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ARTÍCULO ORIGINAL
Profile of patients in private home care who developed ventilator-associated pneumonia
Revista Brasileira de Enfermagem. 2024;77(3):e20230146
29/07/2024
Resumo
ARTÍCULO ORIGINALProfile of patients in private home care who developed ventilator-associated pneumonia
Revista Brasileira de Enfermagem. 2024;77(3):e20230146
29/07/2024DOI 10.1590/0034-7167-2023-0146
Visualizações0ABSTRACT
Objectives:
to analyze the profile and clinical outcomes of patients who developed Ventilator-Associated Pneumonia (VAP) in private home care and to compare the incidence with national data.
Methods:
this was a retrospective study with data collected from July 2021 to June 2022 from patient records at a private clinic. Patients using intermittent ventilation or without ventilatory support were excluded.
Results:
the utilization rate of mechanical ventilation was 15.9%. The incidence density of pneumonia in pediatrics was 2.2 cases per 1000 ventilation-days and in adults was 1.7 cases per 1000 ventilation-days, figures lower than those reported by the National Health Surveillance Agency. There were 101 episodes of pneumonia in 73 patients, predominantly male (65.8%), adults (53.4%), and those with neurological diseases (57.5%). The treatment regimen predominantly took place at home (80.2%), and there was one death.
Conclusions:
patients in home care showed a low incidence and mortality rate from ventilator-associated pneumonia.
Palavras-chave: ArtificialHealth Systems AgenciesHome Care ServicesIntensive Care UnitsPneumoniaRespirationVentilator-AssociatedVer mais -
ARTÍCULO ORIGINAL
Adaptation strategies for preparing for childbirth in the context of the pandemic: Roy’s Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230159
29/07/2024
Resumo
ARTÍCULO ORIGINALAdaptation strategies for preparing for childbirth in the context of the pandemic: Roy’s Theory
Revista Brasileira de Enfermagem. 2024;77(3):e20230159
29/07/2024DOI 10.1590/0034-7167-2023-0159
Visualizações0Ver maisABSTRACT
Objectives:
to understand the process of adapting to childbirth during the COVID-19 pandemic from the perspective of a group of pregnant women.
Methods:
a qualitative, descriptive-exploratory study was conducted with 23 women. Data were collected between October and December 2021 through documentation and semi-structured interviews, which were analyzed using Minayo’s methodology and Roy’s Adaptation Model.
Results:
various types of stimuli – focal, contextual, and residual – were identified as influencing childbirth preparation. The online group was essential for facilitating pregnant women’s adaptation, offering significant support and generating positive feedback for childbirth preparation.
Final Considerations:
the importance of pregnant women’s groups as a strategy for improving adaptation to childbirth was identified, underscoring the effectiveness of this support among professionals and participants, as well as among pregnant women. This support network strengthened preparation for childbirth during a challenging period like the pandemic.
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ARTÍCULO ORIGINAL
Family refusal of skin donation for transplantation: trends and associated factors
Revista Brasileira de Enfermagem. 2024;77(3):e20230209
29/07/2024
Resumo
ARTÍCULO ORIGINALFamily refusal of skin donation for transplantation: trends and associated factors
Revista Brasileira de Enfermagem. 2024;77(3):e20230209
29/07/2024DOI 10.1590/0034-7167-2023-0209
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Objectives:
to analyze the trends and factors associated with family refusal of skin donation for transplantation.
Methods:
this cross-sectional study was conducted in the State of São Paulo, with family authorization terms collected from 2001 to 2020. The variables analyzed included year, age, gender, cause of death, and type of institution. Data were analyzed using linear and multiple logistic regression, with the Odds Ratio estimated at p<0.05 for statistical significance.
Results:
1,355 individuals refused skin donation. The trend of refusals decreased between 2001 and 2009 in the age groups of 0-11 years and 12-19 years, but increased in the group aged ≥60 years. This trend continued to decrease in the 0-11 years group from 2010 to 2020, and increased in the 20-40 years group. Males and the age groups of 20-40 years, 41-59 years, and ≥60 years exhibited 27%, 34%, 47%, and 53% lower chances of refusal, respectively.
Conclusions:
there is an urgent need for measures to mitigate the high number of refusals associated with skin donation.
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ARTÍCULO ORIGINAL
Excessive daytime sleepiness in nursing technicians: association with sleep quality and memory
Revista Brasileira de Enfermagem. 2024;77(3):e20230332
29/07/2024
Resumo
ARTÍCULO ORIGINALExcessive daytime sleepiness in nursing technicians: association with sleep quality and memory
Revista Brasileira de Enfermagem. 2024;77(3):e20230332
29/07/2024DOI 10.1590/0034-7167-2023-0332
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Objective:
to investigate excessive daytime sleepiness prevalence among nursing technicians and the association with sleep quality and memory.
Methods:
a cross-sectional, inferential study, carried out in a hospital unit in the state of Goiás between December 2020 and January 2021. Assessments were carried out using the Epworth Sleepiness Scale, the Pittsburgh Sleep Quality Index and the Prospective and Retrospective Memory Questionnaire, instruments validated for the Brazilian context. Bivariate and multivariate logistic regression analyzes were performed.
Results:
the sample consisted of 189 nursing technicians with a 40.9% excessive daytime sleepiness prevalence. In multivariate models, excessive daytime sleepiness was not associated with sleep quality, however there was a significant association with overall memory failures.
Conclusions:
study results demonstrate a high excessive daytime sleepiness occurrence, an association with overall memory failures and the need for psychosocial interventions for nursing technicians.
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ARTÍCULO ORIGINAL
Nurses’ perspectives on nurses’ work methods
Revista Brasileira de Enfermagem. 2024;77(3):e20230374
29/07/2024
Resumo
ARTÍCULO ORIGINALNurses’ perspectives on nurses’ work methods
Revista Brasileira de Enfermagem. 2024;77(3):e20230374
29/07/2024DOI 10.1590/0034-7167-2023-0374
Visualizações0Ver maisABSTRACT
Objectives:
To analyze nurses’ perspectives on nurses’ work methods in the hospital context.
Methods:
A descriptive study with a qualitative approach was conducted in a hospital in northern Portugal, involving 17 nurses. Semi-structured interviews were used for data collection. Data collected between May and June 2023 underwent content analysis, supported by Atlas.ti software.
Results:
Three thematic areas emerged: “Nurses’ work methods in a hospital context,” highlighting the conception and components of work methods and the methods in use; “Implementation of nurses’ work methods,” emphasizing influencing factors and challenges to implementation; and “Impact of nurses’ work methods on patients, nurses, and institutions.”
Final Considerations:
Nurses’ work methods constitute the structure of nursing care. Some factors influence and some challenges arise in the implementation of these methods, producing impacts on patients, nurses, and institutions.
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ARTÍCULO ORIGINAL
Nursing Process for institutionalized older adults: contributions from knowledge awareness workshop
Revista Brasileira de Enfermagem. 2024;77(3):e20230349
29/07/2024
Resumo
ARTÍCULO ORIGINALNursing Process for institutionalized older adults: contributions from knowledge awareness workshop
Revista Brasileira de Enfermagem. 2024;77(3):e20230349
29/07/2024DOI 10.1590/0034-7167-2023-0349
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Objective:
To analyze the knowledge of professionals working in a Nursing Home about the Nursing Process before and after the awareness workshop.
Methods:
This is strategic action research, developed with nursing professionals and managers of a Nursing Home in Rio Grande do Sul, Brazil. Data were collected between January and June 2023, through semi-structured interviews before and after an awareness workshop. Discursive textual analysis of the data was carried out.
Results:
The central category “Understanding about the Nursing Process in Nursing Homes” emerged, which was unitized into two units of meaning and three categories of analysis.
Conclusion:
Data revealed non-use and lack of knowledge of the Nursing Process before awareness raising. Afterwards, a deeper understanding of the topic and its importance was identified. Awareness-raising workshops contribute to transformation of knowledge.
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ARTÍCULO ORIGINAL
Evidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
Revista Brasileira de Enfermagem. 2024;77(3):e20230386
29/07/2024
Resumo
ARTÍCULO ORIGINALEvidence of validity of the Risk Self-Medication Questionnaire focused on Health Literacy
Revista Brasileira de Enfermagem. 2024;77(3):e20230386
29/07/2024DOI 10.1590/0034-7167-2023-0386
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Objectives:
to analyze the validity evidence of the internal structure of the Risk Self-Medication Questionnaire Focused on Health Literacy.
Methods:
a psychometric study with 499 adults. The internal structure was assessed with exploratory and confirmatory factor analysis to prove the adjustment. Internal consistency was measured by composite reliability and McDonald’s omega coefficient (ω).
Results:
the parameters revealed a model of 35 items distributed across four factors, explaining 56% of the total variance, with factor loadings ranging from 0.31 to 0.85 and adequate communalities. Accuracy (0.79
Conclusions:
an instrument was obtained with good evidence of structural validity for measuring self-medication.
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ARTÍCULO ORIGINAL
Educational technology for multidisciplinary training for managing waiting lists for elective patients
Revista Brasileira de Enfermagem. 2024;77(3):e20230299
29/07/2024
Resumo
ARTÍCULO ORIGINALEducational technology for multidisciplinary training for managing waiting lists for elective patients
Revista Brasileira de Enfermagem. 2024;77(3):e20230299
29/07/2024DOI 10.1590/0034-7167-2023-0299
Visualizações0Ver maisABSTRACT
Objectives:
to construct and assess an educational technology for managing patient waiting lists for multidisciplinary training.
Methods:
study supported by Instructional Design – ADDIE model, whose stages of construction of educational technology were developed in the form of a multi-professional training course. Its respective content assessment was carried out by a committee of experts from 2021 to 2022. The analysis occurred based on the proportion of content adequacy with 95% Confidence Interval.
Results:
seventeen products were created as educational technology learning objects: five storyboards; four videos; three comic books; two pedagogical action plans; a mind map; and a YouTube® playlist. Nine experts assessed content adequacy, which reached 0.89.
Conclusions:
this educational technology contributes to the performance of professionals who manage waiting lists by reducing inequalities, alleviating differences, in addition to promoting equity in care and good health for patients in the Brazilian Health System.
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ARTÍCULO ORIGINAL
Construction and validation of an educational technology for mother-child bond in the neonatal intensive care unit
Revista Brasileira de Enfermagem. 2020;73(4):e20190083
01/06/2020
Resumo
ARTÍCULO ORIGINALConstruction and validation of an educational technology for mother-child bond in the neonatal intensive care unit
Revista Brasileira de Enfermagem. 2020;73(4):e20190083
01/06/2020DOI 10.1590/0034-7167-2019-0083
Visualizações0ABSTRACT
Objectives:
to describe the process of construction and validation of an educational booklet to promote bonding between mothers and newborns in a Neonatal Intensive Care Unit.
Methods:
methodological study developed through data collection in the literature and with the target audience; construction of the booklet; qualification of the material through validation by judges (health and communication experts/designer) and assessment by the target audience (mothers of at-risk newborns). Data were analyzed descriptively.
Results:
booklet content was validated, obtaining an overall Content Validity Index of 0.92. Appearance was rated “Superior” with 80% percentage. Mothers performed an assessment with 100% agreement between the items.
Conclusions:
the booklet was validated in all domains assessed and can be used by mothers with children hospitalized in the Neonatal Unit.
Palavras-chave: Educational TechnologyIntensive Care Units, NeonatalMother-Child RelationsNursingValidation StudiesVer mais -
ARTÍCULO ORIGINAL
Avaliação do burnout em enfermeiros de um serviço de urgência geral
Revista Brasileira de Enfermagem. 2019;72(6):1457-1463
21/10/2019
Resumo
ARTÍCULO ORIGINALAvaliação do burnout em enfermeiros de um serviço de urgência geral
Revista Brasileira de Enfermagem. 2019;72(6):1457-1463
21/10/2019DOI 10.1590/0034-7167-2017-0870
Visualizações0RESUMO
Objetivo:
Avaliar o nível de Burnout dos enfermeiros de um serviço de urgência geral.
Método:
Estudo quantitativo, descritivo, correlacional e transversal. Participaram 32 enfermeiros de um serviço de urgência geral de adultos que responderam a um questionário para avaliar o Burnout. (Copenhagen Burnout Inventory).
Resultados:
Verificou-se que 59,4% dos enfermeiros estavam em Burnout Total, sendo o Burnout relacionado com o trabalho, a dimensão com valor mais elevado. Apurou-se que quanto menor a idade, quanto mais tempo na instituição, maior o nível de Burnout. Quanto mais tempo de exercício profissional, menor o Burnout. Verificou-se ainda valores mais elevados de Burnout nos participantes que pensam em mudar de profissão, nos que pensam em mudar de instituição e mudar de serviço.
Conclusão:
A prevalência de Burnout é elevada. O Burnout profissional é a dimensão mais prejudicada. A idade e o contexto de exercício são as dimensões que mais influenciam a perceção de Burnout.
Palavras-chave: Condições de TrabalhoEmergênciasEnfermagemEsgotamento ProfissionalEstresse PsicológicoVer mais -
ARTÍCULO DE REVISIÓN
Graduação em enfermagem: ensino por aprendizagem baseada em problemas
Revista Brasileira de Enfermagem. 2019;72(4):1071-1077
19/08/2019
Resumo
ARTÍCULO DE REVISIÓNGraduação em enfermagem: ensino por aprendizagem baseada em problemas
Revista Brasileira de Enfermagem. 2019;72(4):1071-1077
19/08/2019DOI 10.1590/0034-7167-2018-0298
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Objetivo:
Descrever como os cursos de graduação em enfermagem estão utilizando a aprendizagem baseada em problemas (ABP).
Método:
Revisão integrativa da literatura, a partir de buscas nas bases de dados Education Resources Information Center (ERIC), Literatura Latino-Americana e do Caribe em Ciências da Saúde (Lilacs) e PubMed, no período de 2010 a 2015. Foram analisados 36 artigos.
Resultados:
Método de ensino utilizado em todos os continentes, a ABP possibilita a melhoria do pensamento crítico, da autonomia, da motivação para a aprendizagem, da atitude de busca ativa, da capacidade de trabalhar em equipe e de resolver problemas. As dificuldades e desafios referem-se à capacitação de estudantes e professores para compreender os princípios do método.
Considerações finais:
Os benefícios da ABP coadunam as necessidades da formação do enfermeiro, mas sua aplicabilidade demanda revisão constante na busca de desenvolver a competência necessária a essa formação.
Palavras-chave: Aprendizagem Baseada em ProblemasCurrículoEducação em EnfermagemEducação SuperiorEnsinoVer mais -
ARTÍCULO ORIGINAL
Building and validating an educational video for elderly individuals about fall risks
Revista Brasileira de Enfermagem. 2020;73:e20200010
23/10/2020
Resumo
ARTÍCULO ORIGINALBuilding and validating an educational video for elderly individuals about fall risks
Revista Brasileira de Enfermagem. 2020;73:e20200010
23/10/2020DOI 10.1590/0034-7167-2020-0010
Visualizações0ABSTRACT
Objective:
to build and validate educational video for elderly individuals about fall risks.
Methods:
methodological study with video building. validated by 22 judges and assessed by 22 elderly individuals. Content was selected from the Fall Prevention Model and items from the Falls Risk Awareness Questionnaire. Items with an agreement greater than 0.80 were considered valid. verified through Content Validation Index (CVI) and binomial test.
Results:
building the video was guided by the Cognitive Theory of Multimedia Learning. Digital animation and audio narration were used. It lasted ten minutes and five seconds and included biological. socioeconomic. behavioral and environmental risks as well as precautions to avoid them. The CVI of judges had an average of 0.99. and of elderly individuals. an average of 1.0.
Conclusion:
the video was built and validated for content and understanding and can be used to prevent falls in elderly individuals.
Palavras-chave: Accidental FallsEducational TechnologyHealth EducationHealth of the ElderlyInstructional Films and VideosVer mais -
ARTÍCULO ORIGINAL
Aplicativo móvel para ensino da Classificação Internacional para a Prática de Enfermagem
Revista Brasileira de Enfermagem. 2019;72(4):1020-1027
19/08/2019
Resumo
ARTÍCULO ORIGINALAplicativo móvel para ensino da Classificação Internacional para a Prática de Enfermagem
Revista Brasileira de Enfermagem. 2019;72(4):1020-1027
19/08/2019DOI 10.1590/0034-7167-2018-0751
Visualizações0RESUMO
Objetivo:
Desenvolver um aplicativo móvel para o ensino da Classificação Internacional para a Prática de Enfermagem.
Métodos:
Estudo metodológico aplicado, de produção tecnológica, realizado em três fases do modelo de design instrucional contextualizado: análise, design e desenvolvimento.
Resultados:
O aplicativo possui uma tela inicial, na qual são fornecidas informações sobre a equipe e o tópico de ajuda. Em seguida, são listados quatro moblets, que versam sobre apresentação, guia do usuário constituído por cinco módulos, jogos educativos e cinco casos clínicos. Também são dispostas as referências utilizadas para a construção do aplicativo.
Considerações finais:
Foi possível desenvolver o aplicativo com potencial para impulsionar estudantes e profissionais de enfermagem a ter um melhor conhecimento sobre o referido sistema de classificação.
Palavras-chave: EnfermagemInformática em EnfermagemProcesso de EnfermagemTecnologia EducacionalTerminologia Padronizada em EnfermagemVer mais -
REFLEXIÓN
Children’s (in)visibility in social vulnerability and the impact of the novel coronavirus (COVID-19)
Revista Brasileira de Enfermagem. 2020;73:e20200302
29/06/2020
Resumo
REFLEXIÓNChildren’s (in)visibility in social vulnerability and the impact of the novel coronavirus (COVID-19)
Revista Brasileira de Enfermagem. 2020;73:e20200302
29/06/2020DOI 10.1590/0034-7167-2020-0302
Visualizações0ABSTRACT
Objective:
To examine the impact of the infection by the novel coronavirus on Brazilian children in situation of social vulnerability based on the Millennium Sustainable Development Goals.
Method:
Reflective study based on discursive formulation in three aspects: principles of the objectives and goals for the millennium sustainable development; impact of the pandemic on the health of children and their families living in social vulnerability; and the role of pediatric nursing in the care provided – limits and challenges.
Results:
In January 2020, the news of COVID 19 is released as a pandemic. In Brazil, children and families are still without access to basic rights, thereby increasing their risks of social vulnerability because of the quarantine. The nursing field has an important role in monitoring children and their families, offering guidance in search for solutions and preventing contamination.
Conclusion:
There are still challenges to be overcome by the children and their families in situations of vulnerability against COVID-19.
Palavras-chave: ChildrenCoronavirus InfectionsPediatric NursingSustainable DevelopmentVulnerable PopulationVer mais -
ARTÍCULO ORIGINAL
Nursing appeals on social media in times of coronavirus
Revista Brasileira de Enfermagem. 2020;73:e20200225
10/07/2020
Resumo
ARTÍCULO ORIGINALNursing appeals on social media in times of coronavirus
Revista Brasileira de Enfermagem. 2020;73:e20200225
10/07/2020DOI 10.1590/0034-7167-2020-0225
Visualizações0Ver maisABSTRACT
Objective:
to know and analyze the nursing appeals on social media during the COVID-19 pandemic.
Method:
it is a documentary, qualitative, descriptive, and exploratory research with data collected in publications in two social media. Two hundred ninety-five publications of nursing professionals published on Twitter and Instagram between March 11 and 20, 2020 were submitted to content analysis using ATLAS.ti resources.
Results:
four thematic categories emerged: #stayathome, #whereismyPPE, #nowweareheroes, #nothingnewinthefrontline, according to frequency of communications. The appeals show a relationship with the social relevance of nursing professional work and with the conditions required for its exercise.
Final considerations:
old and new challenges of the profession were placed on the agenda in social media, especially related to the workforce and instruments of labor. These speeches can serve as a foundation for policies to improve working conditions and promote appreciation of the profession.
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REFLEXIÓN
Supervisão Clínica e preceptoria/tutoria – contribuições para o Estágio Curricular Supervisionado
Revista Brasileira de Enfermagem. 2019;72(6):1730-1735
21/10/2019
Resumo
REFLEXIÓNSupervisão Clínica e preceptoria/tutoria – contribuições para o Estágio Curricular Supervisionado
Revista Brasileira de Enfermagem. 2019;72(6):1730-1735
21/10/2019DOI 10.1590/0034-7167-2018-0785
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Objetivo:
Refletir sobre as contribuições da supervisão clínica e da preceptoria/tutoria como meios para a aproximação e envolvimento dos enfermeiros dos serviços de saúde nas atividades de Estágio Curricular Supervisionado, discutindo enfoques conceituais, teóricos e práticos para o ensino superior em enfermagem.
Método:
Trata-se de estudo reflexivo fundamentado na formulação discursiva acerca da supervisão clínica e da preceptoria/tutoria.
Resultados:
a supervisão clínica tem sido amplamente utilizada pelas instituições de saúde internacionais para qualificar os processos de trabalho dos enfermeiros, apoiando seu autodesenvolvimento. Atualmente tem fundamentado a atuação do enfermeiro preceptor/tutor que acompanha estudantes na realização de estágios clínicos.
Considerações finais:
A supervisão clínica de estudantes de enfermagem se apresenta como estratégia robusta e eficaz para o desenvolvimento do estudante em estágio e para a efetivação da integração ensino-serviço.
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