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ARTÍCULO ORIGINAL16/08/2021
Strategies for changing the nursing preceptorship activity in Primary Health Care
Revista Brasileira de Enfermagem. 2021;74:e20210046
Resumen
ARTÍCULO ORIGINALStrategies for changing the nursing preceptorship activity in Primary Health Care
Revista Brasileira de Enfermagem. 2021;74:e20210046
DOI 10.1590/0034-7167-2021-0046
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Objectives:
to present actions to qualify preceptorship and teaching-health service integration to strengthen nursing training in PHC internship.
Methods:
qualitative research, developed through the Appreciative Inquiry Research carried out with eight nurses, both from the fields of teaching and health service, within Primary Health Care. The production and documentation of information took place between April and June 2019, through five meetings that characterized the four phases that make up the «4D cycle»: Discovery, Dream, Design, and Destiny. Ethical issues were respected.
Results:
the participants dreamed of the best scenario for preceptorship and built a schedule of actions related to the qualification of preceptorship in Nursing and the strengthening of teaching-health service integration.
Final Considerations:
it is possible, through effective participation of the actors involved in teaching and practice, the collective development of goals and actions, aiming at the qualification of nursing education.
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ARTÍCULO ORIGINAL16/08/2021
Risk factors for colonization and infection by resistant microorganisms in kidney transplant recipients
Revista Brasileira de Enfermagem. 2021;74:e20210219
Resumen
ARTÍCULO ORIGINALRisk factors for colonization and infection by resistant microorganisms in kidney transplant recipients
Revista Brasileira de Enfermagem. 2021;74:e20210219
DOI 10.1590/0034-7167-2021-0219
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Objectives:
to assess the prevalence of colonization and infection by multidrug-resistant bacteria in patients undergoing kidney transplantation and identify the rate of infection, morbidity and mortality and associated risk factors.
Methods:
a prospective cohort of 200 randomly included kidney transplant recipients. Epidemiological surveillance of the studied microorganisms was carried out in the first 24 hours and 7 days after transplantation.
Results:
ninety (45%) patients were considered colonized. Female sex, hypertension and diabetes (p<0.005), dialysis time (p<0.004), length of stay after transplantation, delayed renal function, and length of stay were identified as risk factors. The microorganisms were isolated from surgical site, bloodstream and urinary tract infections.
Conclusions:
colonization by resistant microorganisms in kidney transplant patients was frequent and risk factors associated with infection were identified. The results should guide the care team in order to minimize morbidity and mortality related to infectious causes in this population.
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ARTÍCULO ORIGINAL16/08/2021
Knowledge management: connections for teaching research in undergraduate nursing
Revista Brasileira de Enfermagem. 2021;74:e20201295
Resumen
ARTÍCULO ORIGINALKnowledge management: connections for teaching research in undergraduate nursing
Revista Brasileira de Enfermagem. 2021;74:e20201295
DOI 10.1590/0034-7167-2020-1295
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Objectives:
to understand the meanings that nursing students and professors attribute to research and research teaching in the context of undergraduate studies.
Methods:
this is a qualitative research, whose theoretical and methodological frameworks were Complexity Theory and Grounded Theory. Sixteen students and 14 undergraduate nursing professors from a public university in Rio de Janeiro were interviewed. Semi-structured interviews were used for data collection.
Results:
causes, actions, and interactions related to research and teaching research in undergraduate nursing are connected with learning science for nursing praxis, which ranges from students’ ability to question to their and their professors’ understanding of social demands guided by science.
Final Considerations:
nursing professors and students signify research and teaching of this as a structure for the training of nurses for the critical professional capacity needed to meet social demands.
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ARTÍCULO ORIGINAL13/08/2021
Analysis of diagnostic criteria for ventilator-associated pneumonia: a cohort study
Revista Brasileira de Enfermagem. 2021;74(6):e20190653
Resumen
ARTÍCULO ORIGINALAnalysis of diagnostic criteria for ventilator-associated pneumonia: a cohort study
Revista Brasileira de Enfermagem. 2021;74(6):e20190653
DOI 10.1590/0034-7167-2019-0653
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Objectives:
to analyze the diagnostic criteria for ventilator-associated pneumonia recommended by the Brazilian Health Regulatory Agency and the National Healthcare Safety Network/Centers for Disease Control and Prevention, as well as its risk factors.
Methods:
retrospective cohort study carried out in an intensive care unit throughout 12 months, in 2017. Analyses included chi-square, simple linear regression, and Kappa statistical tests and were conducted using Stata 12 software.
Results:
the sample was 543 patients who were in the intensive care unit and under mechanical ventilation, of whom 330 (60.9%) were men and 213 (39.1%) were women. Variables such as gender, age, time under mechanical ventilation, and oral hygiene proved to be significant risk factors for the development of ventilator-associated pneumonia.
Conclusions:
patients submitted to mechanical ventilation need to be constantly evaluated so the used diagnostic methods can be accurate and applied in an objective and standardized way in Brazilian hospitals.
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13/08/2021
Estudio cuasiexperimental de los efectos de la iluminación em reposo, actividad y melatonina em mujeres posparto
Revista Brasileira de Enfermagem. 2021;74(6):e20201064
Resumen
Estudio cuasiexperimental de los efectos de la iluminación em reposo, actividad y melatonina em mujeres posparto
Revista Brasileira de Enfermagem. 2021;74(6):e20201064
DOI 10.1590/0034-7167-2020-1064
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Objetivos:
comparar parámetros del ciclo actividad/descanso en madres lactantes en posparto temprano bajo régimen lumínico de rayos de longitud de onda larga controlado y no controlado.
Métodos:
estudio cuasiexperimental con madres lactantes y sus bebés, São Paulo, Brasil. Las participantes fueron asignadas a grupos experimental (intervención) y comparación, consistente en exposición en habitación controlada con luz artificial de rayos de longitud de onda larga durante la noche. Se analizaron tiempos de actividad/descanso (horas) y nivel de 6-sulfatoximelatonina a las 24 horas.
Resultados:
actividad media y tiempos de descanso fueron similares en grupos comparación e intervención. Porcentajes promedio de volumen total de 6-sulfatoximelatonina durante día y noche resultaron similares (p=0,09). A las 24 horas, el grupo intervención presentó porcentaje promedio de volumen total significantemente menor comparado con grupo comparación (p=0,04).
Conclusiones:
las mujeres expuestas a luz artificial de longitud de onda larga no mostraron diferencias en niveles actividad/descanso y 6-sulfatoximelatonina durante el posparto temprano.
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ARTÍCULO ORIGINAL13/08/2021
Prevalence of psychotropic drug use and conformity of therapeutic dose among mental health users
Revista Brasileira de Enfermagem. 2021;74(6):e20200679
Resumen
ARTÍCULO ORIGINALPrevalence of psychotropic drug use and conformity of therapeutic dose among mental health users
Revista Brasileira de Enfermagem. 2021;74(6):e20200679
DOI 10.1590/0034-7167-2020-0679
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Objectives:
to identify the prevalence of psychotropic drug use according to their Anatomical Therapeutic Chemical classification among Psychosocial Care Center users and assess their prescription compliance based on the recommended therapeutic dose.
Methods:
this is an analytical study, based on documents, from the study of 389 records between September 2017 and May 2018. Associations between the presence of underdose or overdose and participants’ characteristics were assessed using the chi-square test, adopting a significant value of p <0.05.
Results:
the most used drugs were antipsychotics (74.7%), 16.0% of users with at least one medication with a dose below the therapeutic level and another 3.6% above the recommended therapeutic dose.
Conclusions:
greater nonconformities in the prescribed dose were related to antihistamines, antipsychotics and antidepressants, with underdosage associated with females and overdose with the report of hearing voices.
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ARTÍCULO ORIGINAL13/08/2021
Therapeutic itinerary of breast cancer women in a border municipality
Revista Brasileira de Enfermagem. 2021;74(6):e20200936
Resumen
ARTÍCULO ORIGINALTherapeutic itinerary of breast cancer women in a border municipality
Revista Brasileira de Enfermagem. 2021;74(6):e20200936
DOI 10.1590/0034-7167-2020-0936
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Objectives:
to know the therapeutic itinerary and to show the implications of breast cancer for women in a border town in southern Brazil.
Methods:
a qualitative research conducted based on the complexity paradigm, through interviews with 13 women with breast cancer undergoing outpatient treatment and data analyzed by thematic analysis.
Results:
the first signs and symptoms of breast cancer were noticed unexpectedly, in everyday moments and during routine visits. There was family support in the search for assistance in primary care services, but organizational barriers led this itinerary to private health services, including Paraguay. Coping with the disease and treatment was anchored in the family subsystem.
Final Considerations:
the paths for breast cancer diagnosis and treatment included families, primary care services and private health services, including from the neighboring country, considering the vulnerability of border regions to guarantee health care.
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ARTÍCULO ORIGINAL13/08/2021
Scale for assessing the quality of life of women with Human Papillomavirus infection
Revista Brasileira de Enfermagem. 2021;74(6):e20200698
Resumen
ARTÍCULO ORIGINALScale for assessing the quality of life of women with Human Papillomavirus infection
Revista Brasileira de Enfermagem. 2021;74(6):e20200698
DOI 10.1590/0034-7167-2020-0698
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Objectives:
to develop and validate a scale for assessing the quality of life of women with Human Papillomavirus infection.
Methods:
a methodological study to develop the stages of item elaboration, apparent and content validation, semantic validation, pre-test, item allocation in domains, and reliability.
Results:
98 items were elaborated and submitted to apparent and content validation (version 2; n=05). In semantic validation, 90.9% of women considered all items clear and understandable (version 3; n=11). In pre-test, the best applicability was in the form of a self-administered questionnaire in relation to the interview (version 4; n=38). The Exploratory Factor Analysis allocated 58 items in 6 domains; (version 5; n=351). For reliability, the general Cronbach’s alpha value was 0.883.
Conclusions:
the instrument proved to be valid and reliable for assessing the quality of life of women with Human Papillomavirus infection, consisting of 54 items allocated in 6 domains.
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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
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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
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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
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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
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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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