasileira de Enfermagem. 2020;73:e20200086
DOI 10.1590/0034-7167-2020-0086
Visualizações0Ver maisABSTRACT
Objective:
To identify the prevalence of anxiety and depression and its association with psychoaffective, family-related, and daily-life variables of celiac individuals.
Methods:
Crosssectional study, developed with 83 celiac patients in Fortaleza. An instrument was applied with variables grouped in the categories: psychoaffective, family-related, and daily-life.
Results:
It was found that 52 celiac patients (62.7%) had anxiety and 29 (34.9%) had depression. The clinical conditions found and the number of symptoms increased the chance of anxiety/depression. The predominant factors in those with anxiety were Lack of control of the celiac disease (98.1%), Perceived clinical condition (75.0%), Daily obstacles for maintaining a gluten-free diet (63.4%), and Daily activities (55.8%). In those with depression, there was a higher prevalence of Lack of control of the celiac disease (100.0%), Perceived clinical condition (82.2%), and Daily obstacles for maintaining a gluten-free diet (69.0%).
Conclusion:
Celiac individuals with anxiety and depression frameworks presented a higher frequency of Perceived clinical condition, Insufficient social support (psychoaffective factors) and Daily obstacles for maintaining a gluten-free diet (daily-life factor).
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ARTÍCULO ORIGINAL15/01/2020
Desgaste psíquico dos trabalhadores de enfermagem radiológica em serviços de medicina nuclear
Revista Brasileira de Enfermagem. 2020;73:e20200169
Resumen
ARTÍCULO ORIGINALDesgaste psíquico dos trabalhadores de enfermagem radiológica em serviços de medicina nuclear
Revista Brasileira de Enfermagem. 2020;73:e20200169
DOI 10.1590/0034-7167-2020-0169
Visualizações0RESUMO
Objetivo:
analisar os desgastes psíquicos vivenciados por trabalhadores de enfermagem em serviços de medicina nuclear.
Método:
estudo qualitativo que utilizou os pressupostos metodológicos da Psicodinâmica do Trabalho. Fizeram parte da pesquisa 12 trabalhadores de enfermagem de dois serviços de medicina nuclear. Para análise e tratamento dos dados, utilizou-se o Discurso do Sujeito Coletivo, com auxílio do software QualiQuantSoft®.
Resultados:
os desgastes psíquicos vivenciados por trabalhadores de enfermagem se originam, principalmente, na organização, condições e relações do trabalho, podendo comprometer a qualidade da assistência prestada e a qualidade de vida dos trabalhadores. Os degastes psíquicos são manifestados pelo estresse, cansaço e apatia nas atividades realizadas fora do ambiente de trabalho.
Considerações finais:
o sujeito que trabalha também vive socialmente, portanto, a manutenção da saúde psíquica impactará na atividade laboral. O serviço deve incluir o trabalhador na organização e ofertar espaços de diálogo e suporte coletivo.
Palavras-chave: Desgaste ProfissionalEnfermagem RadiológicaMedicina NuclearSaúde do TrabalhadorTrabalhadoresVer mais -
INFORME DE EXPERIENCIA04/12/2020
O enfrentamento da equipe multidisciplinar do centro cirúrgico diante da pandemia da COVID-19
Revista Brasileira de Enfermagem. 2020;73:e20200333
Resumen
INFORME DE EXPERIENCIAO enfrentamento da equipe multidisciplinar do centro cirúrgico diante da pandemia da COVID-19
Revista Brasileira de Enfermagem. 2020;73:e20200333
DOI 10.1590/0034-7167-2020-0333
Visualizações0RESUMO
Objetivo:
Relatar a implantação de protocolos assistenciais diante da pandemia da COVID-19 desenvolvidos no centro cirúrgico de um hospital universitário de grande porte no Rio Grande do Sul.
Método:
Relato de experiência sobre a implantação de protocolos assistenciais de paramentação e desparamentação da equipe multidisciplinar do centro cirúrgico no enfrentamento da pandemia da COVID-19, em um hospital universitário de grande porte no Rio Grande do Sul realizado entre março e abril de 2020.
Resultados:
No enfrentamento da pandemia pela equipe multidisciplinar do centro cirúrgico, descreveram-se em dois momentos as atividades adotadas no desenvolvimento de seu plano de ação. Realizaram-se capacitações educativas com a equipe multiprofissional quanto ao processo de paramentação e desparamentação bem como ao preparo dos profissionais no atendimento ao paciente COVID-19.
Conclusão:
Com as rotinas estabelecidas e grande número de profissionais capacitados, foi possível observar um melhor preparo da equipe multidisciplinar perante as necessidades impostas pelo novo coronavírus.
Palavras-chave: Centros CirúrgicosCoronavírusEquipe de Assistência ao Paciente, Equipamento de proteção individual, Capacitação em ServiçoVer mais -
INFORME DE EXPERIENCIA13/07/2020
Medidas de contenção à COVID-19 adotadas em serviço de transplante de medula óssea
Revista Brasileira de Enfermagem. 2020;73:e20200476
Resumen
INFORME DE EXPERIENCIAMedidas de contenção à COVID-19 adotadas em serviço de transplante de medula óssea
Revista Brasileira de Enfermagem. 2020;73:e20200476
DOI 10.1590/0034-7167-2020-0476
Visualizações0RESUMO
Objetivo:
Descrever a experiência da enfermagem, na adoção de medidas de contenção, no atendimento de pacientes submetidos ao transplante de células-tronco hematopoiéticas para evitar a COVID-19.
Métodos:
Relato de experiência.
Resultados:
As medidas de contenção envolvem aquelas recomendadas pelas principais organizações de saúde, como a higiene de mãos, isolamento social, identificação e monitoramento de casos suspeitos ou confirmados; e ainda as medidas locais implementadas no serviço de saúde, como a redução no número de internações para o transplante, triagem clínica de pacientes ambulatoriais que adentram o serviço, monitoramento de sinais e sintomas respiratórios, destinação de quartos de isolamento específicos para os suspeitos da doença e testagem de pacientes sintomáticos.
Considerações finais:
Compete ao enfermeiro o desafio de planejar o cuidado de enfermagem para a prevenção da disseminação do coronavírus em população de alto risco e para a implementação de medidas pautadas nas evidências disponíveis, periodicamente atualizadas.
Palavras-chave: Cuidados de EnfermagemInfecções por CoronavirusTransplante de Células-Tronco HematopoéticasTransplante de Medula ÓsseaVirus da SARSVer mais -
REFLEXIÓN26/10/2020
Multimodal strategy for hand hygiene in field hospitals of COVID-19
Revista Brasileira de Enfermagem. 2020;73:e20200487
Resumen
REFLEXIÓNMultimodal strategy for hand hygiene in field hospitals of COVID-19
Revista Brasileira de Enfermagem. 2020;73:e20200487
DOI 10.1590/0034-7167-2020-0487
Visualizações0Ver maisABSTRACT
Objective:
Reflect and propose adaptations to the Multimodal Hand Hygiene Strategy for field hospitals, in the context of the COVID-19 pandemic.
Method:
Reflective study, carried out in April 2020, based on the recommendations of the World Health Organization and the guide for the implementation of the five components of the Multimodal Strategy: system change related to infrastructure; training/education; evaluation and feedback; reminders in the workplace; and institutional security climate.
Results:
The Multimodal Strategy, proposed for hospitals in general, can be adapted for field hospitals in order to reduce the transmission of the SARS-CoV-2 virus. Investments to adapt the infrastructure and education of workers require foresight and speed and are of special relevance to promote hand hygiene in this care context.
Final considerations:
Adjusting the Multimodal Strategy, especially for the reduced time in the execution of each component, is necessary for field hospitals with a view to preventing COVID-19.
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INFORME DE EXPERIENCIA04/12/2020
Health education workshops with children in the context of COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200593
Resumen
INFORME DE EXPERIENCIAHealth education workshops with children in the context of COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200593
DOI 10.1590/0034-7167-2020-0593
Visualizações0Ver maisABSTRACT
Objective:
Describe the experience of extension activities in the prevention of COVID-19 with children from public school system.
Methods:
Experience report of critical and reflexive approach on the extension experience of the project “Healthcare at School” (Atenção à Saúde na Escola), in the COVID-19 pandemic context, in a countryside town in the State of Goias, in March 2020.
Results:
It is carried out five hand sanitizing workshops as a prevention for COVID-19 with 57 children from 2 to 5 years old in the State of Goias.
Final Considerations:
The playful approach in a low-cost workshop format was a strategy to meet an emergency requirement of the Community in the beginning of the COVID-19 pandemic.
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ARTÍCULO ORIGINAL13/07/2020
Mechanical Restraint in Nursing Homes in Brazil: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73:e20190509
Resumen
ARTÍCULO ORIGINALMechanical Restraint in Nursing Homes in Brazil: a cross-sectional study
Revista Brasileira de Enfermagem. 2020;73:e20190509
DOI 10.1590/0034-7167-2019-0509
Visualizações0Ver maisABSTRACT
Objective:
to estimate the mechanical restraint prevalence in Nursing Homes in Brazil and the factors associated with its performance.
Methods:
this cross-sectional study was carried out in 14 institutions, with a final sample of 443 elderly people. Mechanical restraint was considered as a dependent variable.
Results:
there was a 7.45% prevalence of mechanical restraint considering bed rails and 3.84% without considering bed rails. Main justification for restraint use was risk of falls (66.7%), and restraint duration was 24 hours (84.8%). The factors associated with the dependent variable were: wandering (p=0.000); MMSE, with cognitive loss (p=0.000); Katz Index, with dependence for Activities of Daily Living (p=0.000); and Alzheimer’s comorbidity (p=0.001)
Conclusion:
prevalence was lower than international studies, but there was an association with worsening of wandering, dependence, cognitive worsening, and Alzheimer’s Disease, showing the need for alternative interventions to mechanical restraint.
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REFLEXIÓN21/09/2020
Connections and interlocations between self-image, self-esteem, active sexuality, and quality of life in ageing
Revista Brasileira de Enfermagem. 2020;73:e20190592
Resumen
REFLEXIÓNConnections and interlocations between self-image, self-esteem, active sexuality, and quality of life in ageing
Revista Brasileira de Enfermagem. 2020;73:e20190592
DOI 10.1590/0034-7167-2019-0592
Visualizações0Ver maisABSTRACT
Objective:
to reflect on the connection between self-image, self-esteem, active sexuality, and quality of life in ageing; identify which measurement instruments in Brazilian and international literature interconnectively address the connections referred to in the general objective.
Method:
a theoretical-reflexive essay.
Results:
the reflection was described in the guiding axes: Connections between self-image, self-esteem, active sexuality, and quality of life in ageing; Interlocutions and instruments for measuring the connection between sexuality and ageing. Instruments in Brazilian and international literature are unable to address this topic in an interconnected way. Limitations and disadvantages of application with elderly individuals are presented.
Final considerations:
carrying out qualitative research and validating quantitative instruments that show connections and interlocutions, without stigmas and reprimands, common in this age group, should be encouraged in the scientific field and in social spaces.
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