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ARTÍCULO ORIGINAL01/02/2019
Management of prenatal nursing care at a Health Center in Angola
Revista Brasileira de Enfermagem. 2019;72:129-136
Resumen
ARTÍCULO ORIGINALManagement of prenatal nursing care at a Health Center in Angola
Revista Brasileira de Enfermagem. 2019;72:129-136
DOI 10.1590/0034-7167-2017-0685
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Objective:
To understand how care management in prenatal care in a Care Center in Angola happens.
Method:
A qualitative study, which used the Constructivist Grounded Theory (GT) as a methodological framework. The theoretical sample consisted of 22 participants, including nursing professionals, pregnant women and nursing students from Huambo, Angola. The data were collected by interviews and analyzed according to initial and focused coding.
Results:
Five categories arose: Embracing the pregnant woman for prenatal care; Performing the prenatal consultation; Creating a bond and dialogical relationship with pregnant women; Establishing collaborative working relationships; and Inserting the pregnant woman’s family into prenatal care.
Conclusion:
The management of nursing care in the study setting is effective through complementary and interdependent steps, based on collaborative relationships among professionals and in the effort to establish bonds with pregnant women and their families.
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ARTÍCULO ORIGINAL01/02/2019
Epidemiological profile of farmworkers from the state of Rio de Janeiro
Revista Brasileira de Enfermagem. 2019;72:122-128
Resumen
ARTÍCULO ORIGINALEpidemiological profile of farmworkers from the state of Rio de Janeiro
Revista Brasileira de Enfermagem. 2019;72:122-128
DOI 10.1590/0034-7167-2017-0555
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Objective:
to describe the epidemiological profile of farmworkers exposed to pesticides in the city of Casimiro de Abreu, Rio de Janeiro State.
Method:
cross-sectional study, conducted through a questionnaire. The collected data were typed in spreadsheet and processed in the R software.
Results:
the predominance of female participants, between 40 and 60 years old, married, with some elementary education was observed. Furthermore, the family labor and the production for their own consumption and trade prevail. Herbicide is the most widely used pesticide. Most informants present poisoning symptoms, as they do not use Personal Protective Equipment nor sunscreen. Breast cancer is the most frequent in families; among the participants, 31% had hypertension and 6.4% diabetes.
Conclusion:
a population vulnerable to environmental and occupational risks, specially the middle-aged group and women, sets up a profile marked by regional differences.
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ARTÍCULO ORIGINAL01/02/2019
Expansion of the interprofessional clinical practice of Primary Care nurses
Revista Brasileira de Enfermagem. 2019;72:114-121
Resumen
ARTÍCULO ORIGINALExpansion of the interprofessional clinical practice of Primary Care nurses
Revista Brasileira de Enfermagem. 2019;72:114-121
DOI 10.1590/0034-7167-2017-0759
Visualizações0Ver maisABSTRACT
Objective:
To analyze the clinical practice of nurses in the interprofessional context of the Family Health Strategy.
Method:
Case study in a basic health unit of the city of São Paulo with a professional team of the Family Health Strategy and of the Family Health Support Center. Direct observation and interviews with thematic analysis and triangulation were conducted.
Results:
Four empirical categories were identified: interprofessional actions guided by the logic of the user’s health needs; interprofessional actions guided by the logic of expediting service; interprofessional actions with a biomedical approach and interprofessional actions with an integral/holistic approach. Six interprofessional actions that indicated the expansion of the clinical practice of the Family Health Strategy’s nurses were also identified.
Conclusion:
The results express the world trend of interprofessional practice and expansion of the scope of practice of different professions, particularly that of nurses, which requires consolidation based on the population’s health needs.
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ARTÍCULO ORIGINAL01/02/2019
Training of intensive care nurses to handle continuous hemodialysis: a latent condition for safety
Revista Brasileira de Enfermagem. 2019;72:105-113
Resumen
ARTÍCULO ORIGINALTraining of intensive care nurses to handle continuous hemodialysis: a latent condition for safety
Revista Brasileira de Enfermagem. 2019;72:105-113
DOI 10.1590/0034-7167-2018-0013
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Objective:
To analyze the repercussions of the training of nurses working in the Intensive Care Unit for the management of continuous hemodialysis regarding the safety of critical patients with acute renal failure.
Method:
Qualitative research developed considering James Reason’s reference in the Intensive Care Unit of a private hospital. The data was collected with 23 nurses who worked for more than three months in the management of continuous hemodialysis through a semi-structured interview, and analyzed with the thematic content analysis technique.
Results:
There are weaknesses in the training of intensive care nurses for the management of continuous hemodialysis that become a latent failure. Such a failure results in difficulties in handling hemodialysis, with risks for these professionals to commit active failures.
Final considerations:
The training program in service for the management of continuous hemodialysis must be perfected, to develop skills and competencies in nurses and improve their performance.
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ARTÍCULO ORIGINAL01/02/2019
Presenteeism in multiprofessional team workers in the Adult Intensive Care Unit
Revista Brasileira de Enfermagem. 2019;72:96-104
Resumen
ARTÍCULO ORIGINALPresenteeism in multiprofessional team workers in the Adult Intensive Care Unit
Revista Brasileira de Enfermagem. 2019;72:96-104
DOI 10.1590/0034-7167-2017-0779
Visualizações0Ver maisABSTRACT
Objective:
To analyze the occurrence of presenteeism in multiprofessional team workers of an Adult Intensive Care Unit, relating it to sociodemographic and labor characteristics.
Method:
It is an analytical cross-sectional qualitative study, which used a questionnaire for sociodemographic data collection, and Stanford Presenteeism Scale(SPS-6) to assess presenteeism.
Results:
There was predominance of women (75.9%), nursing workers (66.7%), mean age of 39.81 years, and 6 to 10 years (31.6%) of experience in the labor market. Regarding presenteeism, 48.7% presented work impairment and 31.8% presentedperformance and completion of tasks altered by this phenomenon.
Conclusion:
Expressive numbers of general presenteeism were identified, with results indicating impairment in completing work. When connecting presenteeism to sociodemographic and labor characteristics, the variables sex, dependent children and absence from work presented values with statistical significance among the studied workers.
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ARTÍCULO ORIGINAL01/02/2019
Standardization of the duty shift in a General Adult Intensive Care Unit
Revista Brasileira de Enfermagem. 2019;72:88-95
Resumen
ARTÍCULO ORIGINALStandardization of the duty shift in a General Adult Intensive Care Unit
Revista Brasileira de Enfermagem. 2019;72:88-95
DOI 10.1590/0034-7167-2017-0745
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Objective:
To standardize the duty shift in a General Adult Intensive Care Unit.
Method:
Multi-method research, which used action research, descriptive study and content validation. Participants included 11 care nurses and 4 intensive care nurses. For the data collection, a semi-structured questionnaire was used, meetings with participants and validation with specialists. In this step, the modified online Delphi Technique was used. For data treatment, the Discourse of the Collective Subject (DCS) was used, descriptive analysis and Content Validity Index.
Results:
Three DCS on duty change, a Standard Operating Procedure (SOP) and an information registration instrument, validated in appearance, clarity, suitability and content.
Final considerations:
The instrument assists in the transmission of information, strengthening patient safety and SOP will outline the shift, these tools can improve ICU shift, minimizing the risks of communication failure.
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ARTÍCULO ORIGINAL01/02/2019
Care model for Primary Care workers: Convergent Care Research
Revista Brasileira de Enfermagem. 2019;72:80-87
Resumen
ARTÍCULO ORIGINALCare model for Primary Care workers: Convergent Care Research
Revista Brasileira de Enfermagem. 2019;72:80-87
DOI 10.1590/0034-7167-2017-0625
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Objective:
To verify the application of the Operative Group as a care tool for the workers of Primary Health Care, with a view to the constitution of mental health care at work.
Method:
Convergent Care Research as a research process and health workers as subjects. The intervention strategy as a proposal to accommodate the mental suffering of the worker was the Operative Group.
Results:
Two categories emerged: «Evidence of Suffering at Work» and «Group Learning: Group Reception by the Group».
Final considerations:
The use of the Operative Group has been assertive in providing the subjects with a space for listening to adversities in the work environment and active learning of reality, reflection and confrontation of basic fears, development of a pro-change project through peer and active learning of reality.
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ARTÍCULO ORIGINAL01/02/2019
Interactionist view of circumstances that interfere with nurses’ lifestyle
Revista Brasileira de Enfermagem. 2019;72:74-79
Resumen
ARTÍCULO ORIGINALInteractionist view of circumstances that interfere with nurses’ lifestyle
Revista Brasileira de Enfermagem. 2019;72:74-79
DOI 10.1590/0034-7167-2017-0062
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Objective:
To analyze the circumstances interfering with nurses’ lifestyle.
Method:
Qualitative study in light of the premises of the Grounded Theory and with theoretical reference of the Symbolic Interactionism. The study was conducted with 20 nurses from the municipality of Pinheiral, state of Rio de Janeiro.
Results:
The interference of work in nurses’ lifestyle was unanimous and expressed by the union of the following subcategories: blaming work for sedentary habits; recording the lack of time; justifying physical/mental fatigue by the lack of healthy habits; emphasizing the financial situation; and exchanging self-care for the care of the other.
Final considerations:
The results showed nurses’ complex life, as well as new possibilities for conducting daily choices. The need for actions that reduce the impact of workdays and contribute to these professionals incorporating a better lifestyle is noteworthy.
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ARTÍCULO ORIGINAL08/06/2020
Usabilidade de um aplicativo móvel sobre o autocuidado com o pé diabético
Revista Brasileira de Enfermagem. 2020;73(4):e20180862
Resumen
ARTÍCULO ORIGINALUsabilidade de um aplicativo móvel sobre o autocuidado com o pé diabético
Revista Brasileira de Enfermagem. 2020;73(4):e20180862
DOI 10.1590/0034-7167-2018-0862
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Objetivos:
avaliar a usabilidade pelo usuário final de um protótipo de aplicativo para o autocuidado com o pé diabético.
Métodos:
estudo descritivo, de avaliação heurística da usabilidade de um aplicativo híbrido. Participaram 15 usuários de um serviço ambulatorial de atenção à pessoa com diabetes de uma capital do Nordeste brasileiro durante o mês de abril de 2018. Foi aplicado o instrumento de mensuração de usabilidade chamado Smartphone Usability questionnaiRE.
Resultados:
obteve-se como menor escore 77 e maior 112, com média de usabilidade geral de 96,1 pontos. A usabilidade foi enquadrada nos dois últimos níveis, 70 e 80. Os usuários passam a concordar fortemente (nível 70) e totalmente (nível 80) com os itens avaliados, o que representa boa usabilidade do protótipo de aplicativo.
Conclus
ões: o produto final desenvolvido tem foco nas necessidades e exigências do usuário, o que pode garantir a usabilidade, com base na tríade eficácia, eficiência e satisfação.
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ARTÍCULO ORIGINAL18/10/2022
Percurso metodológico para alcance do grau de saturação na pesquisa qualitativa: teoria fundamentada
Revista Brasileira de Enfermagem. 2022;75(2):e20201379
Resumen
ARTÍCULO ORIGINALPercurso metodológico para alcance do grau de saturação na pesquisa qualitativa: teoria fundamentada
Revista Brasileira de Enfermagem. 2022;75(2):e20201379
DOI 10.1590/0034-7167-2020-1379
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Objetivos:
alcançar o grau de saturação em estudo que aplicou a teoria fundamentada.
Métodos:
pesquisa qualitativa, realizada em quatro Unidades Saúde da Família, entre junho de 2018 e maio de 2019. Os dados das entrevistas com 30 profissionais de saúde e observação não participante foram codificados nas etapas: aberta, axial e integração.
Resultados:
o grau de saturação foi alcançado por dois modelos conceituais – saturação teórica e temática indutiva. Foram considerados para a saturação teórica: o desenvolvimento dos códigos conceituais e a observação, na coleta e análise dos dados, quando geravam novas categorias/subcategorias ou apenas indicavam instâncias crescentes. Para a saturação temática indutiva, destacou-se a utilização de novos códigos baseados em cada entrevista.
Considerações Finais:
a esquematização visual para a quantidade de códigos, abrangência teórica dos conceitos e delimitação dos grupos amostrais orientou a identificação do grau de saturação para o desenvolvimento do corpo conceitual que sustentou a teoria substantiva.
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ARTÍCULO ORIGINAL05/12/2019
Elderly caregivers of the elderly: frailty, loneliness and depressive symptoms
Revista Brasileira de Enfermagem. 2019;72:88-96
Resumen
ARTÍCULO ORIGINALElderly caregivers of the elderly: frailty, loneliness and depressive symptoms
Revista Brasileira de Enfermagem. 2019;72:88-96
DOI 10.1590/0034-7167-2018-0137
Visualizações0Ver maisABSTRACT
Objective:
to investigate the association between frailty, loneliness and depressive symptoms of elderly caregivers.
Method:
a cross – sectional study carried out with 341 elderly caregivers enrolled in Family Health Units of a city in the countryside of São Paulo State. The interviews were domiciliary and included questionnaire for characterization of the caregiver, Fried’s frailty phenotype, family APGAR (family functionality), Geriatric Depression Scale (depressive symptoms) and item 3 of the Herth Hope Scale (loneliness). Logistic regression was used to analyze the association between depressive symptoms and solitude (independent variables), and frailty and pre-frailty (dependent variables).
Results:
there was an association between frailty, loneliness and depressive symptoms. Elderly caregivers had increased odds of 158% presenting pre-frailty, and 360% of frailty. Elderly caregivers with depressive symptoms had an increased chance of 242% of presenting fragility.
Conclusion:
elderly and lonely caregivers with depressive symptoms are more likely to be frail and pre-frail.
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REFLEXIÓN03/05/2021
A teoria de Florence Nightingale e suas contribuições para o pensamento crítico holístico na enfermagem
Revista Brasileira de Enfermagem. 2021;74(2):e20200139
Resumen
REFLEXIÓNA teoria de Florence Nightingale e suas contribuições para o pensamento crítico holístico na enfermagem
Revista Brasileira de Enfermagem. 2021;74(2):e20200139
DOI 10.1590/0034-7167-2020-0139
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Objetivo:
refletir sobre o legado de Florence Nightingale e descrever suas contribuições para o pensamento crítico holístico na enfermagem.
Métodos:
trata-se de uma reflexão teórica, para a qual serviram de base produções científicas sobre a teoria ambientalista de Florence Nightingale, publicadas em periódicos nacionais e internacionais.
Resultados:
a filosofia e os ensinamentos de Florence Nightingale enfatizam que a enfermeira deve usar o cérebro, o coração e as mãos na criação de ambientes de cura, para cuidar do corpo do paciente, de sua mente e de seu espírito. A enfermagem, desde a época de Nightingale, vem construindo o paradigma holístico, em todas as escolas de pensamento, com vistas a uma abordagem humanística do ser humano em sua indivisível relação com o ambiente.
Considerações finais:
as contribuições de Florence ao pensamento crítico holístico na enfermagem são evidentes, constituindo o diferencial do enfermeiro na prática clínica.
Palavras-chave: Cuidados de EnfermagemEnfermagemHistória da EnfermagemPensamento CríticoTeoria de EnfermagemVer mais -
19/08/2019
Clinical simulation in nursing education in intensive therapy: an integrative review
Revista Brasileira de Enfermagem. 2019;72(4):1061-1070
Resumen
Clinical simulation in nursing education in intensive therapy: an integrative review
Revista Brasileira de Enfermagem. 2019;72(4):1061-1070
DOI 10.1590/0034-7167-2018-0217
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Objective:
to analyze the publications on clinical simulation practices for education in Nursing in Intensive Care.
Method:
an integrative review carried out through LILACS, PubMed, Cochrane Library, CINAHL and SciELO databases, of articles published from 2008 to 2017.
Results:
29 articles were selected, of which 76% discuss the use of simulation in continuing education of nursing professionals, while the others describe their use for student education. There is a higher prevalence of studies with a level of evidence 6 (17), with 28 international publications. There was an increase in scientific production, with 16 articles published in the last three years.
Conclusion:
variables after simulation use, such as confidence, communication skills, efficiency in the identification of clinical worsening of patients, development of technical skills, teamwork and clinical decision-making, presented a significant improvement, demonstrating that this tool is effective in qualifying care for critical patients.
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ARTÍCULO DE REVISIÓN26/06/2023
Barriers to Pre-Exposure Prophylaxis (PrEP) use for HIV: an integrative review
Revista Brasileira de Enfermagem. 2023;76(3):e20210963
Resumen
ARTÍCULO DE REVISIÓNBarriers to Pre-Exposure Prophylaxis (PrEP) use for HIV: an integrative review
Revista Brasileira de Enfermagem. 2023;76(3):e20210963
DOI 10.1590/0034-7167-2021-0963
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Objectives:
to identify and synthesize scientific evidence on the barriers and difficulties for Pre-exposure Prophylaxis (PrEP) use and compliance for HIV.
Methods:
an integrative literature review, using the MEDLINE/PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Academic Search Premier and Scopus (Elsevier) databases.
Results:
all (100%) the articles included identified that PrEP users experience some type of structural barrier related to health services such as long distance from the units, suboptimal logistics for taking pills and professional resistance to prescribing PrEP. Furthermore, 63.21% identified social barriers, such as stigma about sexuality and HIV, in addition to individual barriers such as alcohol use, adverse effects, and concerns about long-term toxicity.
Conclusions:
the barriers to PrEP use are multifactorial. Effective interventions are needed to support PrEP users in accessing, complying with, and retaining health services.
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ARTÍCULO ORIGINAL21/10/2019
Coping religioso/espiritual e a angústia espiritual em pessoas com câncer
Revista Brasileira de Enfermagem. 2019;72(6):1534-1540
Resumen
ARTÍCULO ORIGINALCoping religioso/espiritual e a angústia espiritual em pessoas com câncer
Revista Brasileira de Enfermagem. 2019;72(6):1534-1540
DOI 10.1590/0034-7167-2018-0585
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Objetivo:
Investigar a relação entre presença de angústia espiritual e uso do coping religioso/espiritual com variáveis sociodemográficas, clínicas e de aspectos religioso/espiritual em pessoas com câncer.
Método:
Estudo transversal, realizado em uma associação de apoio à pessoa com câncer. Os dados obtidos dos instrumentos foram analisados por meio do coeficiente de correlação de Spearman e do teste Mann-Whitney.
Resultados:
Participaram do estudo 129 voluntários; 57% apresentaram moderada angústia espiritual, e 96% faziam uso de médio e alto coping religioso/espiritual positivo. A angústia espiritual apresentou correlação positiva com o coping religioso/espiritual negativo (P < 0,001) e inversa com a idade (p 0,002). O uso do coping religioso positivo foi estatisticamente significativo em pessoas que desenvolvem práticas religiosas (p 0,001).
Conclusão:
A angústia espiritual é um fenômeno presente na vida de pessoas com câncer e tem significativa relação com o uso, de maneira negativa, da religião/espiritualidade como forma de enfrentamento da doença.
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ARTÍCULO ORIGINAL16/09/2019
Social incentives for adherence to tuberculosis treatment
Revista Brasileira de Enfermagem. 2019;72(5):1182-1188
Resumen
ARTÍCULO ORIGINALSocial incentives for adherence to tuberculosis treatment
Revista Brasileira de Enfermagem. 2019;72(5):1182-1188
DOI 10.1590/0034-7167-2017-0654
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Objective:
To analyze the influence of social incentives for adherence to tuberculosis (TB) treatment.
Method:
Qualitative study, in which 26 primary health care professionals of São Paulo were interviewed in 2015.Their testimonies were submitted to the speech analysis technique. The theoretical reference was the social determination of the health-disease process. Ethical procedures were observed.
Results:
TB is related to precarious living conditions. Incentives such as the basic food basket and transportation stipends are relevant for patients’ adherence to treatment, as well as to the create bonds between the patient and the health team.
Final considerations:
The incentives strengthened adherence to TB treatment. However, interventions in the context of public measures must transcend the remedial dimension and be guided towards the transformation of the TB situation, which means supporting processes that modify living conditions.
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