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ARTÍCULO ORIGINAL18/10/2022
Care related to peripheral intravenous catheterism in pediatrics performed by nursing technicians
Revista Brasileira de Enfermagem. 2022;75(2):e20200611
Resumen
ARTÍCULO ORIGINALCare related to peripheral intravenous catheterism in pediatrics performed by nursing technicians
Revista Brasileira de Enfermagem. 2022;75(2):e20200611
DOI 10.1590/0034-7167-2020-0611
Visualizações0Ver maisABSTRACT
Objectives:
to evaluate the care practice adopted by nursing technicians before, during and after peripheral intravenous catheterization performed in hospitalized children.
Methods:
cross-sectional and descriptive research, carried out in a pediatric hospital in Bahia through non-participatory observation of peripheral intravenous catheterizations performed in children by nursing technicians. Data was collected through an instrument containing care related to the moments before, during and after insertion of the catheter, calculating absolute and relative frequencies, measures of central tendency and dispersion.
Results:
there were 31 nursing technicians, who performed care mainly before intravenous catheterization. Nonconformities were identified regarding hand hygiene, use of a disposable mask, selection of the catheter insertion site, antisepsis, stabilization and catheter coverage.
Conclusions:
most of the precautions observed regarding peripheral intravenous catheterization are not in accordance with the standards of practice recommended by the national and international literature.
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18/10/2022
Clinical progression of COVID-19 coinfection in people living with the human immunodeficiency virus: scoping review
Revista Brasileira de Enfermagem. 2022;75(2):e20201380
Resumen
Clinical progression of COVID-19 coinfection in people living with the human immunodeficiency virus: scoping review
Revista Brasileira de Enfermagem. 2022;75(2):e20201380
DOI 10.1590/0034-7167-2020-1380
Visualizações0Ver maisABSTRACT
Objectives:
to map the production of scientific knowledge on the clinical progression of COVID-19 coinfection in people living with the human immunodeficiency virus (HIV).
Methods:
scoping review, with search strategies in MEDLINE, Scopus, Embase, Web of Science, and LILACS. Dual independent data extraction and analysis of the material with similarity compilation and narrative synthesis.
Results:
sample consisted of 35 articles. Fever, cough, and dyspnea were the most prevalent signs/symptoms. Recurrent complications involved desaturation/worsening of oxygen desaturation and pneumonia. No standard pharmacological treatment was identified, and the main interventions involved the provision of supplemental oxygen and mechanical ventilation. The studies recommended preventive, care, and pharmacological practices.
Conclusions:
the clinical manifestations, complications, and treatments/assistance care for people coinfected with SARS CoV-2/HIV are similar to those of the general population. Coinfection, overall, does not infer a worse prognosis.
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ARTÍCULO ORIGINAL18/10/2022
Death and dying of newborns and children: relationships between nursing and family according to Travelbee
Revista Brasileira de Enfermagem. 2022;75(2):e20210007
Resumen
ARTÍCULO ORIGINALDeath and dying of newborns and children: relationships between nursing and family according to Travelbee
Revista Brasileira de Enfermagem. 2022;75(2):e20210007
DOI 10.1590/0034-7167-2021-0007
Visualizações0Ver maisABSTRACT
Objective:
Identify the nursing staff’s perception of their relationship with families of newborns and children who are in the process of death and dying.
Methods:
Qualitative research, carried out in the Neonatal and Pediatric Intensive Care Unit of a public maternity hospital in Rio Grande do Norte, with 17 nursing professionals, through a semi-structured interview. After being transcribed, the data were subjected to Bardin’s content analysis and interpreted in the light of the theory of Interpersonal Relations proposed by Travelbee.
Results:
Four categories emerged from the analysis: «Caring and welcoming people, feelings and stories»; «Reactions in the midst of pain: moving between acceptance and suffering»; «Communication of bad news: challenges and strategies»; «The weight of caring and suffering».
Final considerations:
Family assistance can be established using Travelbee’s principles, as they offer timely theoretical support for nursing actions in the context of the process of death and dying.
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ARTÍCULO ORIGINAL18/10/2022
Health education for hospitalized patient in nursing care: a conceptual analysis
Revista Brasileira de Enfermagem. 2022;75(2):e20200459
Resumen
ARTÍCULO ORIGINALHealth education for hospitalized patient in nursing care: a conceptual analysis
Revista Brasileira de Enfermagem. 2022;75(2):e20200459
DOI 10.1590/0034-7167-2020-0459
Visualizações0INTRODUCTIONOver the years, the development of health education practices is related to the historical moment of society(). The nineteenth and twentieth centuries presented decisive situations in the evolution process that we know today as health education. Nursing began to consider health educational practices after Florence Nightingale initially focused on professional training. Florence contributed to the […]Ver mais -
ARTÍCULO ORIGINAL18/10/2022
Impaired knowledge in individuals with heart failure: a middle range nursing theory
Revista Brasileira de Enfermagem. 2022;75(2):e20200855
Resumen
ARTÍCULO ORIGINALImpaired knowledge in individuals with heart failure: a middle range nursing theory
Revista Brasileira de Enfermagem. 2022;75(2):e20200855
DOI 10.1590/0034-7167-2020-0855
Visualizações0Ver maisABSTRACT
Objective:
To develop a middle range nursing theory of impaired knowledge in individuals with heart failure.
Methods:
Descriptive study of the cross type developed through the theoretical-causal validity method, which used six steps for theory building: Definition of the construction approach; Definition of theoretical-conceptual models; Definition of main concepts; Development of a pictorial scheme; Construction of propositions; and Establishment of causal relations and evidence for practice.
Results:
Twenty-four articles were found, which identified two attributes, eight antecedents, and seven consequences, which gave rise to the pictogram, which schematized the concepts by relating them to cardiac physiology. Finally, 11 propositions and four causal relationships were created.
Conclusion:
The constructed theory enables a targeted driving of nurses’ clinical judgment regarding impaired knowledge in individuals with heart failure, culminating in individualized interventions to improve quality of life.
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ARTÍCULO ORIGINAL18/10/2022
Adherence to antiretroviral therapy by adults living with HIV/aids: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(2):e20210019
Resumen
ARTÍCULO ORIGINALAdherence to antiretroviral therapy by adults living with HIV/aids: a cross-sectional study
Revista Brasileira de Enfermagem. 2022;75(2):e20210019
DOI 10.1590/0034-7167-2021-0019
Visualizações0Ver maisABSTRACT
Objective:
To verify the association between adherence to antiretroviral treatment by adults with HIV/AIDS and sociodemographic factors, social and clinical support.
Methods:
Cross-sectional study, with a quantitative approach. Participation of 230 patients. Questionnaires of sociodemographic characterization, social and clinical support, and assessment of adherence to antiretroviral treatment were used. Descriptive and inferential statistics were performed.
Results:
Adherence was classified as good/adequate. An association with sex, income, employment, and level of education was noted. In social support: having access to health services; communication with health professionals; health education; having support to allow venting/talking about issues; information on HIV/AIDS; and company for leisure. In the clinical profile: non-interruption of the drug treatment due to absence from the service or due to changes in the medical prescription.
Conclusion:
Adherence was classified as good/adequate and especially associated with social support factors, which should be enhanced in clinical practice.
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ARTÍCULO ORIGINAL18/10/2022
Professional Safety in the daily life of primary health care: grounded theory
Revista Brasileira de Enfermagem. 2022;75(2):e20210033
Resumen
ARTÍCULO ORIGINALProfessional Safety in the daily life of primary health care: grounded theory
Revista Brasileira de Enfermagem. 2022;75(2):e20210033
DOI 10.1590/0034-7167-2021-0033
Visualizações0Ver maisABSTRACT
Objective:
to understand Professional Safety in daily life in Primary Health Care.
Methods:
this is a study on the Grounded Theory method and the Symbolic Interactionism theoretical framework with 82 health professionals.
Results:
it presents the category «Professional Safety in Daily Life in Primary Health Care: a Grounded Theory» and two subcategories determining and conditioning Professional Safety in PHC: professional training, infrastructure, support and technical responsibility; Professional Safety: physical protection, psychological support, distress and feelings reveal the (un)safe conditions. Professional Safety is mentioned in several dimensions that include professionals’ knowledge, decision-making skills, the practice of the profession and what regulates it, the structure and organization of the Unified Health System and services, permanent education. It presents the context of primary care and the factors that impact an (unsafe) work.
Final considerations:
this study contributes to reflect on Professional Safety to strengthen safety culture in Primary Health Care.
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ARTÍCULO ORIGINAL18/10/2022
Quality of life of nurse practitioners during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20201382
Resumen
ARTÍCULO ORIGINALQuality of life of nurse practitioners during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2022;75:e20201382
DOI 10.1590/0034-7167-2020-1382
Visualizações0Ver maisABSTRACT
Objective:
to assess the quality of life of nurse practitioners during the COVID-19 pandemic and analyze related factors.
Methods:
cross-sectional and analytical study carried out with nurse practitioners. A questionnaire on sociodemographic characterization, work activities and changes perceived with the pandemic and WHOQOL-bref were used. To compare the groups of interest, analysis of covariance was used.
Results:
572 professionals participated, who had a mean total quality of life score of 56.79 (SD=13.56). In the relationship of variables with WHOQOL-bref, having two or more jobs and being a nurse were associated with better quality of life, but being a woman and working more than 50 hours a week was associated with a worse perception of the construct.
Conclusions:
the factors analyzed indicate a lower perception of quality of life associated with the social domain, requiring interventions that reduce the damage to professionals’ health and contribute to quality of care provided.
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ARTÍCULO ORIGINAL13/07/2020
Cultura de segurança do paciente em unidades hospitalares de ginecologia e obstetrícia: estudo transversal
Revista Brasileira de Enfermagem. 2020;73(5):e20190576
Resumen
ARTÍCULO ORIGINALCultura de segurança do paciente em unidades hospitalares de ginecologia e obstetrícia: estudo transversal
Revista Brasileira de Enfermagem. 2020;73(5):e20190576
DOI 10.1590/0034-7167-2019-0576
Visualizações1RESUMO
Objetivos:
avaliar a cultura de segurança do paciente da equipe de saúde que atua em três maternidades.
Métodos:
estudo observacional, transversal, comparativo. Participaram do estudo 301 profissionais. Utilizou-se o questionário Hospital Survey on Patient Safety Culture validado no Brasil. Para a análise dos dados, considerou-se área forte na cultura de segurança do paciente quando as respostas positivas atingiram acima de 75%; e áreas que precisam de melhorias quando as respostas positivas atingiram menos de 50%. Para a comparação dos resultados, empregou-se desvio-padrão e regra do polegar.
Resultados:
das 12 dimensões da cultura de segurança do paciente, nenhuma obteve escore acima de 75%, sendo nove dimensões com escore entre 19% e 43% e três dimensões entre 55% e 57%.
Conclusões:
não foram identificadas dimensões fortes para cultura de segurança nas três maternidades. Acredita-se que esses resultados possam contribuir na elaboração de políticas que promovam a cultura de segurança nas instituições.
Palavras-chave: Cultura OrganizacionalEquipe de Assistência ao PacienteEstudos TransversaisSegurança do PacienteUnidade Hospitalar de Ginecologia e ObstetríciaVer mais -
ARTÍCULO ORIGINAL21/09/2020
Autonomia na saúde reprodutiva de mulheres quilombolas e fatores associados
Revista Brasileira de Enfermagem. 2020;73:e20190786
Resumen
ARTÍCULO ORIGINALAutonomia na saúde reprodutiva de mulheres quilombolas e fatores associados
Revista Brasileira de Enfermagem. 2020;73:e20190786
DOI 10.1590/0034-7167-2019-0786
Visualizações0RESUMO
Objetivo:
Identificar o nível de autonomia reprodutiva de mulheres quilombolas e associá-lo com características sociodemográficas e aspectos da saúde sexual e reprodutiva.
Métodos:
Estudo censitário transversal realizado em comunidades quilombolas de um município baiano. Os dados foram coletados por meio dos questionários da Pesquisa Nacional de Saúde e da Escala de Autonomia Reprodutiva, aplicados às mulheres quilombolas que aceitaram participar. Utilizaram-se procedimentos da estatística descritiva e realizaram-se associações entre os escores de autonomia reprodutiva e as características sociodemográficas e reprodutivas.
Resultados:
O escore médio total de autonomia reprodutiva foi 2,06. Verificou-se associação entre o escore de “tomada de decisão” e estado conjugal. O escore de “autonomia reprodutiva total” foi associado à utilização de método contraceptivo.
Conclusão:
A realidade das participantes do estudo converge com a literatura quanto à interferência de fatores sociodemográficos e reprodutivos na autonomia reprodutiva de mulheres negras.
Palavras-chave: Autonomia PessoalFatores SocioeconômicosGrupo com Ancestrais do Continente AfricanoMulheresSaúde ReprodutivaVer mais -
ARTÍCULO ORIGINAL01/06/2020
Binge drinking and overweight in brazilian adults – CUME Project
Revista Brasileira de Enfermagem. 2020;73:e20190316
Resumen
ARTÍCULO ORIGINALBinge drinking and overweight in brazilian adults – CUME Project
Revista Brasileira de Enfermagem. 2020;73:e20190316
DOI 10.1590/0034-7167-2019-0316
Visualizações0Ver maisABSTRACT
Objective:
To verify the association between heavy episodic alcohol consumption [binge drinking (BD)] and overweight in 2,909 adults from the Cohort of Universities of Minas Gerais (CUME Project) baseline, Brazil.
Method:
Cross-sectional study in which sociodemographic, anthropometric (BMI ≥ 25 kg/m2 = overweight) and dietary intake data were collected. This study evaluated the occurrence and monthly frequency of BD (≥ 4 drinks at one time for women; ≥ 5 drinks at one time for men, in the last 30 days).
Results:
The prevalence of BD and overweight were 41.3% and 40.8%, respectively. BD increased the prevalence of overweight by 19%, and, BD exposure by ≥ 5 days / month increased it by 31%.
Conclusion:
BD on a single or multiple occasion during the month was associated with a higher prevalence of overweight. Therefore, such a lifestyle should be considered in weight gain prevention strategies.
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ARTÍCULO ORIGINAL07/04/2023
The use of toys by nursing as a therapeutic resource in the care of hospitalized children
Revista Brasileira de Enfermagem. 2023;76(2):e20220433
Resumen
ARTÍCULO ORIGINALThe use of toys by nursing as a therapeutic resource in the care of hospitalized children
Revista Brasileira de Enfermagem. 2023;76(2):e20220433
DOI 10.1590/0034-7167-2022-0433
Visualizações0Ver maisABSTRACT
Objectives:
to describe the use of toys by nursing during the care of children in the inpatient unit; to analyze the factors that influence the use of therapeutic toys by nursing in the care of hospitalized children.
Methods:
qualitative research, conducted in a pediatric hospital in Rio de Janeiro between July and August 2019. Semi-structured interview and thematic analysis were used as methodological procedure.
Results:
the 12 nurses and 7 nursing technicians revealed minimizing fear, relieving tension, and creating a bond between the child and the professional as the main benefits; they use as resources: children’s toys, hospital materials, cartoons, and children’s videos. The high demand for work, deficit of human resources, and appropriate ludic materials are factors that interfere with the use of toys as a therapeutic resource.
Final Considerations:
although the participants recognize the importance of the toy as a therapeutic resource, there is no systematization of its use in pediatric practice.
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ARTÍCULO DE REVISIÓN29/09/2022
Cuidados paliativos na Atenção Primária à Saúde: revisão integrativa de literatura
Revista Brasileira de Enfermagem. 2022;75(1):e20201335
Resumen
ARTÍCULO DE REVISIÓNCuidados paliativos na Atenção Primária à Saúde: revisão integrativa de literatura
Revista Brasileira de Enfermagem. 2022;75(1):e20201335
DOI 10.1590/0034-7167-2020-1335
Visualizações0RESUMO
Objetivos:
analisar evidências cientificas sobre a implementação e realização dos cuidados paliativos na Atenção Primária à Saúde.
Métodos:
revisão integrativa da literatura, segundo o Preferred Reporting Items for Systematic Reviews and Meta-Analyses, realizada nas bases de dados PubMed, SciVerse Scopus e LILACS, em dezembro de 2020, sem recorte temporal.
Resultados:
foram analisados 22 artigos científicos originais, 14 classificados com nível de evidência VI. Objetivou-se compreender as experiências e os papéis de profissionais, pacientes e familiares sobre cuidados paliativos na Atenção Primária à Saúde, artigos voltados para a temática de gestão e organização dos serviços de saúde e sobre a importância de intervenções educativas na temática.
Considerações Finais:
evidências encontradas relacionando cuidados paliativos na Atenção Primária à Saúde apontam para a possibilidade desse cuidado; equipes de saúde atuam de maneira próxima a família e seu domicílio, porém ainda se percebe a necessidade de ampliação deste tema.
Palavras-chave: Atenção Primária à SaúdeCuidados PaliativosEnfermagemEstratégia Saúde da FamíliaRevisãoVer mais -
28/06/2021
Trends in fertility rates, proportion of antenatal consultations and caesarean sections among Brazilian adolescents
Revista Brasileira de Enfermagem. 2021;74:e20200884
Resumen
Trends in fertility rates, proportion of antenatal consultations and caesarean sections among Brazilian adolescents
Revista Brasileira de Enfermagem. 2021;74:e20200884
DOI 10.1590/0034-7167-2020-0884
Visualizações1Ver maisABSTRACT
Objective:
To analyze the temporal trends in the fertility rate, proportion of antenatal consultations and caesarean sections in Brazilian adolescents aged 15 to 19, between 2000 and 2015. Methods: The fertility rate, proportion of prenatal consultations and proportion of routes of birth were calculated using data from DATASUS. The trend analysis was performed using the Prais-Winsten regression model and the annual percentage change.
Results:
There was a trend of reduction of 3.5% per year in the fertility rate among adolescents (p<0.05), in addition to an increasing trend of 6% per year in the proportion of more than six antenatal consultations (p <0.0001) and an increasing trend of 6.8% per year in the proportion of caesarean sections (p<0.0001).
Conclusion:
Despite the decreasing trend in fertility rates among Brazilian adolescents, they remain high. Also noteworthy is the growing trend for caesarean sections, even with improved access to antenatal care.
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INFORME DE EXPERIENCIA13/11/2020
Pedagogical mediations for non-formal nursing teaching during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200499
Resumen
INFORME DE EXPERIENCIAPedagogical mediations for non-formal nursing teaching during the COVID-19 pandemic
Revista Brasileira de Enfermagem. 2020;73:e20200499
DOI 10.1590/0034-7167-2020-0499
Visualizações0Ver maisABSTRACT
Objective:
to report the experience of developing pedagogical mediations in a Virtual Learning Environment implemented in a nursing faculty during the COVID-19 pandemic.
Methods:
an experience report on the construction of a distance course aimed at graduates and residents of a nursing faculty at a public university located in the city of Rio de Janeiro.
Results:
the course’s conception, operationalization and implementation were the result of a collective work that culminated in a non-formal, virtual and problematic teaching process, which reached a participation rate of 82% of enrolled students.
Final considerations:
even in times of social isolation, the course promoted collaborative learning of knowledge about COVID-19 and strengthened the relationship between professors and students. The possibility of carrying out distance activities based on solid methodological proposals that contradict the content logic often observed in distance learning is emphasized.
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ARTÍCULO ORIGINAL01/06/2020
Condições de estrutura e processo na implantação do Sistema de Informação de Imunização do Brasil
Revista Brasileira de Enfermagem. 2020;73(4):e20180939
Resumen
ARTÍCULO ORIGINALCondições de estrutura e processo na implantação do Sistema de Informação de Imunização do Brasil
Revista Brasileira de Enfermagem. 2020;73(4):e20180939
DOI 10.1590/0034-7167-2018-0939
Visualizações0RESUMO
Objetivos:
analisar as condições estruturais e de processo na implantação do Sistema de Informação do Programa Nacional de Imunização.
Métodos:
estudo transversal realizado em 307 salas de vacinação em Minas Gerais em 2017. Para a coleta de dados, foi utilizado um questionário multidimensional. Procedeu-se a análise descritiva dos dados.
Resultados:
as salas de vacinação possuem insumos básicos necessários para a implantação do Sistema. Os maiores problemas relacionam-se às práticas dos profissionais. Identificaram-se baixo cadastro da população adscrita, falhas na busca ativa de faltosos, no aprazamento de vacinas e ausência de relatórios para monitorar a cobertura vacinal. As capacitações foram consideradas insuficientes e pouco efetivas.
Conclusões:
o Sistema de Informação de Imunização é uma inovação tecnológica essencial para o gerenciamento das ações de imunização, mas ainda são desafios a produção de registros oportunos e o uso da informação. Investimentos em capacitações são necessárias para garantir as atividades de gestão e operacionalização do Sistema.
Palavras-chave: EnfermagemEstudos de AvaliaçãoProgramas de ImunizaçãoSistema de Informação em SaúdeTecnologia de InformaçãoVer mais
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